The health care industry is extremely complex; learn how to navigate health care law and HIPAA Privacy and Security.
Health care organizations continue to face a significant number of federal government enforcement actions premised on allegations that claims submitted to government health care programs were not medically necessary, not documented appropriately, or failed to meet complicated coding and billing rules and regulations, among a litany of other theories that can give rise to liability under the federal False Claims Act (FCA). Listen along as Stuart Gerson and Daniel Fundakowski discuss recent trends in federal FCA enforcement, highlight the key FCA case law and regulatory developments from 2020, describe strategies to identify compliance and mitigate enforcement risk, and explain what regulated entities should expect and be wary of in 2021 and beyond.
Agenda
Faculty
Stuart M. Gerson
Epstein Becker & Green, P.C.
- Former Acting Attorney General of the United States, Assistant Attorney General, and federal prosecutor with hands-on enforcement and policy experience with respect to antitrust, cyber security, and data privacy.
- Experience in counseling and defending companies in antitrust litigation, including the successful court defenses of recent hospital mergers and other healthcare-related cases
- Successful defense of class action litigation related to the privacy of both PII and PHI
- Broad successful litigation and counseling experience with respect to the Federal False Claims Act and other fraud actions
- As a corporate director, head of a compliance committee in a heavily data-centric industry
- Director of the National Council of Registered ISAOs, related to the adoption of best cyber practices and the fostering of public/private partnerships
- Member of National Chamber of Commerce Working Groups on cybersecurity and Artificial Intelligence
Daniel Fundakowski
Epstein Becker & Green, P.C.
- Partner with Epstein Becker Green based in Washington, D.C. office
- Practice focuses on representing health care clients in civil litigation and regulatory proceedings, including matters arising under the False Claims Act (FCA)
- Has experience litigating and resolving FCA cases predicated on a wide variety of theories, including alleged violations of the Stark Law and the Anti-Kickback Statute, as well as cases involving allegations of upcoding, medical necessity, off-label promotion, research cost mischarging, and improper reporting of usual and customary prices
- Also frequently designs and implements compliance programs, conducts internal investigations, and advises health care clients on day-to-day regulatory matters
- Can be reached at (202) 861-1826 or [email protected]
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