Healthcare Fraud Self-Disclosure: Understanding Reporting Methods; Conducting Investigations; Quantifying Damages
Navigating OIG’s Guidance for Providers and Suppliers
Recording of a 90-minute CLE video webinar with Q&A
This CLE course will guide healthcare counsel through the Department of Health and Human Services (HHS) Office of the Inspector General's (OIG) Self-Disclosure Protocol. The panel will also briefly discuss the CMS Self-Referral Disclosure Protocol. The panel will offer best practices for evaluating the advantages and disadvantages of disclosing potential violations and navigating OIG's guidance.
Outline
- Evaluating whether to disclose and options for disclosures
- This topic will also cover understanding when to use OIG's Self-Disclosure Protocol versus CMS' Self-Referral Disclosure Protocol
- OIG's Self-Disclosure Protocol and most recent guidance
- Best practices for self-disclosures and compliance
Benefits
The panel will review these and other key issues:
- Which avenue should healthcare providers use when making a self-disclosure?
- What are best practices for healthcare providers and their counsel when preparing OIG Self-Disclosure Protocol or CMS Self-Referral Disclosure Protocol disclosure submission?
Faculty
T. Jeffrey Fitzgerald
Shareholder
Polsinelli
Mr. Fitzgerald’s practice focuses on defending healthcare clients in healthcare fraud investigations. He believes... | Read More
Mr. Fitzgerald’s practice focuses on defending healthcare clients in healthcare fraud investigations. He believes effective strategies for successfully defending investigations include the rigorous exploration of the facts and a detailed analysis of the applicable regulations. Mr. Fitzgerald represents healthcare providers in disputes with federal and state licensure bodies, professional licensure boards, and other regulators and law enforcement agencies. He also assists healthcare companies that have proactively discovered potential compliance issues. Mr. Fitzgerald uses his experience in resolving investigations to develop practical solutions that bring finality and risk reduction to compliance problems.
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Heidi A. Sorensen
Counsel
Alston & Bird
Ms. Sorensen builds on her previous experience at the Office of Counsel to the Inspector General of the Department of... | Read More
Ms. Sorensen builds on her previous experience at the Office of Counsel to the Inspector General of the Department of HHS to assist clients with health care regulatory, compliance, and fraud and abuse matters. She focuses her practice on health care fraud and abuse and compliance matters, including the Anti-Kickback Statute. Ms. Sorensen assists clients in False Claims Act investigations, negotiating FCA settlements and corporate integrity agreements, and matters that fall under the Civil Monetary Penalties Law and OIG exclusion authorities. She helps clients develop compliance programs and implement corporate integrity agreements. Ms. Sorensen previously served as chief of the Administrative and Civil Remedies Branch in the Office of Counsel to the Inspector General (OCIG) at HHS. She served as the OCIG’s coordinator for both the Provider Self-Disclosure Protocol and the Physicians at Teaching Hospitals national project and also served the OCIG as senior counsel and deputy branch chief.
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