False Claims Act Liability in Post-Acute Care

Tamar Abell, CEO , TBA Compliance. William T. Mathias, Co-Chair Health Law Group and Fraud Abuse Team , Baker Donelson .

November 16, 2020

  • A review of recent False Claims Act cases, both civil and criminal, and current enforcement focus areas in Medicare for SNF, home health and hospice providers

  • Challenges facing post-acute providers, including those associated with new payments systems and regulatory requirements, and new claim audit initiatives

  • Current enforcement trends, including potential liability for providers and management, sources of data to manage risk, expectations from CMS that providers have effective compliance programs, and enhanced focus on “worthless care” concerns

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