This webinar will discuss the various anti-fraud and abuse provisions of the Affordable Care Act and will discuss the actions of that should be taken to minimize enforcement activities. Medicare it is a higher risk Federal program and has been designated as such by the GEN accountability office since 1990. Its vast size and complexity make it vulnerable to fraud, waste and abuse.
Lewis Morris, chief counsel to the Office of Inspector General, Department Of Health and Human Services, testifying before the Senate Finance Committee in 2009, stated, "Although we cannot measure the full extent of the health care fraud in Medicare and Medicaid, everywhere we look we continue to find fraud in these programs." Conservative estimates indicate that as much as $60 billion of total national health care spending is fraudulent.
According to the New England Journal of Medicine, federal investigators have found that the Medicare System is being infiltrated by criminals and organized crime. However, fraud is not limited to the activities of organized crime.
In Morris’s testimony, he indicated, "Major corporations such as pharmaceutical and medical device manufacturers and institutions such as hospitals and nursing facilities have also committed fraud, sometimes on a grand scale." The Obama Administration has created a cabinet-level anti-fraud task force, overseen by the deputy attorney general and the deputy HHS’ secretary. This task force will oversee "strike force teams," composed of investigators from various federal agencies. The initial teams will be doubled and will target cities where healthcare fraud is rampant. Obamacare includes sweeping provisions to combat healthcare fraud and abuse. You should attend this webinar to learn about these provisions and how you can protect yourself and your organization.
Areas Covered in the Session: