How to Steer Clear of Health Care Fraud and Abuse

Lorman Education Services

Gain valuable insights on best practices and compliance plans that will help you avoid health care fraud and abuse.

Increasingly, health care transactions and claims are coming under the scrutiny of the federal government. Consequences for noncompliance with health care fraud and abuse laws can be severe.

In this topic, we will discuss "The Big Three" Federal fraud and abuse laws, go over recent trends and enforcement with health care fraud and abuse, and cover tips and tricks on how to avoid health care fraud and abuse all together (compliance strategies, evaluating risk, audits and self-reporting, etc.)

Finally, we will share lessons learned from companies that fell victim to health care fraud and abuse. You will learn practical applications to help you avoid pitfalls and penalties that come with health care fraud and abuse.

Learning Objectives

• You will be able to define the legal issues involving the federal Stark Law, Anti-Kickback Law, and the False Claims Act.
  
• You will be able to discuss current enforcement trends by the federal government and judicial decisions interpreting federal fraud and abuse laws.
  
• You will be able to identify the critical areas of potential liability in your health care operations.
  
• You will be able to explain how to apply practical solutions to structure transactions to avoid and minimize potential liability.

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