The Federal False Claims Act: Enforcement and Recent Updates

The session will provide an overview of the Federal Civil False Claims Act (FCA) and how it works. It will also provide an assessment of enforcement activities, showing how participants may be at risk. In addition, the session will review recent cases and show how they potentially impact participants.

We will start with a review of the Federal False Claims Act and discuss how it works and how it is being used to fight health care fraud. We will discuss how the various health care fraud task forces use the Federal False Claims Act and its whistleblower provisions to identify and prosecute health care fraud. The webinar will take the Federal False Claims Act apart and show step by step how an action is filed, how the government responds, and how the courts interpret various elements of the Act. We will discuss proof, damages under the Act, and how the whistleblower is rewarded for bringing a successful case. 

The session will also provide an overview of the Anti-Kickback Statute (AKS) and review what it prohibits, as well as a general review of the AKS available safe harbors. It will also show how violation of the AKS can raise FCA concerns, and it will provide an assessment of enforcement activities, showing how participants may be at risk. In addition, the session will review recent cases and show how they potentially impact participants.

We will provide an in-depth review of the AKS, focusing on what is prohibited under the Act and what the exceptions are. We will also review the case law, particularly the early case law that sets the stage and basis for how the courts interpret the law. 

Finally, the webinar will review various cases to show how easy it is to run afoul of the Statute, and how the courts view compliance with it. In addition, we will discuss the latest updates to both the False Claims Act and the Anti-Kickback Statute.

Webinar Objectives

To provide attendees with an understanding of the False Claims Act, its various elements, how it works, and how to protect one’s organization from this potent enforcement tool.

Webinar Agenda

• A review of the Federal False Claims Act, its history, how it works, its proof requirements, pleading requirements and damages.
• A review of the Federal Anti-Kickback Statute and the Federal Anti-Referral Act.
• A review of recent cases involving the False Claims Act.
   

Webinar Highlights

• An overview of the Federal Civil False Claims Act (FCA) and how it works.  
• How the various health care fraud task forces use the Federal False Claims Act and its whistle blower provisions to identify and prosecute health care fraud.  
• Step by step how an action is filed, how the government responds and how the courts interpret various elements of the Act.
• Proof, damages under the Act and how the whistle blower is rewarded for bringing a successful case. 
• An overview of the Anti-Kickback Statute (AKS) and the Federal Anti-Referral Act (Stark) and show how a violation constitutes a false claim under the False Claims Act.
• The latest updates to both the False Claims Act and the Anti-Kickback Statute.

Who Should Attend

• Hospital executives, particularly CEOs, COOs, CFOs, CNOs, and CMOs
• Nursing home executives
• Physicians
• Physician practice managers
• Other healthcare provider executives, and
• Attorneys representing health care providers and practitioners.