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Author: Michael K. Loucks Publisher: Bna Books ISBN: 9781570181733 Category : Law Languages : en Pages : 954
Book Description
Fraud & abuse issues faced by health providers & health care attorneys--whether prosecutor or defense counsel--are complex & wide-ranging. This book, written by two experienced litigators, identifies & analyzes these difficult medical, regulatory, & law enforcement issues. The book will assist prosecutors in conducting thorough & complete investigations--& guide transactional lawyers & defense counsel in anticipating & dealing with potential pitfalls. Beginning with a detailed overview of the law of health care fraud, the authors explain how the disconnected nature of treatment choices & payment mechanisms has increased the opportunity for abuse of the system & raised the stakes for all players. Drawing on their valuable experience, authors address the enforcement tools designed by Congress & the regulatory agencies to prevent & prosecute false billing & corruption. Chapters focus on federal criminal statutes, the civil False Claims Act, the Food & Drug Act, the Anti-Kickback Statute & Stark Prohibitions (and related safe harbors), & Department of Health & Human Services advisory opinions. The authors also explain the litigation & settlement process & the various outcomes.
Author: Michael K. Loucks Publisher: Bna Books ISBN: 9781570181733 Category : Law Languages : en Pages : 954
Book Description
Fraud & abuse issues faced by health providers & health care attorneys--whether prosecutor or defense counsel--are complex & wide-ranging. This book, written by two experienced litigators, identifies & analyzes these difficult medical, regulatory, & law enforcement issues. The book will assist prosecutors in conducting thorough & complete investigations--& guide transactional lawyers & defense counsel in anticipating & dealing with potential pitfalls. Beginning with a detailed overview of the law of health care fraud, the authors explain how the disconnected nature of treatment choices & payment mechanisms has increased the opportunity for abuse of the system & raised the stakes for all players. Drawing on their valuable experience, authors address the enforcement tools designed by Congress & the regulatory agencies to prevent & prosecute false billing & corruption. Chapters focus on federal criminal statutes, the civil False Claims Act, the Food & Drug Act, the Anti-Kickback Statute & Stark Prohibitions (and related safe harbors), & Department of Health & Human Services advisory opinions. The authors also explain the litigation & settlement process & the various outcomes.
Author: Kevin J. Darken Publisher: ISBN: 9780834211711 Category : Actions and defenses Languages : en Pages : 0
Book Description
It is evident that the federal government is serious about cracking down on health care fraud. This book details how to prevent and defend criminal, civil, and administrative health care fraud investigations. All the key statutes, regulations and cases impacting the field are thoroughly analyzed from the author's unique perspective as both a former federal prosecutor and current white collar criminal defense attorney. This is a reference tool for a primary audience consisting of white collar criminal defense attorneys; attorneys specializing in health care law, particularly Medicare reimbursement, fraud and abuse, or compliance issues; in-house counsel for large to midsize health care corporations (e.g., hospital chains, teaching hospitals, HMOs, DME companies, billing firms, labs); and prosecutors and criminal investigators who want to know what issues defense counsel may raise.
Author: Linda A. Baumann Publisher: Bna Books ISBN: 9781570186622 Category : Law Languages : en Pages : 913
Book Description
Baumann (of Arent Fox LLP in Washington, DC) presents a general information reference resource for attorneys working in the field of health law that has been revised so as to be current through May 2007, although some material has been updated past that date in order to cover significant new developments, such as the new Stark III regulations issued in September 2007. Following the introduction, nine chapters address federal physician self-referral restrictions; application of the substantive, qui tam, and voluntary disclosure provisions of the False Claims Act in health care prosecutions; practical considerations for defending health care fraud and abuse cases; legal issues surrounding hospital and physician relationships; risk areas in managed care fraud and abuse for government program participants; corporate compliance programs; potential liabilities for directors and officers of health care organizations; disclosure of qui tam suits and investigations; and control of fraud, waste, and abuse in the Medicare Part D Program.
Author: Robert Fabrikant Publisher: Law Journal Press ISBN: 9781588520739 Category : Law Languages : en Pages : 1308
Book Description
Health Care Fraud: Enforcement and Compliance focuses on fraud and abuse issues involving health care providers as well as application of the laws governing fraud and abuse to manufacturers of drugs and medical devices and other non-providers such as medical researchers.
Author: United States. Congress Publisher: Createspace Independent Publishing Platform ISBN: 9781977873477 Category : Languages : en Pages : 78
Book Description
Protecting Medicare and Medicaid : efforts to prevent, investigate, and prosecute health care fraud : hearing before the Subcommittee on Crime and Terrorism of the Committee on the Judiciary, United States Senate, One Hundred Twelfth Congress, second session, March 26, 2012, Providence, Rhode Island.