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Protecting Against Health Care Fraud: Strategies, Tips and Tricks for Health Care Providers

 

Learn ways to manage health care fraud risk preemptively and during an investigation.

Healthcare providers have long faced significant risk from fraud enforcement investigations and actions due to the complex regulatory environment in which they operate. These risks have been compounded by the way the healthcare industry was changed by 2020 and the COVID-19 pandemic. This topic will explore the effects of 2020 on the healthcare industry and where it intersects with current and future fraud enforcement trends. The material will cover strategies for healthcare providers to help better position themselves to identify and respond to these risks in the current environment, both in terms of proactive compliance and in responding to investigations.

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Protecting Against Health Care Fraud: Strategies, Tips and Tricks for Health Care Providers

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Protecting Against Health Care Fraud: Strategies, Tips and Tricks for Health Care Providers

Faculty

Meredith Auten

Meredith Auten

Morgan, Lewis & Bockius LLP

  • Partner in the office of Morgan, Lewis & Bockius LLP
  • Practice emphasizes all aspects of government and regulatory agency investigations and litigation involving alleged health care fraud, government contracts fraud, Foreign Corrupt Practices Act (FCPA), and business frauds
  • Conducts regular seminars and workshops on numerous white-collar litigation topics, in-cluding issues related to the FCA, internal investigations and opioids
  • Awards include Philadelphia Business Journal Best of the Bar, White Collar (2019); Who’s Who Legal Healthcare and Investigations (2020), Expert Guides, Expert, White Collar (2020)
  • Memberships: Vice President, Board of Trustees of the Philadelphia Bar Foundation; Na-tional Co-Chair, Criminal Justice Section White Collar Committee Qui Tam Subcommittee, American Bar Association; Vice Chair, Women's White Collar Defense Association, East Coast Region; Chair, Women's White Collar Defense Association, Philadelphia Chapter; Member, Trustees Council of Penn Women; Fellow, Litigation Counsel of America
  • University of Pennsylvania Law School
  • Can be contacted at 215-963-5860 or [email protected]
Kathleen McDermott

Kathleen McDermott

Morgan, Lewis & Bockius LLP

  • Partner in the Washington, D.C. office of Morgan, Lewis & Bockius LLP
  • Practice emphasizes healthcare industry enforcement and compliance matters. She has a national corporate defense practice in the health industry and is lead counsel in several government investigations and litigations related to violations of the False Claims Act and parallel criminal and administrative statutes. Served as an Assistant U.S. Attorney and DOJ health care fraud coordinator.
  • Active in teaching, publishing and speaking on health industry government enforcement and corporate compliance matters and serves as adjunct faculty at the University of Maryland Francis Cary School of Law, teaching the healthcare fraud seminar.
  • Awards include HHS-OIG Inspector General’s Integrity Award for her work in government health care fraud matters; National Litigation Star, White-Collar Crime/Enforcement/Investigations, Benchmark Litigation (2016–2018); Life Sciences Star, Non-IP Litigation and Enforcement, LMG Life Sciences (2016–2020); Life Sciences Star, Fraud and Abuse, LMG Life Sciences (2012–2016); Best Lawyers, Washingtonian magazine (2007–2019); Recognized, White Collar Matters, Washington, DC Corporate Counsel Super Lawyers; Recognized, Health Care and Criminal Defense: White Collar, Washington, DC Super Lawyers (2007–2009, 2014–2020)
  • Membership information includes Advisory Board of the Bloomberg BNA Medical Device Industry Publication; Chair of the Federal Bar Association Health Law Section; member of the Women’s White Collar Defense Association; Co-Chair, White Collar Crime False Claims Act Subcommittee of the American Bar Association; Chair, American Health Lawyers Association Fraud and Abuse Practice Group and Program Committee for Annual Fraud and Compliance Forum; Chair, Litigation Section of the Maryland State Bar Association; Fellow, Maryland Bar Foundation; Fellow, American Bar Association Foundation
  • J.D. degree, cum laude, Suffolk University Law School
  • Can be contacted at 202-739-5458 or [email protected]
Kayla Kaplan

Kayla Kaplan

Morgan, Lewis & Bockius LLP

  • Senior associate in the Washington, DC office of Morgan, Lewis & Bockius LLP
  • Represents clients across all industries, including healthcare, in complex commercial liti-gation, internal and government investigations, and civil False Claims Act (FCA) cases
  • Regularly writes and speaks on civil FCA developments, including substantial contribu-tions to Wolters Kluwer's fifth edition of Civil False Claims and Qui Tam Actions.
  • Columbia Law School, James Kent Scholar
  • Can be contacted at 215-739-5736 or [email protected]
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Protecting Against Health Care Fraud: Strategies, Tips and Tricks for Health Care Providers

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