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  • This event was held January 6, 2020.
  • 6:00 - 6:00 pm EST

Communicating Medical Necessity to Insurance Companies

This event was held January 6, 2020.

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Over 33 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

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Over 33 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

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Why Lorman?

Over 33 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Faculty

Andrew S. Feldman

Feldman Firm PLLC

Andrew S. Feldman is the founder of Feldman Firm PLLC. Mr. Feldman has represented individuals in white collar criminal cases involving health care fraud, insurance fraud, controlled substances and pharmaceutical diversion, misbranding, violations of the Federal Anti-Kickback statute, securities fraud, bribery, campaign finance violations, violations of the Endangered Species Act, criminal tax cases, and other economic crimes.

Mr. Feldman has also defended individuals in grand jury investigations and in connection with IRS investigations related to unreported foreign (FBAR investigations) and domestic income, ZPIC inspections and Drug Enforcement Administration administrative inspections. Mr. Feldman also has experience in a variety of civil litigation matters including False Claims Act litigation, tax cases and controversies, civil RICO, tax refund litigation, fraudulent transfer litigation, and Section 1983 litigation.

Prior to founding the Feldman Firm, PLLC, Mr. Feldman worked for a nationally renowned white collar defense attorney and former president of the National Association of Criminal Defense Lawyers and at a large regional firm. During that time Mr. Feldman represented individuals and small businesses in a wide variety of government investigations and enforcement actions. While in law school at the University of Miami, Mr. Feldman also clerked at various U.S. Attorney¡¦s Offices working closely with federal prosecutors.

Mr. Feldman is a frequent speaker on health care fraud and abuse issues and is a member of the ABA Health Law Section¡¦s Fraud and Compliance Committee and has served as a co-chair to the ABA¡¦s White Collar Crime Committee for more than five years.

PUBLICATIONS

„h The Federal Anti-Kickback Statute: Have Prosecutors and Relators Ignored the Potential Benefits of Using the Second Provision of the Anti-Kickback Statute? ABA Health Law Section, Health Lawyer (pending Fall 2015 publication)

„h Responding to Civil Investigative Demands, Materials for ABA¡¦s Annual National Institute on Health Care Fraud, Miami Beach, FL (May 15, 2015)

„h Medical Necessity in Health Care Fraud Prosecutions: An Analysis of Past, Present, and Future Prosecutions, Materials for ABA White Collar Criminal Conference (March 2015)

„h ¡§Worthless Services: Is it a Worthless Theory?¡¨ Materials for Significant White Collar Prosecutions and Investigations: Health Care Fraud & False Claims Act, ABA White Collar Criminal Committee, (November 2014)

„h ¡§Should Hedge Funds be Concerned with Government Enforcement of the FPCA in 2014?¡¨ Materials for Significant White Collar Prosecutions and Investigations: Foreign Corrupt Practices Act & Anti-Corruption Compliance, ABA White Collar Criminal Committee, (November 2014)

„h ¡§United States v. Esquenazi, The Eleventh Circuit Becomes the First Circuit Court of Appeals to Decide What Constitutes an ¡§Instrumentality¡¨ of a Foreign Government,¡¨ Materials for Significant White Collar

Prosecutions and Investigations: Foreign Corrupt Practices Act & Anti-Corruption Compliance, ABA

White Collar Criminal Committee, (November 2014)

„h Responding to a Search Warrant in White Collar Criminal Prosecutions, NACDL, The Champion (November

2014)

„h State False Claims Acts: A Practitioner¡¦s Guide to the False Claims Acts of the Various States, ABA

Publishing 2014 (selected chapters).

„h Responding to ZPIC Inspections: How Practices Can Manage the Process, Chicago Medical Society (August

2014)

„h Responding to ZPIC Inspections, ABA Health Care Law E-Source Publication, (June 2014)

„h Potential Pitfalls in the Execution of a Search Warrant of a Corporation, ABA White Collar Criminal

Conference Materials, (March 2014)

PRESENTATIONS

„h Panelist, Concerns over Patient Access to Controlled Substances, Florida Academy of Pain Medicine

Annual Meeting, Orlando, Florida (June 28, 2015)

„h Presenter, Significant Developments in Health Care Fraud and Abuse in 2015 Part II: What to Anticipate?,

ABA Health Law Section, Member Benefit Webinar (June 24, 2015)

„h Presenter, Significant Developments in Health Care Fraud and Abuse in 2015 Part I: What to Anticipate?,

ABA Health Law Section, Member Benefit Webinar (May 21, 2015)

„h Panelist, Looking Ahead in 2015: Health Care Fraud and the False Claims Act, ABA National Institute on

Health Care Fraud (May 2015)

„h Panelist, Health Care Fraud and Abuse, ABA White Collar Criminal Conference, New Orleans (March

2015)

„h Moderator, Significant White Collar Prosecutions and Investigations: Health Care Fraud & False Claims

Act, ABA White Collar Criminal Committee, (November 2014)

„h Moderator, Significant White Collar Prosecutions and Investigations: Foreign Corrupt Practices Act & Anti-

Corruption Compliance, ABA White Collar Criminal Committee, (November 2014)

„h Presenter, White Collar Crime and Trends in Government Enforcement of Securities Laws: Looking Ahead

in 2014-2015, Trinity College (CT) Reunion Weekend (June 2014)

„h Panelist, Current Trends in White Collar Crime Investigations and Prosecutions (South Region), ABA White

Collar Crime Committee Annual Meeting, Miami Beach, FL (March 2014)

„h Moderator, Responding to Search Warrants, ABA White Collar Crime Committee Annual Meeting,

Miami Beach, FL (March 2014)

„h Presenter, What Employers Should Know- How to Prepare for an Audit of Conflict Minerals Compliance,

Ohio Association of Corporate Counsel, Toledo, Ohio (September 2013)

RECOGNITION

Florida Super Lawyers, Rising Stars (2013-2015 edition)

Martindale Hubbel AV-Rated Preeminent (2014)

EDUCATION

„h University of Miami Law School, Coral Gables, FL, J.D., (May 2008)

„h Trinity College, Hartford, CT, B.A., International Relations and Spanish, (May 2004)

„h Universitat De Pompeu Fabra, Barcelona, Spain, (January 2003-May 2003)

LANGUAGES

Spanish

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