3-hr Virtual Seminar - The Interface Between Medicare and Medicaid, Anti-kickback Statute (AKS), Stark II and the Federal Civil False Claims Act (FCA): Is your Organization at Risk?

Why Should You Attend:

Recent cases and/or enforcement actions involving the Federal Civil False Claims Act (FCA) as well as the Medicare-Medicaid Anti-Kickback Statute (AKS) and/or Federal Physician Self Referral Law (Stark II) raise serious concerns regarding compliance issues with hospital, physician practices and other healthcare entities. Recoveries under the FCA are at an all-time high, and the percentage of actions involving healthcare organizations has been increasing at exponential rates.

This session is designed for healthcare executives, physicians and other healthcare providers who participate in and receive remuneration from Medicare, Medicaid, and other federal healthcare programs such as TriCare. The session will provide an overview of the FCA and how it works, the prohibitions of AKS and Stark II, and their available safe harbors. It will also show how violation of the AKS and/or Stark II can raise FCA concerns. In addition, it will provide an assessment of enforcement activities, showing how participants may be at risk. Finally, the session will review recent cases and show how they potentially impact participants.

Areas Covered in the Seminar:

• Federal False Claims Act (what it is and how it works)
• Federal Civil Anti-Kickback Statute
• Safe Harbors providing protection under the AKS
• Federal Physician Self-Referral Law (including a review of the designated health services)
• Exceptions to Stark II
• How the three statutes interface and pose dangers for healthcare providers

Who Will Benefit:

• Hospital executives, particularly CEOs, COOs, CFOs, CNOs, and CMOs
• Nursing home executives
• Physicians
• Physician practice managers
• Other healthcare provider executives
• Durable medical equipment suppliers

Instructor Profile:

William Mack Copeland, MS, JD, PhD, LFACHE, practices health care law in Cincinnati at the firm of Copeland Law, LLC. He is also president of Executive & Managerial Development Group, a consulting entity providing compliance and other fraud and abuse related services. A graduate of Northern Kentucky University Salmon P. Chase College of Law, Bill is a frequent author and speaker on health law topics. Copeland is a member of the American Health Lawyers Association, American, Ohio and Cincinnati Bar Associations and is a life fellow in the American College of Healthcare Executives. He was awarded the American College of Health Care Executives Senior-Level Healthcare Executive Regent’s Award in 2007.

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