Healthcare Fraud, Waste and Abuse. Are you compliant and able to withstand an audit or False Claims Act suit?

Event Information
Product Format
Prerecorded Event
Conference Date
Thu, Jul 28, 2016
60 minutes
Product Description

Recommended Policies to Improve Compliance with Fraud, Waste and Abuse Laws


Gaining knowledge and understanding fraud, waste and abuse issues in healthcare and mitigating these problems in your organization will decrease your likelihood of an audit, whistle blower actions and potential violations of federal law, which may include fines, penalties and even jail time in some instances.

In this session with expert speaker Gail Ann Madison-Brown, you will learn about various fraud and abuse laws and gain knowledge and understanding on the False Claims Act, Anti-Kickback Statute, Physician Self-Referral Law, Excluded Individuals and additional criminal/civil laws, which will help you avoid punishments due to violations. Gail will assist you in developing practical strategies to comply or improve compliance with these laws. You will understand the criteria of each law, exceptions and how to identify an issue that requires mitigation.

You will also be provided with information on easy to use tools to handle different anti-kickback statute versus physician self-referral issues; common issues that may affect your practice or organization; and how to address them objectively. Gail will assist coders, billers and others responsible for revenue cycle operations to identify common fraud, waste or abuse practices and better equip themselves to mitigate or avoid these practices.

Session Highlights:

  • Elements of the Anti-kickback Statute, False Claims Act, Exclusionary Rule, Physician Self-Referral Law and potential penalties for violations.
  • Exceptions and related criteria to the Physician Self-Referral Law and the Anti-Kickback Statute.
  • Various laws pertaining to fraud, waste and abuse in healthcare.
  • Identify common potential issues that may result in violations and learn how to avoid or mitigate them.
  • Identify areas to audit, monitor and implement policies/procedures for compliance.
  • Get examples on how to comply with the regulations.
  • Get an outline of the criteria of the laws.
  • Easy to use tools to handle different anti-kickback statute vs. physician self-referral issues

Why should you attend?

  • Know how to comply or improve your compliance with each law.
  • Know how to address policy development when necessary
  • Identify potential consequences for non-compliance
  • Understand criteria that constitute each law
  • Understand consequences of violating these laws
  • Develop practical strategies to comply or improve compliance with these laws

Session Snapshot:

  • The False Claims Act
  • 2015 Changes to FCA Penalties
  • Examples of FCA Violations
  • Auditing/Monitoring Strategies to Avoid FCA Violations
  • The Physician Self-Referral Law and 3 Categories of Exceptions
  • Non-Physician Recruitment –2016 Final Rule
  • Common Physician Self-Referral Issues
  • Self-Referral Disclosure
  • Anti-Kickback Statute
    • Remuneration, Penalties
    • Statutory Exceptions and Safe Harbors
    • OIG Examples
  • Things to Remember
  • Issues to Monitor
  • OIG Advisory and Guidance
  • Stark vs. Anti-Kickback
  • Exclusion Statute Violation
  • Civil Monetary Penalties Law

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

Order Below or Call 1-866-458-2965 Today

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About Our Speaker

Gail Ann Madison Brown


Gail Madison-Brown has extensive experience in healthcare compliance, revenue cycle, auditing and coding programs. She has over 25 years of experience as a Registered Nurse and many years as an attorney. She has spoken for professional healthcare organizations, as well as for state public health departments.

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