Learn ways to manage health care fraud risk preemptively and during an investigation.
Health Care Sector businesses are highly regulated, and violations of laws and regulations are often severely punished. This program will describe and summarize the key areas of recent federal and state enforcement initiatives impacting Health Care Sector companies and includes predictions for the future in light of the 2024 Election.
Attendees will come away from the program with a better understanding of how U.S. DOJ’s enforcement initiatives have impacted Health Care Businesses – including what were the key cases in 2024, how data mining has driven prosecutions, what civil recoveries have been, and how voluntary self-disclosure programs have been working. They will also learn about what state enforcers have focused on including the use of state consumer protection laws, insurance fraud laws, and false claims acts. The presenter will describe the changes ahead for federal and state enforcement in light of the recent election, with a particular focus on what is ahead for U.S. DOJ in light of the change of administrations. Changed resources and focus will necessarily impact Health Care Sector businesses, and this session will identify areas of less and more risk for enforcement.
Learning Objectives
- You will be able to describe US DOJ’s key enforcement initiatives impacting Health Sector businesses.
- You will be able to discuss the latest developments in federal voluntary self-disclosure programs.
- You will be able to explain the likely changes in US DOJ’s enforcement focus.
- You will be able to identify which areas of criminal enforcement will probably stay the same.
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Why Lorman?
Over 37 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
| Overview of Presentation – Goals and Focus | |
| Where We’ve Been – Federal Enforcement | |
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| Where We’ve Been – State and Local Enforcement | |
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| Predictions for the Future: Federal | |
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| Predictions for the Future: States and Local Enforcement | |
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| Last Remarks and Questions | |
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Credit
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Why Lorman?
Over 37 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
Live Webinar Registration
- ACHE 1.5
- The American College of Healthcare Executives no longer pre-approves courses or organizations. Participants in this program wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting an application to the American College of Healthcare Executives for advancement or recertification.
ACHE Qualified Education credit must be related to healthcare management (i.e., it cannot be clinical, inspirational, or specific to the sponsoring organization). It can be earned through educational programs conducted or sponsored by any organization qualified to provide educational programming in healthcare management. Programs may be sponsored by ACHE, chapters or other qualified sources, whether the programming is face-to-face or distance offerings (webinars, online seminars, self-study courses, etc.).
- AHIMA 1.5 including Evolving Topics 1.5
- This program has been approved for 1.5 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.
- AK CLE 1.5
- Alaska attorneys may receive 1.5 hours of continuing legal education for completing this program. Please contact the Alaska Bar Association or go to www.alaskabar.org for details regarding reciprocity with other states.
- AL CLE 1.5
- This course or a portion thereof has been approved by the Alabama State Mandatory Continuing Legal Education Commission for a maximum of 1.5 hours credit.
- AR CLE 1.5
- This course has been approved for 1.5 hours of CLE by the Arkansas CLE Board.
- Arizona CLE 1.5
- The State Bar of Arizona does not approve or accredit CLE activities for the Mandatory Continuing Legal Education requirement. This activity may qualify for up to 1.5 hours toward your annual CLE requirement for the State Bar of Arizona.
- CA MCLE 1.5
- Lorman Education Services is a State Bar of California approved MCLE sponsor and this course qualifies for 1.5 CLE hours of participatory credit.
- CT CLE 1.5
- Neither the Connecticut Judicial Branch nor the Commission on Minimum Continuing Legal Education approve or accredit CLE providers or activities. This course has been approved for CLE credit in jurisdictions aside from CT and therefore it automatically meets the content and delivery requirements in Connecticut. Credit is based on a 60 minute credit hour and shall be awarded as follows: 1.5 CLE credit(s).
- HI CLE 1.5
- This program was approved by the Hawaii State Board of Continuing Legal Education for 1.5 CLE credit hours.
- IL CLE 1.5
- This course was approved for a total of 1.5 hours of MCLE Credit by the Illinois MCLE Board.
- IN CLE 1.5
- This program has been approved by the Indiana Commission on Continuing Legal Education. Participating attorneys are eligible to receive up to 1.5 hours of Distance Education credit.
- MO CLE 1.8 (Pending)
- ND CLE 1.5
- This program has been reviewed by the North Dakota Commission for Continuing Legal Education and approved for 1.5 hours of CLE credit.
- NH MCLE 1.5
- NH MCLE does not approve or accredit CLE activities for the NH Minimum CLE requirement. Lorman Education Services believes this course meets the requirement of NH Supreme Court Rule 53 and may qualify for CLE credit(s). Program Length: 90 Minutes.
- NJ CLE 1.8
- This program has been approved by the Board on Continuing Legal Education of the Supreme Court of New Jersey for 1.8 hours of total CLE credit.
- NM CLE 1.5
- This program has been approved by the New Mexico Minimum Continuing Legal Education Board for 1.5 hours of credit.
- NV CLE 1.5
- This program has been approved by the Nevada Board of Continuing Legal Education for 1.5 CLE hours.
- NY CLE 1.5 including Areas of Professional Practice 1.5
- This course has been approved in accordance with the requirements of the New York Continuing Legal Education Board for up to a maximum of 1.5 credit hours in the area(s) of Areas of Professional Practice for 1.50 hours. Each hour may be counted only as satisfying one category of credit. Duplicate credit for the same hour of instruction is not permitted. This course qualifies for both established and newly admitted attorneys. Lorman Education- Noggin Guru, Inc. has a financial hardship guideline. Please contact customer service at 1.866.352.9539 for instructions on how to apply.
- OH CLE 1.5 (Pending)
- This course has been submitted to the Supreme Court of Ohio Commission on Continuing Legal Education for 1.5 CLE hours. Approval pending.
- PA CLE 1.5
- This Distance Learning program has been approved by the Pennsylvania Continuing Legal Education Board for 1.5 hours of substantive law, practice and procedure CLE credit.
- RI CLE 1.5
- This program has been approved by the Rhode Island Mandatory Continuing Legal Education Commission for 1.5 hours of CLE credit.
- VT CLE 1.5
- This program has been approved by the Mandatory Continuing Legal Education Board of Vermont for 1.5 hours of CLE credit.
- WI CLE 1.5
- This program has been approved by the Board of Bar Examiners for 1.5 hours for use toward the Wisconsin Mandatory CLE requirement.
- WV MCLE 1.8
- This program has been approved by the West Virginia State Bar MCLE Commission for 1.8 MCLE hours.
- HFMA 1.5
- This course is approved by HFMA for certification maintenance of continuous educational points and will equal 1.5 points of classroom instruction.
This program does NOT qualify, nor meet the National Standard for NASBA accreditation.
OnDemand Course
This course was last revised on February 16, 2021.
Call 1-866-352-9540 for further credit information.
- CA MCLE 1.5
- Lorman Education Services is a State Bar of California approved MCLE sponsor and this course qualifies for 1.5 CLE hours of participatory credit.
To earn each credit Lorman offers through the OnDemand learning platform, you need to watch 100% of the program. Also, for certain credits you will need to fulfill additional requirements which will be displayed on the "credits" tab when viewing the course.
This program does NOT qualify, nor meet the National Standard for NASBA accreditation.
Who should attend?
This live webinar is designed for medical records directors, health information directors, coders, business managers, office managers, nurses, hospital administrators, billing managers, release of records professionals, compliance managers, and attorneys.
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Why Lorman?
Over 37 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
Carolyn Fitzhugh McNiven
Faegre Drinker Biddle & Reath LLP
- Partner and Lead, West Coast White Collar Practice, Faegre Drinker
- White Collar Litigator with a developed practice representing Health Care Sector clients under investigation for criminal and civil violations
- Former Deputy Chief (Complex Fraud Section) and Criminal Healthcare Fraud Coordinator, United States Attorney’s Office, Northern District of Illinois (Chicago)
- Published works include ‘What Now? Recent Prosecutions of Doctors and Other Healthcare Professionals Under the Travel Act’ in Wolters Kluwer’s 2018 Health Law and Compliance Update and “The Responsible Corporate Officer Doctrine and Other Theories Under Which Corporate Officials Can Be Liable By Virtue of Their Corporate Positions” in Wolters Kluwer’s 2013 Health Law and Compliance Update
- Recipient, Wiley W. Manuel Certificate for Pro Bono Legal Services, State Bar of California.
- J.D. Degree, University of California at Berkeley School of Law; B.A. Degree, Amherst College
- Can be contacted at 415-591-7515 or [email protected]
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Why Lorman?
Over 37 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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