LINKS

Provider Fraud Consultants, Inc. (PFC)

Daniel J. Osborne, M.S., Founder & President

18065 238th Street, Tonganoxie, KS  66086

(913) 669-6987     cccpfc@gmail.com

Laws & Rules

Centers for Medicare and Medicaid Services

CMS Forms

Clinical Lab Improvement Amendments

Food and Drug Administration

Health Insurance Portability Accountability Act

Occupational Safety Health Administration

Tricare

U.S. Department of Labor

Employee Retirement Income Security Act—ERISA

Federal Trade Commission—Red Flag Rules

 

Coding & Billing

International Classification of Disease

Current Procedural Terminology

Healthcare Common Procedure Coding System

National Uniform Claim Committee

Resource Based Relative Value Scale

 

Compliance

Federal Sentencing Guidelines

OIG guidance, individual/small group practices

OIG guidance, third party medical billing companies

OIG guidance, dmepos

Durable Medical Equipment Center

OIG Work Plans

OIG Fraud Alerts

OIG Corporate Integrity Agreements

Health Care Compliance Association

American Health Information Mgmt. Assoc.

Regulatory Boards

Federation of Chiropractic Licensing Boards 

Federation of State Medical Boards

Federation of State Boards of Physical Therapy

National Association Insurance Commissioners

 

Due Diligence

List of Excluded Individuals and Entities

GSA Excluded Parties List

National Practitioners Data Bank

Federal Poverty Guidelines 

 

Federal Law Enforcement

Federal Bureau of Investigation

HHS Office of Inspector General

Defense Criminal Investigative Service

Internal Revenue Service

US Postal Inspection Service

US Department of Justice, US Attorneys

 

Health Care Associations

American Chiropractic Association

International Chiropractic Association

American Medical Association

American Physical Therapy Association

 

Insurance

National Health Care Anti-Fraud Association

Inter. Association Special Investigative Units

National Insurance Crime Bureau

Coalition Against Insurance Fraud

National Chiropractic Mutual Insurance Company

Click on links to access web-sites to advance compliance efforts. 

Links divided by categories based on type of information to enhance navigation.

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