Healthcare Fraud Webinar - False Claims, Stark, Anti-Kickback Statute, and Civil Monetary Penalties Law

Why Should You Attend:

This session is designed for healthcare executives, physicians and other healthcare providers who participate in and receive remuneration from Medicare, Medicaid, and other federal healthcare programs such as TriCare. As a healthcare executive, physician or other healthcare provider, you should be very concerned about the potential for liability under the fraud and abuse laws. Under recently enacted healthcare laws, enforcement activity and healthcare fraud task forces have been greatly enhanced. This raises the specter of being charged with false and fraudulent activity and being sanctioned and or being excluded from these programs under the Civil Monetary Penalties Law (“CMP”).

This webinar will review the CMP and its mandatory and permissive exclusions and penalties. It will also review the various federal laws that can result in penalties and exclusions. Finally, the webinar will review how you can develop programs that will serve to protect you and your organization from such penalties and exclusions.

Areas Covered in the Webinar:

• Civil Monetary Penalties Law
• Obligations under EMTALA
• CMPs and assessments based on the type of violation at issue
• Violations under the False Claims Act
• Violations of the Anti-Kickback Statute and Stark
• Amendments under the PPACA
• Mandatory exclusions
• Permissive exclusions
• How to get off the OIG Exclusion List
• Brief review of the Anti-Kickback Statute
• Brief review of Stark.
• Brief review of the Health Care Benefit Program False Statements Statute
• Brief review of the Healthcare Fraud Statute

Who Will Benefit:

• Hospital executives, particularly CEOs, COOs, CFOs, CNOs, and CMOs
• Nursing home executives
• Physicians
• Physician practice managers
• DME company executives
• Other healthcare provider executives

William Mack Copeland
Principal, Copeland Law LLC

William Mack Copeland, MS, JD, PhD, LFACHE, practices health care law in Cincinnati at the firm of Copeland Law, LLC, where he is president and CEO. A graduate of Northern Kentucky University Salmon P. Chase College of Law, Bill is a frequent author and speaker on health law topics. He is a member of the American Health Lawyers Association, American, Ohio and Cincinnati Bar Associations. A former hospital chief executive officer, he is a life fellow in the American College of Healthcare Executives. He was awarded the American College of Health Care Executives Senior-Level Healthcare Executive Regent’s Award in 2007.

Topic Background:

The Civil Monetary Penalties Law authorizes the imposition of substantial civil money penalties against an entity and/or individual that engages in false and fraudulent activities. In addition, the Office of the Inspector General (“OIG”) can and does exclude providers from federal healthcare programs such as Medicare, Medicaid, and TriCare for program related crimes and other questionable activities.

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