Healthcare organizations constantly face the threat of fraud and abuse that can result in serious consequences such as business disruption, damaged reputation, diminution of shareholder value, strained relationships with business partners or regulators, significant fines, and civil and criminal liability. A few recent and common examples of fraud and abuse in the healthcare industry include attaching the wrong codes to services; billing for services not provided; modifying claim forms; tampering with medical record documents; or billing for medical supplies not provided.

The significant financial, operational, and reputational costs of incidences of fraudulent practices have compelled regulatory bodies such as the U.S. Department of Health and Human Services (HHS) and the Department of Justice, to enforce laws in a more stringent manner. Ensuring compliance with various laws such as the False Claims Act, the Anti-Kickback Statute, and Stark Law is resource-intensive, requiring a strict compliance program and rigorous auditing. Powerful technology tools are essential for sifting through vast amounts of data to identify trends and signs of inaccurate or erroneous claims, and then initiating the appropriate investigations and corrective actions.

Join John Kelly, Healthcare, Compliance, and Government Investigations Attorney at Bass, Berry & Sims PLC, and Taylor Philips, Litigation and Government Investigations Attorney at Bass, Berry & Sims PLC, during this webinar as they share their expertise on healthcare fraud and abuse.

Areas of discussion include:

  • Recent trends in healthcare regulation and enforcement
  • Core components of a compliance program to minimize fraud and abuse risk
  • The role of technology in strengthening your organization’s compliance program

Attend this webinar:
This webinar is scheduled to take place on Tuesday, September 17, 2013 at 8:00 am Pacific Time. To register for this webinar, and to learn more about the webinar and the speakers, please click here.

About MetricStream

MetricStream, the independent market leader in enterprise and cloud applications for Governance, Risk, Compliance (GRC) and Quality Management, makes GRC simple. MetricStream apps improve business performance by strengthening risk management, corporate governance, regulatory compliance, vendor governance, and quality management for hundreds of thousands of users in dozens of industries, including Financial Services, Healthcare, Life Sciences, Energy and Utilities, Food, Retail, CPG, Government, Hi-Tech and Manufacturing. MetricStream is headquartered in Palo Alto, California, with an operations and R&D center in Bangalore, India, and sales and operations support in 12 other cities globally. (www.metricstream.com).

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