Shauna Itri, Partner at Seeger Weiss LLP recently presented the webinar “Fraud, Healthcare, COVID-19, and the False Claims Act.” Shauna returned to answer many commonly asked questions from the webinar.
Shauna Itri, Partner at Seeger Weiss LLP will be presenting for us today. A whistleblower or qui tam action can provide financial rewards to individuals who have information that a company/individual has committed fraud. The primary statutes under which this relief may be sought are the federal and state False Claims Acts (“FCAs”). In addition to the FCAs, there are other statutes which apply to tax fraud, securities fraud, and in California, fraud on private insurance companies. This practical Course will provide an overview of the False Claims Acts, the knowledge and skills to be able to recognize a potential whistleblower case, and understand the unique procedures utilized in filing whistleblower cases/tips. The second half of the Course will go into recent trends in cases brought (or could be brought) under the False Claims Act including cases involving mined data and potential fraud related to COVID-19.
C.Trey Scott, Coordinating Attorney at Kennedy, Attorneys & Counselors at Law leads this webinar. Waivers and discounts are normal business activities that occur throughout the US daily as a way to reward customers or to assist when an invoice or bill may too expensive. However, in a healthcare context, the normal rules for waivers and discounts don’t apply. This presentation will highlight what waivers and discounts are, how they work, and when they are problematic/illegal.
Sonal Patel, CPMA, CPC, CMC, ICD-10-CM, Healthcare Coder and Compliance Consultant at Nexsen Pruet, LLC, presented the webinar “Have No Fear: Auditing to Benefit Healthcare Entities, A Step Towards Proactive Compliance” recently. Sonal returned to answer many commonly asked questions from the webinar.
Rachel V. Rose, JD, MBA is a Principal with Rachel V. Rose – Attorney at Law, P.L.L.C. (Houston, TX). She will lead the presentation Hot Topics in HIPAA and FWA at the upcoming Virtual Healthcare Compliance Symposium 2021 on April 22.
Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX presents on these new updates. On November 20, 2020, the Centers for Medicare and Medicaid Services (CMS) issued a Final Rule related to the Medicare Physician Self-Referral Law (Stark Law). Nearly simultaneously, the Office of the Inspector General, Department of Health and Human Services (HHS-OIG), released a Final Rule, which amends various safe harbors to the Federal Anti-Kickback Statute (AKS). The changes appear to be based, in large part, on value-based healthcare delivery and payment systems. The purpose of this presentation is to highlight the key changes, along with the similarities and differences in the language between the two Final Rules.
Successful employee education is an integral part of a comprehensive healthcare compliance program. Compliance professionals must consider which topics should be offered to the workforce. Of course, proper training depends on variables such as type of healthcare organization, roles of employees and location of the entity. States may impose specific requirements that go beyond federal requirements. Generally, four broad categories cover the topics imperative to the start of a comprehensive healthcare compliance program.
Compliance professionals agree that training the workforce is a major component of a successful compliance program. In fact, employee education is an important first step toward preventing, detecting, and mitigating noncompliance. As a result of the pandemic, online education is a necessity instead of a mere convenience for healthcare compliance professionals and administrators of medical offices tasked with implementing workforce training.
Catherine Short speaks with Stephen Bittinger, Health Care Reimbursement Partner at K&L Gates, about the topic of “The Biggest Recent Health Care Scams & How to Avoid Being a Target.” We will be learning the mechanics of some of the largest recent health care fraud scams, how many providers became victims of these scams, and how to avoid these types of risks in the future. We will study the mechanics of health care fraud scams and the impact on providers caught in them, discover how to identify health care fraud scams and discuss resources for providers to educate themselves, and learn from other providers’ mistakes on how to avoid health care fraud scams and decrease risk to revenue cycle.
Stephen D. Bittinger, Esq. Partner at Nexsen Pruet, presented the webinar The Biggest Health Care Scams in 2019 and How to Avoid Being a Target in 2020. Stephen answered many commonly asked questions on our blog in conjunction with this webinar. Be sure to catch Stephen presenting in person on April 23, 2020 in Wilmington, DE at the 3rd Annual Healthcare Compliance Symposium co-sponsored by First Healthcare Compliance and Widener University Delaware Law School.