Government and Commercial Payer Fraud and Abuse Enforcement on the Rise
Hosted by Fraud and Abuse Practice Group
Sponsored by Jarrard Phillips Cate & Hancock, Inc.
Fraud and Abuse enforcement continues to increase, not only from the government, but also from commercial payers. Hear from the San Francisco US Attorney’s office regarding its latest enforcement initiatives and focus areas, and also from the California Department of Insurance, which oversees actions brought under the California Insurance Frauds Prevention Act (“CaliFPA”). The CaliFPA is somewhat unique in that it allows members of the public (including commercial payers) to file private whistleblower suits against anyone who commits insurance fraud in the state, regardless of whether a government program is involved, and has similar financial incentives for plaintiffs as under the federal False Claims Act. (Illinois also has a similar law, and more states may follow suit). Also, defense counsel will discuss other tactics being used by commercial payers against health care providers in state and federal courts around the country under the banner of “fraud enforcement”, and strategies for defending against these efforts, including various counterclaims for payer wrongdoing.
Anthony Argiropoulos (Moderator), Epstein Becker & Green, PC, Princeton, NJ
Kimberly Friday, Deputy Chief, Civil Division, U.S. Attorney’s Office for the Northern District of California, San Francisco, CA
Michael J. Levy, Deputy General Counsel – Litigation, California Department of Insurance, Sacramento, CA
This event is not included in the program registration; there is an additional fee; limited attendance; pre-registration required.