Skip to main content

These five federal fraud and abuse laws are important for physical therapists to know:

  1. The False Claims Act
  2. The Anti-Kickback Statute
  3. The Physician Self-Referral Law, also called the Stark Law
  4. The Exclusion Authorities
  5. The Civil Monetary Penalties Law

In addition to the federal fraud and abuse laws, many states have established their own fraud and abuse laws, which govern billing relationships with private payers. Familiarize yourself with your state laws and with requirements placed on you by any contract you sign with a payer, such as an insurance company or Medicaid program. You should familiarize yourself with the laws in your state, as well as any additional requirements placed on your by any contract you sign with a payer, like an insurance company or Medicaid program.

Log in or create a free account to keep reading.

Join APTA to get unlimited access to content.

You Might Also Like...


When Professional and Personal Life Intersect

May 1, 2022

On occasion, the lines blur and we may step outside of our professional scope with potential consequences.


Professional Decision Making on the Line

Feb 1, 2022

Every practice setting has its challenges and special circumstances, but they all share professional expectations and responsibilities.


Ethical Decision-Making in Physical Therapist Practice

Jan 1, 2022

Access considerations, guidelines, tools and resources to help you with general clinical decision-making in physical therapist practice.