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Health Care Fraud -- Who Got Caught Doing What, and What It Means for You: Mitigating Compliance & Litigation Risks

Venue

This is a virtual event, accessible over the phone. Access instructions will be provided after registration.

Description

In the days leading up to Trump’s inauguration in 2017, many in the healthcare industry wondered whether the Justice Department would lean harder on the False Claims Act to fight contractor fraud, or whether the return of industry-friendly Republicans would mean restraint. Enforcement actions over the past year have shown that one thing that hasn’t changed during the tumultuous Obama-Trump transition is the government's dedication to combatting healthcare fraud. Clearly it’s as important as ever that healthcare providers make sure their compliance programs are strong enough to ward off allegations of false claims, and healthcare attorneys need to be prepared to fight enforcement actions.

During this presentation, Betsy Mountenay, Managing Editor of Health Care Reference at Bloomberg Law®, will bring you up-to-date on the government’s recent enforcement actions against health care providers, with a particular focus on anti-kickback actions. Betsy will show you how to use the latest technology from Bloomberg Law—Health Care Fraud Analytics—to track settlements and understand what kind of conduct the government is looking for right now. She’ll show you what resources are available to help you understand the ramifications of enforcement developments and guide you through the process of enhancing and operating a compliance program in light of recent developments.

This presentation will also cover how this new analytics technology can help you if you find yourself dealing with a possible kickback violation. It will include an overview of resources that will help you determine whether and how to self-disclose. It will also cover tools that can guide you as you develop a litigation strategy in the event of a government or whistleblower action—including determining whether to settle and for how much, finding out about opposing counsel’s resources, and researching successful motions used in other kickback cases.

Educational Objectives:

  • Find out about the latest developments and trends in the government’s enforcement of the anti-kickback statute.
  • Understand how tracking enforcement actions can help attorneys ensure their compliance programs are effective.
  • Learn how to use Health Care Fraud Analytics to develop a strategy and mitigate liability when handling False Claims Act allegations.

Presenters

Betsy Mountenay
  • Analysis Manager
  • Bloomberg Law

Betsy Mountenay is an Analysis Manager on the Regulatory and Compliance Team at Bloomberg Law. In her time with Bloomberg Law, she has focused on a variety of legal issues affecting the health-care industry, including fraud and abuse issues involving the False Claims Act, anti-kickback statute, and Stark Law, HIPAA and GDPR privacy and cybersecurity requirements, and healthcare business and transactional matters. Barred in the state of Maryland, Betsy holds a J.D. from George Mason School of Law and a B.A. from Dickinson College.

Matthew Loughran
  • Senior Legal Editor
  • Bloomberg Law

Matthew Loughran is a senior legal editor in Bloomberg Law’s health-care division, helping to create and maintain the full suite of analytical and reference products on the Bloomberg Law Health Care Practice Center. Matthew spent three years as a journalist for Bloomberg Law covering litigation involving the state and federal regulation of health-care providers in a variety of aspects, including fraud, telehealth and telemedicine, antitrust, taxation, labor and employment, and insurance law. Holding a license to practice law in Washington D.C., Matthew attended Rutgers University School of Law in Camden, N.J., and has a B.A. from the University of Notre Dame and an M.A. from St. John’s College in Annapolis. Prior to joining Bloomberg Law, Matthew worked as a clerk for a presiding judge on the New Jersey Superior Court, Appellate Division, a legal intern for the chief judge of the U.S. District Court for the District of New Jersey, and as an antitrust and litigation paralegal at WilmerHale in Washington D.C. 

Continuing Education

Credits:
COA; 1.0 CLE
Practice Areas:
Health Law
Prerequisite:
None
Level:
Basic
Production Date:
04/10/2018