World Conference Calendar

32801 Conferences

Physicians and NPPs: Avoiding Medicaid and Medicare Fraud and Abuse

Added by on 2011-04-12

Conference Dates:

Start Date Start Date: 2011-04-19
Last Date Last Day: 2011-04-19

Conference Contact Info:

Contact Person Contact Person: Referral
Email Email: admin@complianceonline.com
Address Address: 2600 E. Bayshore Road, Palo Alto, California, 94303, United States
Phone Fax: 2147483647

Conference Description:

Why Should You Attend:

Almost all physicians and other practitioners in the practice of clinical medicine in the United States will treat some Federal health care program beneficiaries at some point in their careers.

Violating the fraud and abuse laws can result in criminal penalties; civil fines; exclusion from the Federal health care programs, which include Medicare and Medicaid; and even loss of your medical license by your State Medical Board.

This presentation summarizes the five main Federal fraud and abuse laws (the False Claims Act, the Anti-Kickback Statute, the Stark Law, the Exclusion Statute, and the Civil Monetary Penalties Law), and provides tips on how physicians and other practitioners should comply with these laws in their relationships with payers, vendors, and fellow providers.

Learning objectives:

Participants will hear how the following federal rules relate to their everyday practice
the False Claims Act,
the Anti-Kickback Statute,
the Stark Law,
the Exclusion Statute, and
the Civil Monetary Penalties Law).
Participants will know how physicians and other practitioners should comply with these laws in their relationships with payers, vendors, and fellow providers.
Areas Covered in the Seminar:

This presentation summarizes the five main Federal fraud and abuse laws (the False Claims Act, the Anti-Kickback Statute, the Stark Law, the Exclusion Statute, and the Civil Monetary Penalties Law), and provides tips on how physicians and other practitioners should comply with these laws in their relationships with payers, vendors, and fellow providers.

Free handouts:

Link or copy of CMS produced, MLN “Basic Curriculum for Health Care Professionals, Suppliers, and Providers”, 2010.

Who Will Benefit:

Physicians and Non-Physician Practitioners (NPPs)
All Health Care Professionals, Suppliers, and Providers (Hospitals, health care centers/ clinics, medical nursing homes, pharmacies and drug stores, medical laboratories and biomedical research)
Instructor Profile:

D. Derek Jones , PhD, MHA has been a consultant in the healthcare services industry for more than 30 years specializing in healthcare compliance, medical investigations, practice management, reimbursement systems and healthcare policy.

He has been actively involved in consultation with Fraud and Abuse law firms, Primary Care centers, FQHC’s, community mental health centers, professional trade associations, state Medicaid agencies, regional hospital groups and individual practitioners regarding practice management, billing, coding and documentation compliance.

He is Certified in Healthcare Compliance (CHC) by the Health Care Compliance Association (HCCA), a Certified Fraud Examiner (CFE) and a Board Certified Forensic Consultant (CFC).
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