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False Claims Act: Insights on Local and National Developments
Credit(s):
1.2 50-Minute Credit Hour (General)
1 60-Minute Credit Hour (General)
1 CA (General Participatory)
1 IL (General)
1 NY (Transitional)
1 PA (Substantive-Distance Learning)
1 TX (General)
1 VA (General)
1 Australia (General)
A presentation on the current state of health care fraud and abuse in South Carolina and nationally, including enforcement activity, audit and integrity actions, and False Claims Act litigation.
Discussion topics include:
Developments in the False Claims Act based on cases rooted in South Carolina and trends observed nationally.
The growing presence of potential False Claims Act liability in the Medicare Advantage (Medicare Part C) arena.
The dynamic role of statistical sampling and extrapolation in both the False Claims Act and government/payor-initiated audits.