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Fraud and Abuse

 
Back to Practice Groups
The Fraud and Abuse Practice Group provides issue summaries and brief analysis of relevant judicial, administrative, and settlement decisions as well as regulatory developments regarding enforcement efforts and compliance responses; provides a resource to members facing enforcement initiatives and/or designing compliance strategies.
 
Fraud and Abuse Practice Group Bill of Sale
Summaries of the Office of Inspector General (OIG) Advisory Opinions are provided by the Advisory Opinions Task Force of the Fraud and Abuse Practice Group. The Task Force aids Practice Group members in keeping abreast of new Advisory Opinions. For each new opinion issued by the OIG, a summary is released via an email alert and posted on several Practice Groups' websites.

You may access this content by joining AHLA and enrolling in Fraud and Abuse Practice Group.


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You may access this content by enrolling in Fraud and Abuse Practice Group.

You may access this content by Renewing your membership for Fraud and Abuse

Member Briefings, prepared by members of Practice Groups, are a useful practice tool to facilitate your understanding of the most recent health law issues and to assist you and your clients with implementing those issues.

You may access this content by joining AHLA and enrolling in Fraud and Abuse Practice Group.


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You may access this content by enrolling in Fraud and Abuse Practice Group.

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Executive Summaries, prepared by members of Practice Groups, are a useful practice tool to facilitate your understanding of the most recent health law issues as they develop.

You may access this content by joining AHLA and enrolling in Fraud and Abuse Practice Group.


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You may access this content by enrolling in Fraud and Abuse Practice Group.

You may access this content by Renewing your membership for Fraud and Abuse

Newsletters offer articles on the most recent issues facing health law attorneys within their practice area. They also provide news of recent Practice Group events and highlight opportunities to get involved in the Association.
Interested in writing an article? Please submit your article proposal to the Practice Groups staff including the title/topic and a short summary, and indicate which Practice Group(s) you would like to submit it to.

You may access this content by joining AHLA and enrolling in Fraud and Abuse Practice Group.


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You may access this content by enrolling in Fraud and Abuse Practice Group.

You may access this content by Renewing your membership for Fraud and Abuse

Stark Law - Updated on November 1, 2013
This Toolkit is intended to provide Fraud PG members with a one-stop resource for all guidance under the Stark Law. The Toolkit includes the relevant statutes, regulations, and Federal Register preambles for the various proposed, interim, and final rules. Adding additional value to the practitioner, the Toolkit provides direct links to the various Stark Law exceptions within each of the Federal Register publications, making it easier to quickly access commentary on specific exceptions. The Toolkit also contains informal guidance and publications issued by AHLA for its members.

If you have any comments about this toolkit or suggestions on potential toolkits, please email the Practice Groups staff

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​This is a members-only, web-based reference tool that features substantive practice development information focusing on the False Claims Act and other government matters. Designed to bring timely, practice-oriented data to Fraud and Abuse Practice Group members, categories of information on this site range from current negotiating issues with the Department of Justice on False Claims Act cases to seminal cases. The Practice Corner provides practice points and other information and is not restricted to defense perspectives. The Practice Corner presents practice information that is helpful for all practice areas.

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Upcoming:

September 23, 2014 12:00 PM-1:30 PM Eastern
Litigating a False Claims Act—Tips and Tactics from the Trenches
Part II: Getting What You Really Need—Preliminary Motions Practice and Discovery in FCA Litigation
October 23, 2014 12:00 PM-1:30 PM Eastern
Litigating a False Claims Act—Tips and Tactics from the Trenches
Part III: To Settle or Not to Settle, That is the Question—Global Settlements and ADR
November 24, 2014 12:00 PM-1:30 PM Eastern
Litigating a False Claims Act—Tips and Tactics from the Trenches
Part IV: Dispositive Motions and Preparing for Trial—Pretrial Motions and Jury Issues
December 10, 2014 12:00 PM-1:30 PM Eastern
Litigating a False Claims Act—Tips and Tactics from the Trenches
Part V: Select Trial Issues, Closing Arguments, Post-Trial Motions, and Appeals
January 16, 2015 12:00 PM-1:30 PM Eastern

Past:

December 11, 2014 1:00 PM-2:30 PM Eastern
December 3, 2014 2:00 PM-3:30 PM Eastern
December 2, 2014 2:00 PM-3:30 PM Eastern
A Graduate Series on the Role and Use of Advanced Practice Professionals
Part 3: Billing and Reimbursement for Advanced Practice Professionals
October 28, 2014 2:00 PM-3:30 PM Eastern
October 9, 2014 2:00 PM-3:30 PM Eastern

Upcoming:

Past:

Upcoming:

Physicians and Hospitals Law Institute
Practical Realities of Managing a Special Population
February 2, 2015 12:30 PM-1:45 PM Eastern

Past:

October 6, 2014 12:00 PM-1:30 PM Eastern
July 1, 2014 12:30 PM-1:45 PM Eastern
Physicians and Hospitals Law Institute 2014
The Affordable Care Act 4 Years Later: What Lies Ahead?
February 6, 2014 12:00 PM-1:15 PM Eastern
September 30, 2013 12:30 PM-2:00 PM Eastern
July 1, 2013 12:30 PM-1:45 PM Eastern

Task Forces

Task Forces are established for those health law topics that cross over several Practice Groups, and they provide collaborative, substantive resources for the benefit of the sponsoring Practice Groups' members.
Please note: You must be a member of the Fraud and Abuse Practice Group or one of the other sponsoring Practice Groups to receive benefits produced by these Task Forces.

  • Accountable Care Organization Task Force
    The Accountable Care Organization (ACO) Task Force monitors and evaluates the implementing statutes, regulations, cases, and secondary materials concerning ACOs. It provides written materials, webinars, and in-person educational activities to assist AHLA's members to implement ACOs and comply with ACO laws and rules. Since the ACO subject matter is so broad, and impacts the missions and interests of so many Practice Groups, the ACO Task Force is a multi-disciplinary/multi-group entity, and focuses its efforts on the production of a coherent and effective line of ACO-related educational materials using a variety of media and employing AHLA’s vast resources.
  • Behavioral Health Task Force
    The Behavioral Health (BH) Task Force is committed to advancing the understanding of laws impacting behavioral health, including the delivery of services to those living with mental illness, certain neurological conditions, substance use disorders or developmental disabilities, and reimbursement for such services. A complex framework of federal and state laws concerning privacy, information sharing and exchange, reimbursement, involuntary commitment, and other subjects provides unique challenges to health care providers and payers of behavioral health services. Scientific, legislative, and other developments, including health care reform, have presented new issues and opportunities in this area, including primary and behavioral health care integration initiatives, insurance coverage parity mandates, changes to Medicaid, and evolving public policy, to name a few. The BH Task Force monitors and evaluates these laws and developments through written materials, webinars, and in-person educational activities so that AHLA members are better equipped to advise clients on behavioral health topics. In addition, the work of the BH Task Force serves to raise awareness about how behavioral health laws influence health improvement efforts, and will include collaborative efforts with AHLA's Public Interest activities.

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