Medicare Blog

what it the medicare and medicaid patient and program protection act of 1987

by Dedric Larson Published 1 year ago Updated 1 year ago
image

The Medicare and Medicaid Patient and Program Protection Act of 1987 (P.L. 100-93) strengthened authorities to sanction and exclude providers from the program and established criminal penalties for fraud against Medicare, Medicaid, and other federal health care programs.

Full Answer

What is the Medicare and Medicaid Patient Protection Act?

Regulations implementing the Medicare and Medicaid Patient Protection Act of 1987 specify practices and activities that are not subject to criminal penalties under the antikickback provisions of the Social Security Act or to exclusion from Medicare or state health-care programs.

What is the Medicare Anti-Kickback Statute?

The Medicare anti-kickback statute prohibits (1) the willful solicitation or receipt of remuneration in return for referrals of Medicare patients for any service for which payment may be made in whole or in part under Medicare or a State health care program, and (2) the offer or payment of remuneration to induce such referrals [ii].

What is prohibiting payments to excluded from Medicare?

Prohibits Federal payments with respect to any amount expended for items or services furnished by or at the direction of any individual or entity excluded from Medicare because of the patient and program protection provisions of title XI.

image

Sponsor and status

This bill was enacted after being signed by the President on August 18, 1987.

Position statements

We’re collecting the statements of stakeholder organizations. Your organization ’s position statement could be on this page! Register your organization’s position on this bill »

History

A bill must be passed by both the House and Senate in identical form and then be signed by the President to become law.

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9