What does the Civil Monetary Penalties Law (CMPL) cover?

The Civil Monetary Penalties Law (CMPL) is designed to address a variety of fraudulent activities in healthcare that extend beyond just billing issues. It encompasses a wide range of wrongful actions, similar in scope to the False Claims Act, which targets broadly any fraudulent claims for payment from federal healthcare programs. This includes not only fraudulent billing practices but also violations such as offering kickbacks, submitting false information, and other deceptive practices that may harm the integrity of the healthcare system.

By encompassing a variety of fraudulent conduct, the CMPL plays a critical role in maintaining compliance and ensuring that healthcare providers adhere to ethical and legal standards when interacting with federal healthcare programs. This comprehensive approach highlights the importance of addressing multiple facets of fraud and abuse in healthcare, ensuring a more robust system of accountability.