This information bulletin describes areas of potential false claims exposures for health centers, including billing and coding and billing for services by a provider who is excluded from participating in federal health care programs. The document also reviews incorporating billing and false claims in a health center's corporate compliance program.
Important NACHC Library Content Note: This technical assistance resource was developed prior to the August 2017 release of the Health Center Compliance Manual by the Health Resources and Services Administration’s (HRSA) Bureau of Primary Health Care (BPHC). The BPHC Compliance Manual, issued August 2017, indicates where PINS, PALs and other program guidance are now superseded or subsumed by the BPHC Compliance Manual.
This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS).