The planning committee puts together a program that addresses emerging regulatory trends, recent case law and legislative developments, and how they will affect legal and compliance practices in health care.
Information on Brian's session:
- Medical necessity cases continue to thrive in various audits and investigations, including under the False Claims Act
- Consider the primary legal issues when allegations of lack of medical necessity are made, including recent cases, settlements, and court rulings
- Consider what conduct in medical necessity cases results in the matter being pursued either civilly or criminally, as opposed to just an administrative overpayment recoupment
- What steps an organization can take to remediate risk and reduce potential liability