KEY PROVISIONS OF HEALTH CARE BILL AFFECTING PHYSICIANS AND PHYSICIAN GROUPS
Section 6401: Mandatory Compliance Program Requirement
o Grants to the Secretary of HHS the authority to require health care providers to adopt compliance programs as a condition to enrollment or revalidation in the Medicare, Medicaid and CHIP programs.
o The goal of a compliance program is to be effective in preventing and detecting criminal, civil, and administrative violations under the Medicare and Medicaid laws.
o Provider compliance programs will be subject to enhanced focus on fraud and abuse inquiries and prosecutions.
o No specific deadline.
o Core elements will be defined by regulations once issued.
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