LAW - 719B Health Care Fraud and Abuse: Contracting and Compliance

(3 hrs.)

This course examines fraud and abuse in the delivery of health care through discussions of the criminal and civil laws and regulations that combat various forms of health care fraud. This course explores the implications of the federal and state Anti-Kickback Laws, the federal physician self-referral law (Stark), the federal civil monetary penalty and exclusion laws, and the federal and state false claims acts. Emphasis will be placed on federal laws, but state law issues will also be considered. In addition, this course will consider voluntary and mandatory fraud and abuse compliance as well as the complexities and challenges that arie in developing and maintaining an effective compliance program.