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AHIP Medicare Exam Prep 47, False Claims Act and False Statements

AHIP Medicare Exam Prep 47, False Claims Act and False Statements

Published 2 weeks ago
Description
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - How the False Claims Act defines knowingly to include deliberate ignorance and reckless disregard without requiring specific intent to defraud - The legal liability surrounding false records, forged signatures, and altered enrollment documents in Medicare Advantage and Part D - How the sixty-day overpayment rule creates reverse false claim liability when improper funds are retained - The role of whistleblowers, qui tam provisions, and statutory anti-retaliation protections in federal health programs - The financial and administrative penalties for violations, including treble damages, civil monetary penalties, and program exclusion For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
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