Update from the Trenches: Current Trends in Enforcement and Appeals
Mark Armstrong, Member of the Firm, will copresent "Update from the Trenches: Current Trends in Enforcement and Appeals" with John B. Scott, Deputy Attorney General for Civil Litigation, Office of the Texas Attorney General.
Health care reform brought many new and amended rules governing fraud and abuse. Federal and state agencies, including the Texas Office of Attorney General, have enhanced enforcement weapons which subject health care providers to increased exposure to potential civil and criminal liability, fines, and exclusion from the Medicare and Medicaid programs. In addition, Medicare contractors are working diligently to reduce fraud and abuse and recoup overpayments made to health care providers. These contractors are utilizing various methods to recover overpayments, including random audits and data mining, which often result in contested claims.
This program will:
Assist providers in identifying areas of potential fraud, waste, and abuse, or inappropriate payment of funds, under federal or state administered programs;
Discuss ways to implement and maintain effective compliance programs to avoid liability for Medicaid fraud;
Address the intricacies of the administrative process for appealing audit results and demands for repayment; and
Assist providers with practical instructions for appealing claims.
You should attend this program if you are an administrator, chief executive officer, chief financial officer, compliance officer, in-house attorney, or billing manager of any health care provider, including an academic medical center, ambulance provider, clinical laboratory, DMEPOS supplier, home health agency, hospice, hospital, long-term care facility, pharmacy, physician group, or skilled nursing facility.
Registration Fee: $30 (Includes valet parking).
Health care organizations that register multiple attendees have
a maximum registration fee of $90.00.
Please RSVP no later than March 26, 2013.
This program is pending approval for 2.0 Compliance Certification Board (CCB) Continuing Education Units. Granting of prior approval in no way constitutes endorsement of the program content or the program sponsor.
Epstein Becker Green has been approved by the State Bar of Texas for 2 CLE credits. Please note that to receive full credit for attending, registrants must be present for the entire session. Epstein Becker Green provides assistance to those with financial hardship who wish to attend; please submit requests for assistance with an explanation to Denise Grant. The briefings are accessible to persons with disabilities; please notify Denise Grant if accommodations are needed.