Simone Colgan Dunlap and Kiel Zillmer Write Article for Thomson Reuters on Health Care Fraud and Abuse Laws in Wisconsin
Simone Colgan Dunlap and Kiel Zillmer, both Quarles & Brady attorneys in the Health & Life Sciences group, wrote an article for Thomson Reuters on health care fraud and abuse laws in Wisconsin. The article is a Q&A guide outlining the state equivalents of federal statutes like the False Claims Act, Anti-Kickback Statute and Stark Law.
An excerpt:
To prove a violation of Wis. Stat. § 946.91(6), the prosecuting authority must show that, when the services provided to a patient are paid for in whole or in part by the government, the defendant intentionally charged, solicited, accepted, or received any gift, money, donation, or other consideration as a precondition to admit the patient to or continuance to remain a patient in a hospital, skilled nursing facility, or intermediate care facility. The statute does not prohibit an individual from accepting or receiving charitable, religious, or philanthropic contributions from an organization or a person unrelated to the patient. (Wis. Stat. § 946.91(6).)
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In addition to the consequences listed, the Wisconsin Department of Health Services (DHS) may impose sanctions or suspend or terminate a health care provider's participation in Wisconsin's Medical Assistance program for conduct that includes fraudulent or abusive practices. For more information, see Question 4.