Quality Fraud 2013 - Quality Fraud: What's That? - Webinar By MentorHealth

Overview: This crisp and focused session will elucidate the two pathways to trouble-from quality failures in delivering care to quality reporting-and where false claims liabilities can now arise. In an era of declining reimbursement and the call for more efficiency, health care providers who seek to lower costs may do so at the risk of generating quality failures. How these can create fraud and abuse liability will be presented. Where payment varies based on measured performance, the legitimacy of those reports is critical. How quality reporting can create liability will also be presented.
Why Should You Attend: The Affordable Care Act underscored new ways in which quality performance will affect payment. The OIG now has a Quality CIA page on its website! Both in the rendering of care and in reporting about it, new false claims liabilities lurk. This arena is fertile for whistleblowers. The liabilities need to be accounted for in many compliance programs. Today, compliance officers and quality managers will have to find ways to work together.
Areas Covered in the Session:
"Traditional" bases for quality process fraud: civil money penalties, exclusions, criminal charges
The OIG's targeting of hospital boards and what that also means to physician groups
The OIG Work Plan issues (2009-2013) and their significance
Fraud in quality reports
What whistleblowers can do
8 Specific Action Steps
The Department of Justice's interests
Who Will Benefit:
Vice Presidents for Medical Affairs
Senior Quality Officers
Medical Group Administrators
Health System CFOs and Finance Directors
Health System Physician Group Managers
Health System and Group Practice Compliance Officers
In-house Counsel of Physician Groups and Health Systems
Alice G. Gosfield Esq, of Philadelphia’s Alice G. Gosfield and Associates, PC, has a national practice devoted to health law and healthcare regulation with a special emphasis on physician representation, managed care, quality, fraud and abuse, and medical staff issues. A graduate of Barnard College and NYU Law School, she has been named as one of the top twenty-five health lawyers in the country in 2007 and 2009 and has been a Best Lawyer in America (Health Law) for more than twenty years. She served as Chairman of the Board of Directors of the National Committee for Quality Assurance for five terms (1998-2002) and was President of the National Health Lawyers Association (now the American Health Lawyers Association) from 1992-93.
She was the founding Chairman of the Board of PROMETHEUS Payment Inc., and a member of the original and continuing Design Team. She is the first Chairman of the Board of the Healthcare Incentives Improvement Institute, Inc, (HCI3) the merger of PROMETHEUS Payment Inc and Bridges to Excellence, Inc.
MentorHealth
webinars-AT-mentorhealth.com
Phone No: 800-385-1607
FaX: 302-288-6884
Event Link: http://bit.ly/18RfH14