AHLA Health Care Fraud and Abuse Investigations Handbook (Non-Members)

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The Health Care Fraud and Abuse Investigations Handbook is a true handbook for anyone who needs to quickly and thoroughly understand the complex nature of a government fraud and abuse investigation. This updated and expanded edition provides an overview of the wide range of potential investigations and prepares readers for what to expect and how to respond.

Clear and concise explanations of the law are combined with sample government documents, affidavits, and subpoenas, as well as typical pleadings and memoranda prepared by defense attorneys. Taken together, the materials in this handbook provide a practical understanding of this complicated and industry-specific area of government and private enforcement.

Included in your purchase: Downloadable sample documents drafted by experienced litigators, which you can adapt to your own practice and client needs.

Highlights of this new edition include:

• A new chapter on Practical Considerations Regarding Qui Tam Lawsuits
• A new chapter on Fraud and Abuse Inquiries by Commercial/Private Insurers
• And updates on:
  • The potential impact of the U.S. Supreme Court decision in Loper Bright
  • Changes in compliance program guidance and the Health Care Fraud Self-Disclosure Protocol
  • The Eliminating Kickbacks in Recovery Act
  • Advice for engaging outside counsel and other professionals during an investigation
  • Tips on responding to government requests for information, negotiating settlements, cooperation credit, and more

The 2nd Edition ISBN was 9781663315014.

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Published January, 2025.