Education on Fraud, Waste and Abuse Laws
PPCH will ensure that 1) all employees are provided with a copy of Attachment A within 30 days of commencing employment with PPCH, 2) PPCH’s Employee Handbook, when next revised, will incorporate the information contained in Attachment A, and 3) Attachment A will be provided, via email, to all contractors and agents that provide billing health care services on behalf of PPCH. All PPCH employees are responsible for understanding this Policy and directing questions regarding this policy to appropriate management personnel.
Attachment A: Information Concerning State and Federal Laws Related To Fraud, Waste and Abuse representation of a material fact in connection with a Medicaid claim: (2) present or cause to be presented to the state department a false Medicaid claim for payment or approval; (3) present or cause to be presented any cost document required by the medical assistance program that the person knows contains a false material statement; or (4) as to services for which a license is required, make or cause to be a claim with knowledge that the individual who furnished the services was not licensed to provide such services.
Violation of the Colorado Medicaid False Claims Act are civil offenses and are punishable by significant monetary penalties.
Reporting Concerns Regarding Fraud, Abuse and False Claims
Parker Personal Care Homes. Inc’s Policies and Procedures
Colo. Rev. Stat. §§ 25.5.303.5 through 310 (previously codified at Colo. Rev Stat. §§ 26-4-1101 et seq.)
Senate Bill 10-167 (Colo. 2010)
Civil False Claims Act, 31 U.S.C. §§ 3729-33
Deficit Reduction Act of 2005, Sections 6031, 6032 (Public Law No. 109-171)
Parker Personal Care Homes, Inc. Employee Handbook