It Could Happen to You

The Increased Prevalence of Healthcare "Fraud" Investigations for Non-Compliance and How to Avoid One

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 Join us for this Informative Tele-class

 Thursday, November 20, 2014

 12:00 pm (EST)   

 

The United States government collected over $2.5 billion from healthcare companies and providers in 2013 alone through settlements and judgments under the federal False Claims Act (“FCA”).  Although the FCA is often described as one of the federal government’s most powerful tools to combat healthcare “fraud,” the vast majority of FCA cases do not involve clear instances of fraud, such as billing for phantom services or patients.  In fact, the FCA expressly provides that the government need not prove a specific intent to defraud.  Instead, most FCA cases involve lack of compliance with the myriad of healthcare laws and regulations.  Examples include lack of appropriate physician supervision, the retention of innocent overpayments, and physician compensation above fair market value. 

Despite this, providers who find themselves as a defendant in an FCA matter face the potential for tremendous consequences, including treble damages, per claim penalties of up to $11,000, and program exclusion.  In light of the potential reward for FCA whistleblowers, who can keep up to 30% of the government’s total recovery, any healthcare provider can easily and unwittingly become the target of an FCA investigation.

This tele-class is intended to provide healthcare providers and entities with an overview of the legal and regulatory scheme governing the industry, along with tips and advice on how to stay off of the government’s radar. 

The tele-class will include:

1.  A brief overview of the FCA, Stark law, Anti-kickback statute, and Civil Monetary Penalty (“CMP”) law;

 2.  A discussion on current trends of government enforcement;

 3.  Practical tips on how to keep off of the government’s radar; and

4.  Tips for responding to a government investigation or inquiry.

 

 presented by

InHealth Consulting & Educational Services

and

Guest Expert Scott R. Grubman

Attorney, Rogers & Hardin, LLP

Mr. Grubman represents health care providers in connection with government and internal investigations, False Claims Act (“FCA”) litigation, and other white collar matters, and also advises clients on issues related to government billing, Stark, and Anti-kickback compliance.  

   Registration is just $44.97 ($0 for members)

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If you cannot attend the tele-class live, an audio recording will be sent to all Registered attendees after the tele-class. 

 

"The Increased Prevalence of Healthcare 'Fraud' Investigations for Non-Compliance and How to Avoid One" meets the criteria of the Professional Association of Health Care Office Management and is approved for 1 CEU.  You must attend the live class to be eligible for CEUs.

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