Understanding the Basics of Fraud and Abuse in the Health Care Industry
Today’s health care industry is a multibillion-dollar, fragmented industry heavily regulated by a patchwork of complex federal and state regulations that often prohibit physician and health care provider business activities and payment arrangements that would be perfectly permissible in other industries. Along with the "big business" that medicine has become is increased scrutiny from the federal government, state governments, private insurance carriers and other third-party payors. Private and government payors alike have been enforcing these rules and regulations with increased vigor.
In this course, presented by the Pennsylvania Bar Institute and co-sponsored by the Pennsylvania Bar Association Health Care Law Committee, attendees will learn about the "BIG 3" federal fraud and abuse laws -- the Anti-Kickback Statute, the Stark Law and the False Claims Act -- that can lead to civil or criminal charges against hospitals, physicians and other health care entities. In addition, learn about other leading federal and state fraud and abuse authorities, popular collaboration and joint venture models and their potential fraud and abuse implications, and proactive compliance strategies and counseling tips, including how to establish and implement corporate compliance programs, how to address and remediate fraud and abuse compliance issues that periodically may arise and how to conduct internal compliance investigations and respond to government subpoenas and other information requests.
David S. Sokolow
William H. Maruca
July 30, 2009
12:30 to 3:45 pm
PBI Professional Development Conference Center
Heinz 57 Center, 339 Sixth Ave., 7th Floor
For more information about the course or to register to attend, visit http://www.legalspan.com/pbi/calendar.asp?UGUID=&ItemID=20081229-150226-70946#DatesAndLocations.