Healthcare Fraud and Abuse: Rigorous Compliance, Recent Settlements, Court Rulings, and Advisory Opinions
Recording of a 90-minute CLE webinar with Q&A
This CLE course will review the latest developments related to healthcare fraud, drawing lessons from recent government investigations and settlements. The panel will prepare healthcare counsel to take proactive steps for compliance.
Outline
- Fraud enforcement trends
- Noteworthy settlements
- Court decisions
- Advisory opinions
- CMS enforcement
- Strategies for implementing and maintaining compliance programs
- Designing a program: Policies and procedures for detecting and preventing fraud, waste, and abuse
- Implementing a program
- Training
- Monitoring
- Response to violations
Benefits
The panel will discuss the following key issues:
- Recent fraud and abuse enforcement actions and settlements, including lessons learned.
- Top government enforcement trends and priorities.
- Best practices to mitigate risk and limit exposure to claims and whistleblower actions.
- Key elements of an effective compliance program strategy.
Faculty
John E. Kelly
Member
Bass Berry & Sims
Mr. Kelly is a former federal prosecutor, an experienced trial attorney and Managing Partner of the firm's... | Read More
Mr. Kelly is a former federal prosecutor, an experienced trial attorney and Managing Partner of the firm's Washington, D.C. office. He represents companies and individuals in internal investigations, government investigations, criminal prosecutions, and civil litigation in matters related to healthcare fraud and abuse (Anti-Kickback Statute and Stark Law), the False Claims Act, the Foreign Corrupt Practices Act (FCPA), the Food, Drug and Cosmetic Act (FDCA), the Federal Acquisition Regulation (FAR), and other regulatory and compliance issues. He also has experience in cases involving procurement fraud, securities fraud, accounting fraud, mail and wire fraud, and money laundering.
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Brian D. Roark
Member
Bass Berry & Sims
Mr. Roark is the head of the firm’s Healthcare Fraud Task Force and concentrates his practice on representing... | Read More
Mr. Roark is the head of the firm’s Healthcare Fraud Task Force and concentrates his practice on representing healthcare clients in responding to governmental investigations and defending False Claims Act lawsuits. He has successfully litigated and resolved numerous healthcare fraud matters involving hospitals and health systems, ambulatory surgery centers, hospices, home health companies, drug and alcohol abuse treatment centers, Medicare Advantage companies, and other healthcare providers. Mr. Roark serves as an Adjunct Professor of Law at Vanderbilt University, where he teaches Healthcare Fraud and Abuse. He is the Immediate Past Chair of the Tennessee Bar Association’s Health Law Section.
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