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Course Details

Course Information
  • smart_display Format

    On-Demand

  • signal_cellular_alt Difficulty Level

  • work Practice Area

    Health

Date & Time
  • event Date

    Wednesday, April 20, 2022

  • schedule Time

    1:00 p.m. ET./10:00 a.m. PT

  • timer Program Length

    90 minutes

Credit Information

  • This 90-minute webinar is eligible in most states for 1.5 CLE credits.


  • Live Online


    On Demand

$297.00

This course is $0 with these passes:

CLE
ALL

This CLE webinar will guide healthcare counsel on healthcare fraud and enforcement. The panel will examine the recent False Claims Act recovery statistics and discuss the guidance they provide. The panel will discuss current enforcement trends and what to expect in 2022. The panel will also discuss recent court treatment and advisory opinions, as well as offer best practices for minimizing and mitigating risk.

Faculty

Anna M. Grizzle
Member
Bass Berry & Sims Plc

Ms. Grizzle focuses her practice on representing healthcare providers and companies in operational and compliance matters, investigations, and litigation. She works with clients to develop policies in anticipation of government and commercial payor claims audits and represents clients in responding to claims audits and in the appeals of audit results.

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Brian D. Roark
Member
Bass Berry & Sims Plc

Mr. Roark is the head of the firm’s Healthcare Fraud Task Force and concentrates his practice on representing healthcare clients in responding to governmental investigations and defending False Claims Act lawsuits. He has successfully litigated and resolved numerous healthcare fraud matters involving hospitals and health systems, ambulatory surgery centers, hospices, home health companies, drug and alcohol abuse treatment centers, Medicare Advantage companies, and other healthcare providers. Mr. Roark serves as an Adjunct Professor of Law at Vanderbilt University, where he teaches Healthcare Fraud and Abuse. He is the Immediate Past Chair of the Tennessee Bar Association’s Health Law Section.

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Description

On Feb. 1, 2022, the U.S. Department of Justice released its annual False Claims Act recovery statistics. In fiscal year 2021, DOJ recovered more than $5.6 billion in settlements and judgments from fraud and false claims cases. These results demonstrate the government's emphasis on fighting fraud when doing business with the government.

The healthcare industry leads the way in these recoveries and was responsible for over $5 billion, increasing the amount recovered in 2020 by over $3 billion. These monies were recovered from a variety of entities and individuals, including hospitals, managed care providers, laboratories, pharmaceutical manufacturers, and technology vendors.

Counsel to healthcare providers and other entities in the healthcare industry must evaluate the risks for healthcare fraud to prevent and minimize the likelihood of fraudulent conduct. Further, as both federal and state authorities pursue and prosecute healthcare fraud, healthcare counsel must stay on top of the latest enforcement trends to ensure compliance programs are in place and properly implemented.

Listen as our authoritative panel of healthcare attorneys examines the recent FCA recovery statistics and discusses the guidance they provide. The panel will discuss current enforcement trends and what to expect in 2022. The panel will also discuss recent court treatment and advisory opinions and offer guidance for minimizing and mitigating risk.

Outline

  1. Recent FCA recovery trends and current enforcement trends
  2. Guidance
  3. Recent court treatment and advisory opinions
  4. What to expect in 2022
  5. Best practices
    1. Minimizing and mitigating risks
    2. Ensuring compliance

Benefits

The panel will review these and other key issues:

  • Where do fraud risks arise for healthcare providers?
  • What are the enforcement trends that healthcare counsel must understand?
  • What steps can healthcare providers take now to mitigate their exposure to fraud claims?