This crisp and focused session will elucidate the two pathways to trouble-from quality failures in delivering care to quality reporting-and where false claims liabilities can now arise. In an era of declining reimbursement and the call for more efficiency, health care providers who seek to lower costs may do so at the risk of generating quality failures. How these can create fraud and abuse liability will be presented. Where payment varies based on measured performance, the legitimacy of those reports is critical. How quality reporting can create liability will also be presented.
