Hlth Care Fraud&Abuse; Legal,Enforcement,&Compliance Considerations (LAW-719B-001)
D. Kung, K. Kung
Meets: 09:00 AM - 11:40 AM (T) - Room 526
Enrolled: 16 / Limit: 17
Notices
There are no notices at this time.
Description
This Course will cover the health care fraud and abuse laws and regulations relating to the prosecution and defense of alleged wrongdoing by health care providers and suppliers. The Course will provide a basic overview of the laws governing healthcare providers and suppliers, such as hospitals, physicians and physician practices, clinical laboratories, medical device and pharmaceutical manufacturers, and nursing homes.
This Course explores the implications of the federal and state Anti-Kickback Laws, the federal anti-referral (Stark) law, the federal civil monetary penalty and exclusion laws, the federal and state false claims laws, as well as traditional federal white collar criminal laws as applied to health care. 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. Some of the class work may be assigned in teams. 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.
First Class Readings
Not available at this time.
Syllabus
Use your MyAU username and password to access the syllabus in the following format(s):
Microsoft Word 2007 (DOCX)