Using Big Data to Avoid Big Compliance Problems in Health Care: Proactive Applications of Data Analytics in Your Compliance Program

Venue

This is a virtual event, accessible over 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 how the new administration would change the course of the industry. 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. Moreover, the government is increasingly using data analytics technology in fraud investigations to mine claims data for potential bad actors. Clearly, it’s as important as ever that health care organizations take proactive steps toward mitigating compliance risks.

Jason Mehta and Dan Murphy, partners with Bradley Arant Boult Cummings, will discuss the emerging role of data analytics in prospectively identifying potential regulatory or prosecutorial issues -- before the government comes knocking. Jason will share his perspective as a former federal prosecutor on how the government is using data to identify and build cases. Dan will share his extensive healthcare experience to identify particular trends and patterns that might stand out as potential red flags. Together, Dan and Jason will share practical tips for harnessing the power of your data today to prevent prosecutorial scrutiny tomorrow.

Educational Objectives (3-5):

  • Understand how the government is using data analytics to identify potential fraud.
  • Get practical advice on using your claims data to look for potential improprieties and taking proactive steps towards mitigating noncompliance risks.
  • Find out how to incorporate data analytics policies into your existing compliance program.

Presenters

Daniel F. Murphy
  • Partner
  • Bradley Arant Boult Cummings

Daniel F. Murphy is a Partner with Bradley Arant Boult Cummings in Birmingham, Alabama. His practice has focused exclusively on healthcare transactional and regulatory matters for over a decade. He has represented all types and sizes of healthcare providers, from publicly traded, national hospital, dialysis, and ambulatory surgery center companies to independent surgery centers and pharmacies, physician practices, and individual physicians. Dan regularly represents healthcare providers with internal compliance investigations and responses to government investigations and enforcement actions. He has also helped numerous clients create and/or restructure their regulatory compliance programs. Dan’s experience, prior to practicing law, as a senior financial analyst for Baxter Healthcare Corporation gives him a valuable perspective on the operational, financial, and strategic issues facing his clients. He received his J.D. from University of Virginia School of Law, and his B.A., magna cum laude, from University of Notre Dame, B.A.

Jason P. Mehta
  • Partner
  • Bradley Arant Boult Cummings

Jason P. Mehta is a Partner with Bradley Arant Boult Cummings in Tampa, Florida. He assists businesses and individuals involved in government investigations, False Claims Act and qui tam cases, and business litigation matters. As an Assistant United States Attorney for the United States Attorney’s Office in Jacksonville, Florida, he worked on both civil and criminal matters. During his five years as a prosecutor, he recovered nearly a quarter of a billion dollars and was recognized with the Department of Justice’s Director Award, one of the highest honors bestowed upon DOJ employees. He also has worked as an attorney-adviser for the United States Department of State, where he led the Department’s responses to various Congressional investigations, represented the Department in lawsuits throughout the country, and was recognized with the Department’s Exemplary Service award. Jason received his J.D., magna cum laude, from Harvard Law School, and his B.A., with high honors, from University of California, Berkeley.

Continuing Education

Credits:
CoA, 1.0 CLE
Practice Areas:
Health Law
Prerequisite:
None
Level:
Basic
Production Date:
05/10/2018