Enforcement Actions and Prosecutions Targeting Individuals and Entities for Falsification of the Records
- Education:
- All Education
- CEC Category:
- Medicolegal
- Duration:
- 1 Hour 27 Minutes
- Format:
- Audio and Video
Tags: HDIVC23
Description
Presenters:
Robert W. Liles, JD, MBA, MS, CPC and Ashley Morgan, JD, CPC, CMCO, CMRS
Description:
Mere mistakes, simple negligence and accidents that lead to the submission of incorrect or false information in a claim is not a crime but can lead to the assessment of an overpayment. Unfortunately, the government may contend that the submission of false information is not a mere mistake but rather constitutes fraud. The falsification of medical records is increasingly cited as the basis (in whole or in part) in the prosecution of physicians and administrative personnel in a wide variety of healthcare fraud cases. In this session, we will examine a number of these cases and discuss the conduct that led to the government enforcement action. Participants will also learn options for addressing records that appear to be incorrect or intentionally falsified.
Attendees will be able to:
• Discuss the various types of government investigations and prosecutions currently being pursued by Federal and State prosecutors around the country.
• Demonstrate steps that they can take to reduce their practice’s level of risk and increase its compliance with regulatory requirements.
• Discuss how to best respond if they identify incorrect or false statements made in previously submitted and paid claims.
Handouts
| Enforcement Actions and Prosecutions Targeting Individuals and Entities for Falsification of the Records (1.83 MB) | Available after Purchase | ||
Speaker
Robert W. Liles, JD, MBA, MS, CPC Related Seminars and Products
Managing Partner
Liles Parker PLLC
Mr. Liles’ background is rather unique. In addition to a law degree, he holds a master’s degree in health care administration and an M.B.A. Robert has worked on the provider side as a federal prosecutor and now represents physician practices around the country in connection with Medicare and private payor audits and investigations. While working as a federal prosecutor, he was asked to serve as the country’s first National Health Care Fraud Coordinator for the DOJ’s Executive Office for U.S. Attorneys. Since entering private practice, Robert has continued to build on his health care background and experience.
Ashley Morgan Related Seminars and Products
Liles Parker, Attorneys & Counselors at Law
Ashley Morgan is a Partner in Liles Parker’s DC office. Ashley focuses her practice on regulatory health care compliance matters, fraud and abuse, and reimbursement issues. Ms. Morgan represents health care providers across the country in connection with a wide variety of health law issues including coverage disputes, documentation concerns, compliance, medical board complaints, in addition to revocation, exclusion, and termination issues. She has worked with an assortment of providers including dentists, home health companies, hospice agencies, pain management practices, primary care and specialty physicians, mental health professionals, and physical therapists. Ms. Morgan is also a Certified Professional Coder, a Certified Medical Reimbursement Specialist, and a Certified Medical Compliance Officer.