Learn the fundamental of the “Big 3” federal fraud and abuse laws that can lead to civil or criminal charges against hospitals, physicians, and other health-care entities. The “Big 3” include the Anti-Kickback Statute, the Stark Law, and the False Claims Act. If you represent anyone in the health-care industry, these are laws that you need to understand. Discover an abundance of helpful and practical information to prepare you to address all of these important issues with your clients and find useful sample documents and checklists that will serve as a valuable resource in your practice.
Summary of ContentsBasics of Fraud and Abuse in the Healthcare Industry
Relator’s Counsel Perspective: Using the False Claims Act to Root Out Healthcare Fraud
Government Enforcement Perspective: Hot Issues and Recent Trends
Compliance Programs and Defending Fraud and Abuse Matters
Physician Contracting Compliance Issues Involving Medical Directorships, Consulting/Contractor Arrangements, and Employment Relationships: The Importance of Documenting Fair Market Value & Commercial Reasonableness