Fraud in Healthcare Under Heightened Scrutiny
Effective Compliance Strategies in the Face of New DOJ/HHS Fraud Initiatives
Fraud Enforcement and Recovery Act expands FCA liability starting May 20
Recording of a 90-minute CLE webinar with Q&A
The teleconference/course format offers two options for participation: audio only via telephone (download speaker handouts prior to the program) or audio via phone plus online viewing of speaker-controlled PowerPoint presentations.
This seminar will examine the Fraud Enforcement and Recovery Act of 2009 (FERA) and the significant changes it makes to the False Claims Act. The panel will discuss current enforcement trends and steps healthcare providers and counsel must take to ensure compliance.
- Impact of FERA and key changes to the FCA
- Fraud against government contractors and grantees
- Retention of overpayments
- Expanded whistleblower protections
- Expanded investigative tools for Dept. of Justice
- Statute of limitations
- Implications for healthcare providers
- FCA enforcement trends
- Health Care Fraud Prevention and Enforcement Action Team (HEAT)
- Deficit Reduction Act impact
- State FCAs and Federal Medical Assistance Percentage (FMAP)
- Strategies for implementing and maintaining compliance programs
- Designing a program — policies and procedures for detecting and preventing fraud, waste and abuse
- Implementing a program
- Response to violations
The panel will review these and other key questions:
- How does the FERA amend the False Claims Act?
- What are the key elements of an effective compliance strategy to avoid FCA violations?
- What steps can healthcare providers take now to mitigate their exposure to whistleblower actions?
T. Jeffrey Fitzgerald
Faegre & Benson
His practice focuses on fraud and abuse, Medicare reimbursement, compliance and other regulatory issues. He represents... | Read More
His practice focuses on fraud and abuse, Medicare reimbursement, compliance and other regulatory issues. He represents hospitals, physicians and other healthcare providers in federal False Claims Act investigations and litigation. He conducts internal investigations in response to allegations of fraud and advises healthcare entities in development and implementation of corporate compliance plans.Close
Hogan & Hartson
He focuses on healthcare fraud and abuse litigation and counseling, federal and state False Claims Act litigation, and... | Read More
He focuses on healthcare fraud and abuse litigation and counseling, federal and state False Claims Act litigation, and white collar criminal defense. While at the U.S. Department of Justice, he handled civil fraud and False Claims Act matters and was designated an authority in the Stark Law and the viability of claims under the False Claims Act as a remedy for unlawful marketing practices.Close
Michael W. Paddock
Crowell & Moring
He focuses on healthcare fraud and abuse matters and advises clients on compliance matters, the conduct of internal... | Read More
He focuses on healthcare fraud and abuse matters and advises clients on compliance matters, the conduct of internal investigations related to potential fraud and abuse issues, and responding to and defending against government anti-fraud and abuse enforcement efforts and regulatory inquiries, including qui tam and government allegations of False Claims Act violations.Close