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Fraud, Abuse & Ethics [1HR]
Fraud, Abuse & Ethics [1HR]
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False Claims Act: Implications for Hospice Agencies

[2976] False Claims Act Implications for Hospice: What You Need to Know

Education-Training Credits:

  • 1.5 Hr(s) HCSSA Administrator/Alternate

Summary:All about the False Claims Act from a former DOJ prosecuter and now, hospice defender.

HCSSA Topic(s) Addressed:

  • §97.259[d][4]agency responsibilities
  • §97.260[a][3]basic principles of management in a licensed health-related setting
  • §97.260[a][7]financial management
  • §97.260[a][10]marketing

Faculty:Wertkin, Jeffery

Program Description: Jeffrey Wertkin is a former Department of Justice prosecutor with considerable experience litigating False Claims Act (FCA) cases against hospices. Jeff left the DOJ in 2016 and is now a partner at Akin Gump LLP where he specializes in defending hospice and home health care providers facing allegations of fraud and abuse.

This program covers the current False Claims Act enforcement landscape and highlights the different ways that hospice providers are under scrutiny from the government and at risk from private whistleblowers. Jeff presents False Claims Act enforcement trends and addresses the most common allegations being asserted by qui tam whistleblowers against hospices. Finally, his presentation concludes with a discussion of effective litigation defenses and other ways hospice providers can mitigate the risk of FCA liability when faced with a government investigation. Presentation Date: 11.16.2016

Learning Outcomes(s): Participants will actively engage in the discussion and incorporate best practices for identifying fraud risks caused by hospice care documentation and the challenges presented by government investigations.

About the Presenter:
Jeffrey Wertkin, JD, PhD
is an experienced trial lawyer and investigator, focusing his practice on investigating and defending fraud cases under the False Claims Act. With more than 15 years of experience as a federal prosecutor, fraud investigator and civil litigator, Mr. Wertkin has considerable experience investigating and litigating fraud and abuse matters.

Mr. Wertkin has assisted clients in the health care and energy sectors with regulatory compliance, due diligence and issues related to regulatory policy. He has experience navigating complex areas of state and federal regulations and has worked closely with program officers at numerous federal agencies to determine whether a company is out of compliance with applicable regulations. He has also represented clients in federal district and appellate courts in matters involving challenges to final agency actions under the Administrative Procedures Act. His general experience in the field of administrative law makes him well-suited to provide advice on regulatory policy and long-term strategic planning. Mr. Wertkin received his J.D. from the Georgetown University Law Center, and received his Ph.D. with distinction in Government from the Georgetown University Graduate School of Arts and Sciences.

[2976] False Claims Act Implications for Hospice: What You Need to Know

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This product was added to our catalog on Tuesday 15 November, 2016.
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