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Medicare fraud and abuse insurance

Coverage for allegations that an insured healthcare provider overbilled the federal government in seeking reimbursement for services performed under Medicare. Offered as an endorsement to physicians and hospital professional liability insurance policies, this coverage became prevalent in the late 1990s when the federal government initiated concerted efforts to pursue Medicare billing violations by healthcare providers. The policies exclude coverage for fines, penalties, and punitive damages, and coverage is limited to defense cost reimbursement only.


Links for IRMI Online Subscribers Only: PLI III.E

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