Title: The Role of Compliance in Mitigating False Claims Act Liability

Presenter: Rachel Rose, JD, MBA

Time: 1:01:46 minutes

Description:
The False Claims Act (FCA) is one of the five most important federal fraud, waste, and abuse (FWA) laws that apply to physicians. Rachel Rose, Attorney at Law, discusses liability under the FCA, as well as other FWA laws, to help you understand the risks and costs of not complying and take action to comply.

Objectives:

• Discuss headline highlights.

• Review the False Claims Act.

• Recognize the relevance of the five fraud, waste , and abuse laws.

• Explore False Claims Act cases involving cybersecurity, billing, and AKS/Stark Law violations.

• Understand the role of compliance in False Claims Act risk mitigation.

   

Key Topics :

• The False Claims Act
• Recent FCA Data
• What Is a Claim?
• Liability for Certain Acts
• What Does "Material" Mean?
• HHS OIG Statement
• The Anti-Kickback Statute (1972)
• Stark Law-General Items
• EKRA Highlights
• According to HHS-OIG
• EKRA (7 Safe Harbors)
• Cases of Discussions
• HHS-OIG Guidance – 2023
• Justice Manual Corporate Compliance
• Compliance Considerations

Main Points:

• Clinical Trial Phases
• Clinical Trial Medical Device Reimbursement
• The Clinical Trial Coding and Billing Team
• Implementing Successful Clinical Trial Information Capture
• Sample Claims
• TAVR Coding and Billing Requirements
• Questions and Resources

Presenter: Rachel V. Rose, JD, MBA, successfully advises and represents clients on healthcare, cybersecurity, securities, and qui tam compliance, transactional, litigation, and government enforcement matters. Ms. Rose is also an Affiliated Member with the Baylor College of Medicine's Center for Medical Ethics and Health Policy, where she teaches bioethics. She has served as a consultative expert and testifying expert, as well as is often quoted in publications. She has been named consecutively to the Texas Bar College, the National Women Trial Lawyers Association's Top 25, Houstonia Magazine's Top Lawyers (healthcare), the National Trial Lawyers Association's Top 100 and The Nation's Top One Percent. Ms. Rose was awarded 1st Healthcare Compliance's 2019 and 2022 Top Presenter Award. In 2023, she was selected for SuperLawyers (healthcare).

Ms. Rose is licensed in Texas and is a Fellow of the Federal Bar Association. Currently, she serves as a Director on the FBA's National Board, is a Member of and the Immediate Past Chair of the Federal Bar Association's Government Relations Committee, an Advisory Board member of the Federal Bar Association's Qui Tam Section, the co-editor of the American Health Lawyers Association's Enterprise Risk Management Handbook for Healthcare Entities (2nd Edition), as well as a co-author of the ABA's books The ABCs of ACOs and What Are International HIPAA Considerations? She is extensively published and presents on a variety of matters related to her practice.

www.rachelvrose.com

https://www.panaceainc.com/