2018 Healthcare Fraud Takedown: Update on Recent Cases and How to Avoid a Similar Fate

Event Information
Product Format
Prerecorded Event
C. J. Wolf, MD, M.Ed.
60 minutes
Product Description

Learn the Strategies to Stay Compliant and Avoid Fraud Allegations Against You

Many of us don’t realize the price of miscompliances until we see actual cases of enforcement, arrests, and financial settlements. On June 28, 2018, the U.S. Department of Justice, HHS, and OIG (among others) announced a major multi-state healthcare fraud takedown that resulted in charges against 601 individuals responsible for over $2 billion in fraud losses, including false billings. Among the individuals charged were 165 doctors, nurses and other licensed medical professionals. 30 state Medicaid Fraud Control Units also participated in the arrests. These staggering figures and actions signify the importance of staying current and compliant with the latest coding guidelines – and avoid coming under the enforcement scanner, losing money and reputation, and much more.

Clear all your compliance doubts in this webinar with industry veteran C.J. Wolf, and get an up-close view of some of the cases, arrests, indictments and legal documents that reveal important details about the alleged billings, false claims, and kickbacks. Understand the specific allegations in these cases where the alleged perpetrators were noncompliant – including the statistics, types of individuals charged, locations involved, and the types of alleged fraud. Catch up on all you need to know about the false claims act, anti-kickback statute, and opioid enforcement, and learn the strategies your healthcare organization/physician practice should adopt to stay compliant – and avoid similar allegations being made against you.

After attending this information-packed session, you will know how to avoid the types of mistakes the alleged noncompliant perpetrators made. Plus, you’ll be confident in your ability to convince your audience of the importance of compliance.

Session Highlights

Here’s a taste of what you will learn:

  • Background of the government’s annual healthcare fraud take down
  • Overview of the statistics of this year’s fraud take down, including types of individuals charged, locations involved and types of alleged fraud
  • False claims act
  • Compliance program strategy and prevention of kickbacks
  • Anti-kickback statute overview
  • Overview of opioid enforcement in healthcare
  • Compliance program strategy and prevention for opioids
    • Opioids in Medicaid
  • Deep dive into cases involving:
    • Billing and false claims allegations
    • Alleged kickbacks
    • Opioids

Session Agenda

  • Recent OIG and DOJ settlements
  • Medicare payments for telehealth services
  • Overpayments – how to report and return overpayments
  • Lookback period
  • Reasonable diligence
  • Effective compliance programs
  • Auditing and documentation

Who Should Attend

  • Compliance officers
  • Physicians
  • Nurses
  • Internal auditors
  • CEO
  • Board members
  • Coders and billers

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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About Our Speaker

C. J. Wolf

C. J. Wolf, MD, M.Ed. has been involved in healthcare for over 20 years beginning with his years in medical school. Early in his career, Dr. Wolf made a change to healthcare administration, reimbursement, and compliance. He has worked in various coding, reimbursement, or Chief Compliance Officer roles for Intermountain Healthcare, the University of Texas MD Anderson Cancer Center, the University of Texas System, and Merit Medical Systems....   More Info
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