Understanding Health Care Fraud, Waste and Compliance Programs
This session will begin with a description of the federal and state agencies involved in enforcing fraud, waste and abuse against hospitals, including an overview of recent enforcement actions and settlements involving hospitals. The speaker will provide an introductory overview of the Stark Law, Anti-Kickback Statute, False Claims Act, federal Beneficiary Inducement prohibitions and Excluded Provider laws. The session will include examples of arrangements that could violate each of the laws to illustrate how these laws are applied in hospital operations. Finally, the session will address hospital compliance programs, including the federal guidance used by hospitals when developing compliance programs and best practices in establishing a compliance program and incorporating all aspects of hospital operations.