Mitigating Fraud and Abuse Risks With the CARES Act Provider Relief Fund

Course Details
- smart_display Format
On-Demand
- signal_cellular_alt Difficulty Level
- work Practice Area
Health
- event Date
Thursday, February 18, 2021
- schedule Time
1:00 p.m. ET./10:00 a.m. PT
- timer Program Length
90 minutes
-
This 90-minute webinar is eligible in most states for 1.5 CLE credits.
This CLE course will guide healthcare counsel through the fraud and abuse risks related to accepting CARES Act provider relief funds. The panel will discuss what healthcare entities should do to mitigate these risks. The panel will also discuss government scrutiny and recent government guidance.
Faculty

With deep experience both in government and the private sector, Mr. Davis is an accomplished litigator who focuses on government investigations, compliance counseling and complex litigation. Until September 2020, he served as the Acting Assistant Attorney General for the U.S. Department of Justice’s Civil Division, the Department’s largest litigating division, where he oversaw about 1,000 lawyers. In that role, Mr. Davis supervised the DOJ’s investigations and litigation under the False Claims Act, and played a key role in laying the groundwork to combat fraud in the CARES Act’s stimulus programs. Prior to his government service, he was a litigation partner with the firm, where he helped companies in the life sciences, healthcare, technology, and energy sectors navigate government investigations and represented them in complex, high-stakes commercial and government-facing litigation.

Mr. Urbanowicz is Co-Head of the firm’s Healthcare Industry Group. An experienced corporate officer, board member, presidential appointee, restructuring consultant and attorney, he has built and led highly functioning management teams and improved the financial performance and operations of leading healthcare organizations. Mr. Urbanowicz’s public service background assists healthcare and life sciences companies in navigating a complex and challenging regulatory, market and political environment. He is a former Chief of Staff to Alex Azar II, the Secretary of the Department of Health and Human Services. As HHS Chief of Staff, Mr. Urbanowicz functioned as the department’s chief operating officer and was responsible for coordinating all of HHS’ agencies and staff divisions. He was publicly credited for his vital role in the agency’s work to lower prescription drug prices, advance value-based care, and improve rural healthcare access. Mr. Urbanowicz also served as Principal Deputy General Counsel at HHS during the administration of President George W. Bush where he was part of the team that drafted the historic legislation creating the Medicare Part D drug program and Medicare Advantage plans.

Mr. Zall advises healthcare companies, investors and lenders in their most challenging transactions, including M&As, joint ventures, financings and complex commercial agreements. He advises clients on state and federal healthcare regulatory compliance matters, including the corporate practice of medicine, digital health, telemedicine, HIPAA, fraud and abuse, Medicare and Medicaid payment reimbursement, MACRA, and value based payment. Mr. Zall is a respected thought leader in the healthcare industry and frequently presents at key industry events.
Description
Healthcare entities and providers who participate in CARES Act programs should pay close attention to the False Claims Act's potential risks. Through new inspector general and reporting requirements, the CARES Act has put anti-fraud protections at the forefront and the U.S. Department of Health and Human Services and its Office of the Inspector General have been ramping up scrutiny and auditing of providers receiving CARES Act funds.
Healthcare providers and others in the healthcare industry should be proactive in mitigating risk when accepting CARES Act funds. Whether conducting regular audits, ensuring compliance programs are in place, or planning for government scrutiny, healthcare entities should document the use of the funds accurately and avoid misrepresentations.
Listen as our authoritative panel of healthcare attorneys examines the fraud and abuse implications of the CARES Act provider relief fund and what providers should do to mitigate the fraud and abuse risk. The panel will also address government guidance and monitoring.
Outline
- Fraud and abuse implications: CARES Act provider relief fund
- Government guidance
- Government monitoring
- Mitigating fraud and abuse risks
- Document, document, document
- Monitoring/conducting regular audits
- Plan for responding to fraud and abuse allegations
- Investigate complaints
- Compliance strategy
Benefits
The panel will review these and other key issues:
- What are the government's enforcement priorities?
- What are the key elements of an effective compliance strategy?
- What steps should healthcare providers take to minimize the risk of fraud and abuse?
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