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Fraud, Healthcare, COVID-19 and the False Claims Act

Catherine Short speaks with Shauna Itri, Partner at Seeger Weiss LLP on the topic of “Fraud, Healthcare, COVID-19 and the False Claims Act.” 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 episode 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. We will also delve into recent trends in cases brought (or that could be brought) under the False Claims Act including cases involving mined data and potential fraud related to COVID-19.

Catherine Short
False Claim Act, false claims act, FCA, Podcasts, Security, Whistleblower, Wrongdoing
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Fraud & Covid-19 Webinar

Fraud, Healthcare, COVID-19, and the False Claims Act

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.

Catherine Short
AKS, Anti-Kickback Statute, COVID-19, DOJ, False Claim Act, false claims act, FCA, Fraud, Fraud, Waste, and Abuse, Podcasts, Security, Whistleblower
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Healthcare Regulatory Compliance Solutions

Jumpstart Your Compliance Program

The beginning of the New Year is a popular time for new initiatives. Many healthcare organizations are looking for ways to improve quality and reduce risk. A compliance program is…
Julie Sheppard, BSN, JD, CHC
1st Healthcare Compliance, ACA, Anti-Kickback Statute, Audit Zone, Blog, Breach, Business Associate, compliance program, Covered Entity, Dashboard Zone, effective compliance program, FCA, Fraud, LEIE, OIG, OIG Work Plan, Stark Law, Uncategorized, Waste, Whistleblower
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Performance Improvement Plan

Is Your Compliance Program Effective?

Having a compliance program in place is a start but having an effective compliance program is the goal. Proactively assessing the effectiveness of one’s own compliance program is better than…
First Healthcare Compliance Staff
1st Healthcare Compliance, Abuse, ACA, Anti-Kickback Statute, Audit Zone, Blog, Breach, compliance program, Corporate Integrity Agreement, Dashboard Zone, DOJ, effective compliance program, Employee Zone, FCA, Fraud, Healthcare, HIPAA, HIPAA Zone, ICD-10, Individual Accountability, LEIE, OSHA, OSHA Zone, physician self-referral law, Quarterly Zone, Stark Law, Uncategorized, Whistleblower, Wrongdoing
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Beware of Individual Liability: Yates Memo

On September 9, 2015, the Department of Justice (DOJ) Deputy Attorney General Sally Yates released a policy memorandum, titled “Individual Accountability for Corporate Wrongdoing,” also known as the “Yates Memo.”…
Sheba Vine, JD, CPCO
1st Healthcare Compliance, Abuse, Anti-Kickback Statute, Audit Zone, Blog, Corporate Integrity Agreement, DOJ, Fraud, Individual Accountability, OIG, Overutilizaton, physician self-referral law, Quarterly Zone, Uncategorized, Waste, Whistleblower, Wrongdoing, Yates Memo
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OIG WORKPLAN 2016

The Office of the Inspector General (OIG) is responsible for protecting the integrity of the programs in Health and Human Services against fraud, waste and abuse as well as recommending…
First Healthcare Compliance Staff
1st Healthcare Compliance, Abuse, ACA, Affordable Care Act, Anti-Kickback Statute, Audit Zone, Blog, Breach, Business Associate, CMS, compliance program, Corporate Integrity Agreement, Covered Entity, false claims act, Fraud, HHS, HIPAA, HIPAA Zone, HITECH, ICD-10, Imaging, Medicare, Medicare Rules, OCR, OIG, OIG Work Plan, Overutilizaton, PHI, physician self-referral law, Quarterly Zone, self-disclosure, Stark Law, Waste, Whistleblower
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Testimonials

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    Healthcare Management System

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    I’d been searching for a compliance plan for many years. The First Healthcare Compliance solution is cost-effective and efficient. All of the compliance materials are in one place.

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