ABA National Institute on Health Care Fraud to feature experts on health care trends

Experts participating in the American Bar Association 25th Annual National Institute on Health Care Fraud will tackle hot-button topics such as the False Claims Act of 2015, and have a trial practice demonstration and 15 workshops on various aspects of health care fraud on May 13-15 in Miami Beach, Fla.

Daniel Levinson, inspector general of the U.S. Department of Health and Human Services, will deliver the keynote speech at noon on Thursday, May 14. Leslie R. Caldwell, assistant attorney general, Criminal Division, U.S. Department of Justice, will speak on the state of health care fraud enforcement at 9:10 a.m. on Thursday, May 15.

Program highlights include:

"Looking Ahead: Health Care Fraud and The False Claims Act in 2015" - An expert panel will discuss the government's significant initiatives in health care fraud and False Claims Act prosecutions, including the department's directive to corporations to "root out" individual misconduct, and the industries which remain susceptible to prosecution in 2015 and beyond. Panelists will also analyze issues related to sentencing, civil investigative demands (CIDs), damages, medical necessity, proffers, and expert witnesses. This program will be web cast live from the meeting.

"The Foundations of Health Law" ­- This session is intended to serve as both an introduction to and a review of current aspects of public and private health care programs, including discussion of developing aspects of health care reform and implementation of the Affordable Care Act to understand the context in which health care fraud and abuse occurs and to examine which aspects of the health care delivery and regulatory system providers scrutinize the most.

"Trial Practice Demonstration: United States ex rel. Baklid-Kunz vs. Halifax Hospital Medical Ctr., et al., (M.D. Fla. 2014)" - This case study is a qui tam case brought by a compliance professional at Halifax Medical Center of Daytona Beach, Fla. The government initially declined to intervene in the case, but later partially intervened relating to liability for the hospital/physician arrangements, including compensation above fair market value, and remuneration that took into account the volume or value of referrals. Halifax has far-reaching implications for physician/hospital arrangements, the limited utility of advice of counsel and the prohibitive expense of discovery and litigation and the risks associated with False Claims Act matters.

Published: Tue, May 05, 2015