Healthcare Fraud Investigations

Responding to & Managing Government Investigations of Medicare and Medicaid Providers

Monday, March 31, 2008

About

The challenge of obtaining full comprehension of the complex and constantly changing, laws and regulations governing Medicare and Medicaid is well documented. Nonetheless, in the current environment of ever increasing government scrutiny of the healthcare industry, there is no room for error. With staggering settlements extracted to date and the increased potential for criminal penalties, it is imperative that you fully understand the implications of every statement and action you, your client, and employees of your institution make when you are the target of an investigation into Medicare and Medicaid practices.

American Conference Institute has created this program specifically to address the challenges being faces by the healthcare industry today. Learn from an exceptional faculty packed with current and former Medicare and Medicaid regulatory and enforcement officials, senior compliance and audit professionals, and white collar experts, this publication will prepare you for any queries, formal inquiries, and investigations.

  • Providing voluntary disclosures that will help to mitigate penalties
  • Navigating the ins and outs of provider financial agreements in violation of the evolving Stark laws and anti-kickback regulations
  • Determining the consequences for refusing to waive attorney-client privilege for specific types of information requested by investigators
  • Mobilizing your internal audit function to detect misconduct in Medicare and Medicaid practices

Contents & Contributors

About

The challenge of obtaining full comprehension of the complex and constantly changing, laws and regulations governing Medicare and Medicaid is well documented. Nonetheless, in the current environment of ever increasing government scrutiny of the healthcare industry, there is no room for error. With staggering settlements extracted to date and the increased potential for criminal penalties, it is imperative that you fully understand the implications of every statement and action you, your client, and employees of your institution make when you are the target of an investigation into Medicare and Medicaid practices.

American Conference Institute has created this program specifically to address the challenges being faces by the healthcare industry today. Learn from an exceptional faculty packed with current and former Medicare and Medicaid regulatory and enforcement officials, senior compliance and audit professionals, and white collar experts, this publication will prepare you for any queries, formal inquiries, and investigations.

  • Providing voluntary disclosures that will help to mitigate penalties
  • Navigating the ins and outs of provider financial agreements in violation of the evolving Stark laws and anti-kickback regulations
  • Determining the consequences for refusing to waive attorney-client privilege for specific types of information requested by investigators
  • Mobilizing your internal audit function to detect misconduct in Medicare and Medicaid practices

Contents & Contributors

CO–CHAIRS’ OPENING REMARKS
John E. Steiner, Jr., UK HealthCare
Joseph V. Geraci, Brown McCarroll LLP

PREVENTING AND DEFENDING FALSE CLAIMS ACT LAWSUITS
Ankur J. Goel, McDermott Will & Emory

A GATHERING STORM? STATE QUI TAM LAWS AND THE GROWING ENFORCEMENT ROLE OF STATE ATTORNEYS GENERAL
Dean Richlin, Foley Hoag LLP

CONGRESSIONAL INVESTIGATIONS 101: WHAT YOU NEED TO KNOW WHEN FACING A CONGRESSIONAL INVESTIGATION
Mark Paoletta, Dickstein Shapiro LLP

APPLICATION OF ATTORNEY-CLIENT PRIVILEGE IN HEALTHCARE FRAUD INVESTIGATIONS
Gabriel L. Imperato, Esq., Broad and Cassel

RECOGNIZING AND RESPONDING TO POTENTIAL STARK AND ANTI-KICKBACK VIOLATIONS
Joseph V. Geraci, Brown McCarroll LLP

RECOGNIZING AND RESPONDING TO POTENTIAL STARK AND ANTI-KICKBACK VIOLATIONS
Edward S. Kornreich, Proskauer Rose LLP

MINIMIZING THE RISKS OF USING JOINT DEFENSE AGREEMENTS
Hervé Gouraige, Epstein Becker and Green P.C.

OVERVIEW OF THE FLORIDA MEDICAID FRAUD CONTROL UNIT’S ENFORCEMENT PRIORITIES AND INITIATIVES
Rick Lober, Florida Medicaid Fraud Control Unit



DOCUMENT TYPES: PRESENTATIONS AVAILABLE: 0