Responding to Health Care Fraud and Abuse Investigations

Responding to Health Care Fraud and Abuse Investigations is an authoritative, insider's perspective on representing and advising health care organizations facing criminal and/or civil fraud and abuse investigations. Featuring partners from some of the nation's leading law firms, these experts guide the reader through the different phases of an investigation and the key considerations for each phase. These top lawyers reveal their advice on how to understand the scope allegations, how to develop an initial response, and how to coordinate an internal investigation and evaluate a client's position, including managing documents and communications with knowledgeable individuals at the organization. From weighing self-disclosure and interacting with government agencies to auditing remedial actions and negotiating settlements, these authors outline steps that can be taken to manage liability during the latter stages of an investigation. Additionally, these leaders discuss recent changes in the regulatory landscape, describe the types of actions that often trigger investigations, and offer best practices for mitigating risk through the implementation of effective compliance programs. The different niches represented and the breadth of perspectives presented enable readers to get inside some of the great legal minds today, as these experienced lawyers offer up their thoughts around the keys to success within this ever-evolving field.

Inside the Minds provides readers with proven business intelligence from C-Level executives (Chairman, CEO, CFO, CMO, Partner) from the world's most respected companies nationwide, rather than third-party accounts from unknown authors and analysts. Each chapter is comparable to an essay/thought leadership piece and is a future-oriented look at where an industry, profession or topic is headed and the most important issues for the future. Through an exhaustive selection process, each author was hand-picked by the Inside the Minds editorial board to author a chapter for this book.