While most practices are making minor, innocent mistakes with Medicare billing such as transposing a number from time to time, significant abuse and fraud issues could land you and your practice in hot water with the government -- even if you aren't aware of the problems. There is a wave of new technology available that allows regulatory agencies to pinpoint problem areas more quickly and with greater accuracy. The Affordable Care Act designated several hundred million dollars to ramp up anti-fraud efforts including sophisticated data analytics, the employment of additional law enforcement personnel, and an intense scrutiny of claims before they are paid. Fraud sentencing is becoming stricter, including civil and monetary violation penalties for practices that don't return overpayments, for instance. With all of the challenges around medical billing, how can you avoid activities that could be flagged as Medicare fraud and abuse within your practice?