Training and resource guide
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brownlee47
- Posts: 51
- Joined: Wed Aug 27, 2014 1:32 pm
on page 1.6 of the 2014 Namas training and resource guide, can you explain to me the difference in the monetary penalty $5,000-11,000 and the Medicare civil monetary penalty of S11,000. I am trying to figure out why the example used 36 claims x $11,000 instead of $10,000 since it was a medicare claim. Thank you in advance.
Answer provided by NAMAS team member Regan Tyler:
There are two different penalties referenced.
Violations of the False Claims Act (FCA) have a max fine up to $11,000
Civil Monetary Penalties (CMP) have a max fine up to $10,000
Often you can be charged with both. For test purposes you'll want to see which of the two fines they're referencing to determine the correct max fine amount.
There are two different penalties referenced.
Violations of the False Claims Act (FCA) have a max fine up to $11,000
Civil Monetary Penalties (CMP) have a max fine up to $10,000
Often you can be charged with both. For test purposes you'll want to see which of the two fines they're referencing to determine the correct max fine amount.