Healthcare Fraud: Identifying and Assessing Fraud Risks, Implications of Current Enforcement, Ensuring Compliance
Recording of a 90-minute CLE webinar with Q&A
This CLE course will provide guidance to healthcare attorneys to identify and evaluate healthcare fraud risks. The panel will examine current enforcement trends and discuss best practices for minimizing healthcare fraud.
Outline
- Assessing healthcare fraud risks
- Stark
- AKS
- Business arrangements/strategies that raise fraud and abuse risks
- False claim risks—payors, plans, MCOs
- Enforcement trends
- Best practices to avoid or minimize healthcare fraud
Benefits
The panel will review these and other key issues:
- Where do fraud risks arise for healthcare providers?
- What are the enforcement trends that healthcare counsel must understand?
- What steps can healthcare providers take now to mitigate their exposure to fraud claims?
Faculty
Benjamin J. Fenton
Partner
Fenton Law Group
Mr. Fenton advises and represents healthcare providers and entities in healthcare business disputes, hospital peer... | Read More
Mr. Fenton advises and represents healthcare providers and entities in healthcare business disputes, hospital peer review actions, and state and federal administrative actions and investigations. He represents physicians and other healthcare providers before licensing agencies and has extensive experience representing healthcare providers in Medicare and Medi-Cal disputes, such as overpayment demands, terminations or suspensions, and audits and investigations. He also litigates business disputes, representing physicians and medical groups both as plaintiffs and defendants, and represents healthcare providers in the defense of RICO, False Claims Act and Fraud and Abuse litigation.
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Matthew M. Curley
Member
Bass Berry & Sims
Mr. Curley represents clients in connection with internal and governmental investigations and related civil and... | Read More
Mr. Curley represents clients in connection with internal and governmental investigations and related civil and criminal proceedings, particularly within the healthcare industry. His counsels his clients facing inquiries and investigations by federal and state regulators and False Claims Act litigation. His perspective is informed by his prior experience as an Assistant U.S. Attorney with the U.S. Attorney's Office for the Middle District of Tennessee, where he served as Civil Chief and coordinated the Office's civil enforcement efforts in representing the United States and its agencies in healthcare fraud and abuse actions arising under the False Claims Act.
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