Staying Safe: Design a Blueprint for Compliance & Avoiding Fraud
Summary: Review of federal and Texas fraud laws affecting Medicare and Medicaid home care providers.
HCSSA Topic(s) Addressed:
Faculty: Dombi, William
Program Description: Providing home care requires more than delivering high quality services.
Today, home care agencies must be ever vigilant in their efforts to comply with the myriad of regulatory requirements.
Anything less raises risk of allegations of fraud and abuse. This program provides a focused analysis of federal and
Texas laws affecting Medicare and Medicaid home care services applied to home care specific activities such as claims,
quality of care, cost reporting, patient referrals, and marketing practices.
Program Objectives: Upon completion of this program, the viewer will be able to:
About the Presenter: William Dombi is Vice President for Law at the National Association for
Home Care & Hospice (NAHC) and Director of the Center for Health Care Law in Washington, DC. With over 30 years of experience in health care law
and policy, Bill Dombi has been involved in virtually all legislative and regulatory efforts affecting home care and hospice since 1975, including
the expansion of Medicare home health benefit in 1980, the formation of the hospice benefit in 1983, the institution on Medicare PPS for home health
in 2000, and this year’s historic health care reform . With litigation, Dombi was lead counsel in the landmark lawsuit that reformed the Medicare home
health services benefit, challenges to HMO home care cutbacks for high-tech home care patients, lawsuits against Medicaid programs for inadequate payment
rates, a nationwide class action against then-HCFA for its failure to enforce the federal HMO Act, and litigation directed against the "Interim Payment System"
for the Medicare home health benefit.
 Staying Safe: Design a Blueprint for Compliance & Avoiding Fraud