Webinar: Medicare CoP: Termination and False Claims
Overview
Were you aware that health care fraud and abuse cases cost the industry billions of dollars a year? Without detailed processes in place to detect and prevent fraudulent activities, health care providers could face costly investigations.
The False Claims Act, also called the "Lincoln Law," is a federal law that imposes liability on persons and companies who defraud governmental programs. It is the federal government's primary litigation tool in combating fraud against the government.
During the webinar, the speaker will discuss the risks that “material” violations of Conditions of Participation may be treated as potential violations of the False Claims Act. There will be best practices for Plans of Correction to support acceptance of Plan of Correction and mitigate risk of False Claims Act offered.
Learn more about how the following items could affect your facility:
• Centers for Medicare and Medicaid Services (CMS) heightened scrutiny of accredited facilities under the Medicare Conditions of Participation
• Responding to a CMS survey
• CMS Medicare Termination Notice: Immediate Jeopardy vs. Condition-Level Violations
• Pre-survey exit strategies
• Plans of Correction
• Appeal of CMS Medicare Termination
Speaker
Ann C. McCullough, Esq., Shareholder, Polsinelli, P.C. Denver, Colorado
Ann McCullough offers a practical perspective to health care clients. She has a clinical background and 30 years of health law experience, both in private practice and as in-house counsel.
Ann has a deep understanding of the operational aspects of hospitals and other health care providers, including Stark law and Anti-Kickback compliance for hospital-physician financial arrangements, medical staff matters, health facility licensure, Medicare Conditions of Participation compliance and survey defense, EMTALA compliance and survey defense, physician and provider transactions and regulatory compliance.
Learning Objectives
• Explore the risks that “material” violations of Conditions of Participation may be treated as potential violations of the False Claims Act
• Discuss best practices for Plans of Correction to support acceptance of Plan of Correction and mitigate risk of False Claims Act
Target Audience
This program is geared towards, but not limited to, quality improvement managers/directors, compliance officers, hospital legal counsel and risk management.