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Identification and Correction of Medicare Fraud, Waste and Abuse

Understand the Medicare fraud, waste, and abuse laws and how to avoid potential penalties.

In today's health care environment, federal laws and regulations combat fraud and abuse to ensure that federal funds are used to ensure appropriate and quality healthcare. While most health care providers work to provide appropriate and high quality health care, the federal government has programs to ensure that those providers seeking to take advantage of the health care programs for illegal personal gain will have consequences. Failing to comply with Medicare fraud, waste and abuse laws can subject health care providers to significant civil monetary penalties as well as possible criminal penalties. This topic will explain the laws subjecting health care providers to potential penalties if they commit Medicare fraud, waste, and abuse. The material will also explain what relationships raise potential problems for those providers as to raising Medicare fraud, waste and abuse penalty; as well as what providers can do to avoid problems and what to do if a provider thinks it may have a problem. Failing to understand Medicare fraud, waste and abuse laws can place providers at risk of both civil monetary penalties as well as criminal penalties. This topic will help providers and their staff, as well as legal counsel assisting providers understand the Medicare fraud, waste, and abuse laws, and what can be done to avoid potential liability in criminal, civil, and administrative enforcement actions.

Runtime: 88 minutes
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Why Lorman?

Over 32 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.

Agenda

What Laws Apply to Providers Concerning Medicare Fraud, Waste and Abuse?

  • False Claims Act
  • Anti-Kickback Statute
  • Physician Self-Referral Statute
  • Social Security Act
  • U.S. Criminal Code

What Relationships May Raise Medicare Fraud and Abuse?

  • Payers
  • Other Providers
  • Vendors

What Can a Provider Do to Avoid Medicare Fraud, Waste and Abuse?

  • Compliance Programs
  • Internal Monitoring and Auditing
  • Training
  • What to Do If a Provider Discovers a Possible Problem
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More Program Information

Why Lorman?

Over 32 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.

Credits

OnDemand Webinar

This course was last revised on May 24, 2017.

Call 1-866-352-9540 for further credit information.

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

Audio & Reference Manual

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

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More Program Information

Why Lorman?

Over 32 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

Denise Bloch

Denise Bloch

Sandberg Phoenix & von Gontard P.C.

  • Counsel with Sandberg Phoenix & von Gontard, P.C.
  • Practice emphasizes all aspects of health care regulatory and compliance matters
  • Conducts regular seminars and workshops on numerous topics in the St. Louis metropolitan area as well as national conferences
  • Wrote several publications related to the areas of health care regulation, and numerous blog posts on timely health care regulation
  • American Bar Association; American Healthcare Lawyers Association; Missouri Society of Healthcare Attorneys, board member; Missouri Bar, vice chair – Health and Hospital Administrative Law Committee
  • Licensed to practice law in Missouri, Illinois, and Pennsylvania
  • J.D. degree, cum laude, Saint Louis University School of Law
  • Can be contacted at 314-231-3332, [email protected] or on LinkedIn® at https://www.linkedin.com/in/denise-bloch/
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Why Lorman?

Over 32 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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Product ID: 399379
Published 2017
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