Learn compliance obligations and practical strategies relating to Medicare overpayments.
This topic will explore the historical development of the government's approach to the reporting and returning of overpayments. In addition to discussing the current enforcement environment and government priorities, this material will also provide an overview of Medicare overpayment obligations. In addition, this material will review enforcement trends as well as challenges many providers have faced as they attempt to implement the requirements from the final rule. We will also consider practical strategies for providers in light of these challenges.
Agenda
Faculty
Isabella E. Wood
King & Spalding
- Senior associate in King & Spalding’s Atlanta office and a member of the firm’s Healthcare Practice Group
- Practice focuses on the representation of health care clients in litigation, investigations, and regulatory matters
- Advises clients on federal and state regulatory issues, including Medicare and Medicaid reimbursement, compliance, and fraud and abuse investigations
- Also assists with health care regulatory due diligence in connection with acquisitions
- Frequently writes and speaks on the topic
- J.D. degree, summa cum laude, University of Georgia; B.A. degree, cum laude, University of Southern California
Lauren S. Gennett
King & Spalding
- Senior associate in King & Spalding’s Atlanta office and a member of the firm’s Healthcare Practice Group
- Practice focuses on the representation of health care clients in litigation, internal investigations, government investigations and regulatory matters
- Advises health care providers on how to prepare for and respond to audits conducted by government contractors, including recovery audit contractors, Medicare administrative contractors, and zone program integrity contractors; she also assists with the development of Medicare and Medicaid appeal strategies for providers
- Also advises clients regarding various regulatory compliance matters, including patient status determination issues and implementation of Corporate Integrity Agreements
- Served as a guest lecturer for topics in health care law at the Emory University Rollins School of Public Health and the Georgia State University College of Law
- J.D. degree, with honors, Emory University School of Law; M.P.H. degree, with a focus in health policy, Emory University Rollins School of Public Health; undergraduate degree in public policy, highest honors, University of North Carolina at Chapel Hill, where she was elected to the Order of the Golden Fleece Honorary Society
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