We will release our 10th Annual Healthcare Fraud & Abuse Review in early February 2022. As a companion to the Review, we will host a complimentary webinar on Thursday, February 17, 2022, from 11:00 a.m.-1:00 p.m. ET / 10:00 a.m.-12:00 p.m. CT / 8:00-10:00 a.m. PT, which will provide an overview and discussion of key focus areas covered in the Review. Topics will include:

  • Healthcare fraud enforcement updates and issues to watch
  • Key False Claims Act developments
  • Stark Law/Anti-Kickback Statute enforcement trends
  • Managed care and pharma/medical device developments

We hope you can join us for this timely discussion of healthcare fraud issues from the past year and how they will impact proceedings in 2022. Click here to register.

Continue Reading [WEBINAR] Healthcare Fraud & Abuse Annual Review

Bass, Berry & Sims and the Tennessee Hospital Association hosted the Seventh Annual Healthcare Fraud Conference on December 1 and 2. The virtual conference featured more than 40 speakers and 500 attendees from over 40 states and the District of Columbia.

“The healthcare industry remains under intense scrutiny, making it more important than ever for providers to stay up to date on the latest developments concerning the FCA and fraud and abuse,” said Brian Roark, chair of the Bass, Berry & Sims Healthcare Fraud Task Force.  “This conference examines those developments, provides practical solutions, and forecasts the most pressing issues ahead for healthcare providers.”

Topics Covered During Conference

Day 1 sessions covered conducting effective investigative interviews, navigating privilege issues in investigations, building effective compliance programs, navigating challenges posed by whistleblowers, understanding recent Stark Law and Anti-Kickback Statute developments, and False Claims Act self-disclosure considerations.

Day 2 kicked off with a review of the past year’s key healthcare fraud developments and looked at the future of the False Claims Act. Other sessions covered litigating healthcare fraud enforcement cases, provider relief fund audits and investigations, navigating contractor audits and administrative enforcement remedies, and hot topics in healthcare fraud. The day concluded with a 90-minute healthcare fraud hypothetical.

Click to access a recording of the conference. On-demand CLE is available for those that are interested.

Continue Reading Seventh Annual Healthcare Fraud Conference Highlights Key Risk Areas and Enforcement Developments for Healthcare Providers

The 7th Annual Healthcare Fraud Conference was hosted by Bass, Berry & Sims and the Tennessee Hospital Association. Because we are unable to provide an in-person forum due to ongoing concerns resulting from the COVID-19 pandemic, we once again hosted the conference virtually.

This year’s complimentary CLE program, provides the same caliber of practical advice, insight into significant fraud and abuse issues facing healthcare professionals, and thoughtful discussion from industry panelists for which this conference is known.

Topics include:

  • Healthcare Fraud Year in Review
  • Hot Topics in Healthcare Fraud: Today and Tomorrow
  • The Future of the False Claims Act
  • Provider Relief Fund Audits and Investigations
  • Navigating Corporate Integrity Agreements and Administrative Remedies
  • Litigating Healthcare Fraud Enforcement Cases
  • Stark Law and Anti-Kickback Statute Enforcement Developments
  • FCA Self-Disclosure Considerations

This year’s conference was held on Wednesday, December 1 and Thursday, December 2. To watch the conference on-demand, please click here.

Click here to view the agenda and presenters.

Continue Reading [Virtual Event] 7th Annual Healthcare Fraud Conference

Pfizer lost a legal battle focused on the company’s financial assistance program against the Department of Health and Human Services Office of Inspector General (OIG) in the U.S. District Court for the Southern District of New York. The agency denied the pharmaceutical company’s request to vacate an OIG advisory opinion that effectively precludes the manufacturer

We are looking forward to our involvement in the American Health Law Association Annual Fraud and Compliance Forum 2021 next month. Compliance & Government Investigations attorney John Kelly is serving as co-chair of the program, which will address emerging regulatory and enforcement trends, recent case law and legislative developments and best compliance practices in healthcare.

We are excited to announce the launch of our new Healthcare Fraud & Abuse Resource Center, which will provide a central location for healthcare leaders to access tools and information, including:

  • An innovative, searchable database featuring more than 1,300 significant False Claims Act (FCA) settlements from the last decade.
  • The most recent edition of

We released our Healthcare Fraud & Abuse Annual Review earlier this month. To serve as a companion to the Review, we’re hosting a complimentary webinar on Thursday, February 18, 2021 from 8:00-10:00 a.m. PT / 10:00 a.m.-12:00 p.m. CT / 11:00 a.m.-1:00 p.m. ET. that will take a deeper dive into key focus areas covered

Bass, Berry & Sims and the Tennessee Hospital Association hosted the Sixth Annual Nashville Healthcare Fraud Conference on December 2 and 3. Though typically an in-person event, this year’s conference moved to a virtual platform. That move allowed for the addition of Day 1 primer sessions covering the basics of the False Claims Act, principles of an effective compliance program, how to deal with whistleblowers, and recent significant settlements under the Stark Law and the Anti-Kickback Statute. The Day 2 sessions covered advanced topics ranging from a healthcare fraud and abuse year-in-review, the impact of the global pandemic on fraud enforcement from the perspective of healthcare providers and government officials, criminal healthcare fraud enforcement developments, and how to address compliance issues during a pandemic.

“Each year, we strive to put together content that we believe will greatly benefit members of the healthcare industry in gaining a deeper understanding of the fraud and abuse issues confronting them,” said Brian Roark, chair of the Bass, Berry & Sims Healthcare Fraud Task Force. “There is no question that most healthcare providers are dealing with these types of issues daily, and the conference provides a forum to explore how providers, government regulators and outside counsel view these issues.”

This year, more than 600 attendees participated in the conference from over 40 states and the District of Columbia. In addition to members of the Bass, Berry & Sims Healthcare Fraud Task Force, panelists participating in the conference included in-house attorneys and compliance professionals from Humana, Sanford Health, RWJBarnabas Health Systems, Methodist LeBonheur Healthcare, Saber Healthcare, Tenet Healthcare, Henry Ford Health System, naviHEALTH and Virtua Health, as well as several government attorneys from both the state and federal level.

Continue Reading Sixth Annual Healthcare Fraud Conference Highlights Key Risk Areas and Enforcement Developments for Healthcare Providers

Access RecordingIt is safe to say that 2020 has been nothing short of challenging for the healthcare industry, especially when it comes to maintaining data privacy and security. Among countless other areas, the impact of COVID-19 has resulted in a spike in telehealth options, creating more vulnerabilities for the security of patient data. More than ever,

Please join us for the 6th Annual Nashville Healthcare Fraud Conference hosted by Bass, Berry & Sims and the Tennessee Hospital Association. Because we are unable to provide an in-person forum due to ongoing concerns resulting from the COVID-19 pandemic, we are converting the conference to a virtual platform.

We are excited about this year’s complimentary CLE program, which will provide the same caliber of practical advice, insight into significant fraud and abuse issues facing healthcare professionals, and thoughtful discussion from industry panelists for which this conference is known.

Additionally, for the first time, we are expanding the conference to two days with the first day focused on providing a primer, covering healthcare fraud and abuse matters for attorneys newer to the industry or practice. Topics will include conducting effective internal investigations and an overview of the False Claims Act.

The second day will follow our traditional format of providing practical tips and takeaways regarding healthcare fraud enforcement, including:

  • Our annual review of the most important healthcare fraud issues from the prior year.
  • Effective management of healthcare investigations during the COVID-19 pandemic.
  • How the COVID-19 pandemic has impacted the government’s perspective on healthcare fraud matters.
  • Implications and potential risk exposure stemming from CARES Act funding.

Click here to view the current agenda.

At the conclusion of the conference on December 3, we will be offering breakout sessions to further the dialogue on subject matters important to you. Please be on the lookout for communications regarding breakout session details.

Continue Reading [REGISTER NOW] Healthcare Fraud Conference | December 2-3, 2020