Medicaid Fraud and Abuse Enforcement on the Rise
Surviving Increased CMS and State Scrutiny
Recording of a 90-minute CLE webinar with Q&A
Outline
- Implementation of the Deficit Reduction Act (DRA)
- Employee education, policies and handbooks
- New incentives for state Medicaid programs
- Expanded enforcement and oversight
- Federal Medicaid Integrity Program
- Dynamic Activities by States and Federal Government
- Audits and Data Mining
- Costs Reports
- Quality of Care Initiatives
- Financial Incentives
- Managing New Operational Challenges
- Test Effectiveness of Your Compliance Program
- Stay Ahead of the Government
- Understand the Difference Between Fraud, Abuse and Improper Payments
- Theories of False Claims Violations Involving Quality and Regulatory Compliance
- Protect Yourself from Whistleblowers
- Improving Process and Systems: Proactive and Preventive Measures
- Internal Audits and Monitoring
- Effective Listening
- Communicating with the Government - Document and Production
- Retention Schedules
- Use of Counsel
Benefits
The panel will review these and other key questions:
- What measures are federal and state governments taking to identify and erradicate Medicaid fraud?
- What are the best practices for hospitals to ensure compliance with the DRA and Medicaid program requirements?
- What future changes can counsel expect as the government increases its focus on stamping out Medicaid fraud?
Faculty
Paula G. Sanders
Principal
Post & Schell
She represents clients on Medicare and Medicaid survey and certification, compliance, and fraud and abuse issues. She... | Read More
She represents clients on Medicare and Medicaid survey and certification, compliance, and fraud and abuse issues. She speaks and writes extensively on topics affecting hospitals and other providers.
CloseConnie A. Raffa
Partner
Arent Fox
She has 28 years of experience in health care law, focusing on regulatory and reimbursement issues, corporate... | Read More
She has 28 years of experience in health care law, focusing on regulatory and reimbursement issues, corporate compliance, fraud and abuse and Medicare and Medicaid issues. She is a former state prosecutor, and member of the General Counsel's Office working for the Inspector General of HHS.
CloseDavid Frank
Director, Medicaid Integrity Group, Center for Medicaid and State Operations
Centers for Medicare & Medicaid Services
He is the Director of the Medicaid Integrity Group, which carries out the Medicaid Integrity Program. He was a state... | Read More
He is the Director of the Medicaid Integrity Group, which carries out the Medicaid Integrity Program. He was a state and federal prosecutor for 22 years, handling several health care fraud cases.
Close