Health Care Fraud & Abuse (LAW-719B-001)
Assessment:Take-home exam, essay questions. Take-home exam, true/false questions. Take-home exam, open book. In-class Project(s). Out-of-class Project(s) Class Participation.
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 the 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 arise in developing and maintaining an effective compliance program. This Course is designed to be interactive, with assigned reading and lectures to be supplemented with hypotheticals and short presentations. Guest lecturers from both the government and private practice will share their perspectives on compliance and enforcement.
Textbooks and Other Materials
The textbook information on this page was provided by the instructor. Students should use this information when considering purchases from the AU Campus Store or other vendors. Students may check to determine if books are currently available for purchase online.
This course will not use a textbook. Instead, required readings will be listed in the course syllabus. Required readings will include pertinent articles, cases, government enforcement guidance, and the like. Required readings will be accessible through on-line resources or will be posted to MyWCL.
First Class Readings
As explained in greater detail in the syllabus, students must complete certain reading assignments in advance of class.
Use your MyAU username and password to access the syllabus in the following format(s):