Overview: Author and Compliance expert Joseph Batte will define fraud and abuse to totally clear up any misconceptions that lead to prosecutions, exclusions and civil penalties caused by providers who "just didn't know"! This topic will provide an effective tutorial for keeping your health care practice out of trouble. Real life case examples will be given to illustrate how health care provider's activity resulted in both fraud penalties and abuse penalties.
Why should you attend: You need to be ever mindful of keeping your health care practice out of trouble and out of harms way. Concentrating on quality health care in your practice just isn't enough to prevent the demise of your practice by regulators constantly looking over your shoulder. Many practices are uncertain about this and work under the assumption that when there is uncertainty whether a claim is payable, they should just submit the claim and let the payer screen for uncovered services. That's putting your head in the alligator's mouth!
Areas Covered in the Session:
Defining Fraud.
Fraud Penalties with case examples.
Defining Abuse
Penalties for Abuse with case examples.
Six tips for avoiding penalties for fraud and abuse.
Overview of the most common forms of fraud.
Overview of the most common forms of abuse.
Who Will Benefit:
Health Care Providers & Organizations
Compliance Officers
Hospital CEO's, & Administrators
Health Care Legal Offices
Official Website: http://alturl.com/ccurv
Added by Roger Steven on October 3, 2012