This seminar is designed for attorneys, business and office managers, administrators, compliance officers, health care providers, presidents, vice presidents and accountants.
Health care providers are subject to increasing scrutiny and oversight on both civil and criminal levels. It is important for providers and health care counsel to understand the audit and investigation process and understand how to appropriately respond. It is also important that providers understand the legal framework for these reviews so that they might be able to address potential issues before serious matters arise.
Topics to be discussed include:
• Medicaid Fraud And Abuse
• Investigating Health Care Providers
• Responding To Audits, Investigations, Subpoenas And Warrants
• Criminal Investigations And Prosecutions
8:30 a.m. - 10:10 a.m.
I. Medicaid Fraud And Abuse
A. Overview Of Medicaid Program
B. Relationship Of A Provider To The Medicaid Program
C. Exclusions And Liberty Interests
D. Recoveries And Property Interests
F. The Department Of Health And Other Agencies
10:10 a.m. - 10:20 a.m.
10:20 a.m. - 12:00 p.m.
II. Investigating Health Care Providers
A. Sources Of Allegations
D. Collateral Consequences Of A Conviction
12:00 p.m. - 1:00 p.m.
Lunch (On Your Own)
1:00 p.m. - 2:40 p.m.
III. Responding To Audits, Investigations, Subpoenas And Warrants
A. Identifying Investigators
B. Response Techniques
2:40 p.m. - 2:50 p.m.
2:50 p.m. - 4:30 p.m.
IV. Criminal Investigations And Prosecutions
A. Client’s Right To Counsel In The Investigatory Proceeding
B. The Fifth Amendment And Compelling Document Production
C. Plea Bargaining And Cooperation Agreements
D. Grand Jury Proceedings
E. Evidentiary Issues