The session will provide an overview of the Federal Civil False Claims Act (FCA) and how it works. It will also provide an assessment of enforcement activities, showing how participants may be at risk.
In addition, the session will review recent cases and show how they potentially impact participants.
We will start with a review of the Federal False Claims Act and discuss how it works and how it is being used to fight health care fraud.
We will discuss how the various health care fraud task forces use the Federal False Claims Act and its whistleblower provisions to identify and prosecute health care fraud.
The webinar will take the Federal False Claims Act apart and show step by step how an action is filed, how the government responds and how the courts interpret various elements of the Act. We will discuss proof,damages under the Act and how the whistleblower is rewarded for bringing a successful case.
In addition, we will discuss retaliation under the act and how the whistleblower is protected from retaliation. Finally, we will discuss how the Act is being used in the health care arena.
Finally, the webinar will review various cases to show how easy it is to run afoul of these statutes, and how the courts view compliance with them.
Why should you Attend: This session is designed for health care executives, physicians and other health care providers who participate in and receive remuneration from Medicare, Medicaid, and other federal health care programs such as TriCare.
As a health care executive, physician or other health care provider, you should be very concerned about the potential for enforcement actions under the Federal False Claims Act.
This is important because under recently enacted health care laws, enforcement and health care fraud task forces have been greatly enhanced. Recovery under the Federal False Claims Act last year resulted in over $4.9 billion being recovered for the federal government, $24.2 billion since the law was revised to make it more relator friendly in 1986.
Since 1986, whistleblowers have been awarded nearly $4 billion, with $439 million in awards in fiscal year 2012. And whistleblowers are where a majority of the Federal False Claims Act suits originate.
Several recent cases involving healthcare providers have resulted in huge settlements.
If that is not enough to get your attention, consider the recent cases finding that the "responsible corporate officer doctrine" allows the government to hold hospital CEOs and others directly responsible for the fraud. You will want to attend this webinar to learn how to protect yourself and your organization.
Areas Covered in the Session: