HEALTH CARE FRAUD, ABUSE, AND COMPLIANCE
Session
Academic Term
Class Number
32828
Career
Law
Dates
1/19/2021 - 5/1/2021
Units
2 units
Grading
Grad LG/SU3 Basis
Description
United States health care spending reached $3.6 trillion in 2018, accounting for 17.7% of the gross domestic product. Government officials have been quoted as saying that up to ten percent of this spending is due to fraud, waste, or abuse. In fiscal year 2019, the federal government won or negotiated $2.6 billion in health care fraud and abuse judgments and settlements, as well as additional amounts from administrative cases. As one of the most highly regulated industries in the United States, health care entities are required to comply with numerous statutes and regulations, including those related to fraud and abuse. These laws are increasingly complex, thereby exposing health care entities to liability for non-compliance. Thus, individuals involved in the administration and delivery of health care and lawyers who wish to practice health law must be well-versed in the laws and regulations that govern health care fraud, abuse, and compliance, as well as the strategies health care entities employ to address these concerns. In this course, students will explore the major federal civil, administrative, and criminal laws that have been used to combat health care fraud and abuse. These laws include the False Claims Act, the Anti-Kickback Statute, the Physician Self-Referral Law, and the Civil Monetary Penalties Law. Related compliance strategies and the practical compliance issues faced by health care providers will also be covered, including the seven elements of effective compliance programs, conflicts of interest and governance, repayments and disclosures, privacy and security, and corporate integrity agreements.
Class Details
Instructor(s)
Tina Hershey
Meets
We 12:10PM - 2:10PM
Meeting Dates
01/19/2021 - 05/01/2021
Room
WEB Based Class
Campus
Pittsburgh Campus
Location
Pittsburgh Campus
Components
Lecture Required
Textbooks/Materials
Textbooks to be determined
Class Availability
Status
Open
Seats Taken
13
Seats Open
24
Combined Section Capacity
37
Unrestricted Seats
0
Restricted Seats
0
Wait List Total
0
Wait List Capacity
0
Combined Section
HC FRAUD, ABUSE & COMPLIANCE
HPM 2134 - 1250 (23129)
Status: Open
Seats Taken: 8
Wait List Total: 0
HC FRAUD, ABUSE, AND COMPLNCE
LAW 5673 - 1050 (32828)
Status: Open
Seats Taken: 5
Wait List Total: 0