Hlth Care Fraud & Abuse

Catalog description

Examines health care fraud and abuse laws from the perspectives of health care contracting and health care compliance. Emphasis is placed on the federal Anti-Kickback Statute, Stark Law and False Claims Act, but state law issues also are considered. In addition, the course reviews sanctions and governmental enforcement initiatives. Students apply health care fraud and abuse laws to sample health care contracts. The course also considers the complexities and challenges that arise in developing and maintaining an effective compliance program for health care organizations.