False Claims Act: Effective Compliance Programs and Recent Government Cases Involving Rehabilitation Providers

James Rough, CFE, CHC, CCEP
President, SunHawk Consulting, LLC

Speaker Bio

Veda Collmer, OT
Chief Compliance Officer, WebPT

Speaker Bio

Date: Saturday, September 29, 2018
Time: 2:00 PM to 3:00 PM
Instruction level: Basic

Description

Compliance is a hot-button topic for all healthcare providers, including rehab therapists. After all, non-compliance can cause serious problems from a revenue standpoint as well as a reputation one. Unfortunately, compliance in the healthcare sector is often a moving target as regulations are ever-changing and ever-increasing. That’s why every rehab professional must not only understand the current compliance landscape, but also have a plan in place to ensure all claims are compliant—all the time.

To that end, this course provides attendees with a history of government enforcement of false claims—with a focus on investigation and prosecution of rehabilitation providers. Additionally, this course defines the requirements of implementing a compliance program to reduce false or improper claims and outlines the seven elements of an effective compliance program.

Objectives

  1. Recognize industry-specific risks of false claims enforcement.
  2. Identify government agencies enforcing healthcare fraud regulations.
  3. Describe the seven elements of an effective compliance program.