Overview:

The session will provide an overview of the Federal Civil False Claims Act (FCA) and how it works. It will also provide an assessment of enforcement activities, showing how participants may be at risk. In addition, the session will review recent cases and show how they potentially impact healthcare providers.

We will start with a review of the Federal False Claims Act and discuss how it works and how it is being used to fight health care fraud. We will discuss how the various health care fraud task forces use the Federal False Claims Act and its whistleblower provisions to identify and prosecute health care fraud. The webinar will take the Federal False Claims Act apart and show step by step how an action is filed, how the government responds and how the courts interpret various elements of the Act. We will discuss proof, damages under the Act and how the whistleblower is rewarded for bringing a successful case.

The session will also provide an overview of the Anti-Kickback Statute (AKS) and review what it prohibits, as well as a general review of the AKS available safe harbors. It will also show how violation of the AKS can raise FCA concerns, and it will provide an assessment of enforcement activities, showing how participants may be at risk. In addition, the session will review recent cases and show how they potentially impact participants.

This webinar will also provide an overview Stark Law (Stark), the federal anti-referral legislation, with an in-depth discussion of each and its relationship with the federal False Claims Act. It will also provide a review of enforcement priorities by the Office of the Inspector General (OIG) and Department of Justice (DOJ), as well as cases that are pertinent to these enforcement activities. Finally, there will be a discussion of recommendations pertaining to compliance activities.

In addition, the webinar will review various cases to show how easy it is to run afoul of these statutes, and how the courts view compliance with them. In addition, we will discuss the latest updates to both the False Claims Act, the Anti-Kickback Statute and Stark.

Finally, we will review what fraud enforcement looks like in the future.

Why should you Attend:
This program is designed for health care executives, physicians and other health care providers and their managers who participate in and receive remuneration from Medicare, Medicaid, and other federal health care programs such as TriCare. Several recent cases bring home the realization that many activities that are common in other industries are a crime under federal healthcare fraud and abuse laws.

Hospital executives, as well as physicians and/or other health care providers, should be very concerned about the potential for the government to use the Anti-Kickback Statute as one of the prime methods for enforcing the federal fraud and abuse laws. Equally concerning, along with Stark II (the federal physician anti-referral law), the Anti-Kickback Statute can be and is being used as the basis for an action brought under the Federal False Claims Act. In this webinar, you will learn about the elements of the Anti-Kickback Statute, along with the various exceptions and safe harbors that you can rely on for protection against enforcement under these laws. This is important because healthcare fraud and abuse if becoming the focus of these enforcement efforts.

Areas Covered in the Session:

• The Federal False Claims Act
• The Anti-Kickback Statute
• The Anti-Kickback Safe Harbors
• OIG Advisory Opinions
• The Federal Anti-Referral Law
• Enforcement Actions taken by DOJ, OIG and law enforcement partners
• Pertinent Caselaw
• Fraud and abuse issues to watch

• Hospital Executives, Particularly CEOs, COOs, CFOs, CNOs, and CMOs
• Physicians
• Physician Practice Managers
• Other Healthcare Provider Executives