Sep
18
2012

What does increased enforcement mean to you?

 

Health care fraud and abuse has been in the national spotlight for years. But now that the Affordable Care Act is coming into play, it’s taking center stage.

The Affordable Care Act gives officials tough tools to crack down on groups and individuals who try to defraud Medicare, Medicaid and other types of insurance plans. These tools include technology that’s being used to spot fraud and suspicious activity before any claims are paid.

The law is also creating partnerships between government agencies and private organizations that are working together to fight fraud and health care abuse. One of the more visible examples of this increased collaboration is the Health Care Fraud Prevention and Enforcement Action Team or “HEAT,” which is a joint effort between the U.S. Department of Health and Human Services and the Department of Justice. 

So where do you fit into this battle against health care fraud? What defense counsel advice could you give your clients in this era of increased enforcement?

Join us at the Fraud & Compliance Forum to find out. Experian will be one of the exhibitors at the conference, which will be held Sept. 30-0ct. 2, in Baltimore, MD. The forum is sponsored by the American Health Lawyers Association (AHLA) and the Health Care Compliance Association (HCCA).  It will feature speakers from the Inspector General’s Office, Department of Justice and Centers for Medicare and Medicaid Services, along with private practitioners.

In addition to discussing increased enforcement, there will also be sessions on some of the following topics:

  • 50 Shades of Gray: Strategies for hospital-physician alignment in the light of recent developments
  • CIAs: What enhanced Corporate Integrity Obligations tell us about OIG expectations for compliance programs
  • Compliance, criminal and civil liability for overpayments
  • Strategies for a medical necessity case
  • Exit strategies for voluntary disclosures

For more information, call HCCA at 888-580-8373 or visit http://www.healthlawyers.org/Events/Programs/2012/Pages/FC12.aspx

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