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
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