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Lexis Nexis Health Care Fraud: Enforcement and Compliance
By Robert Fabrikant, Paul E. Kalb, M.D., Mark D. Hopson, Pamela H. Bucy, James C. Stansel
Publisher:
ALM
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Product description
Health Care Fraud: Enforcement and Compliance is the most complete, essential and up-to-date guide for criminal and civil lawyers, law enforcement officials, health care providers and anyone interested in the health care industry. You'll find discussion of: the latest anti-fraud initiatives from Congress, enforcement agencies and the private bar; advice on criminal law and procedures that health care lawyers cannot afford to ignore; and point-by-point analysis of key decisions, laws and regulations.
This deskbook also helps you decide on the right pretrial and trial strategies for clients who have already run afoul of the rules. It features cutting-edge discussions of such topics as: the use of health care fraud laws to enforce clinical care standards; voluntary and involuntary disclosure obligations; expanded treatment of the Federal Anti-kickback Statute—including "Safe Harbor" regulations—and the False Claims Act; proving billing fraud for rendering medically unnecessary services and other fraudulent schemes; obstruction of criminal investigations of health care offenses; and mandatory and permissive exclusion of professionals from health care programs.
Health Care Fraud: Enforcement and Compliance also includes detailed coverage of two important areas: compliance issues, including an analysis of Corporate Integrity Agreements; and marketing and pricing fraud in the pharmaceutical industry, including off-label, pricing, Medicaid rebate and kickback concerns.
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Table of contents
CHAPTER 1
Overview of Health Care Fraud
CHAPTER 2
Types of Fraud by Health Care Providers
CHAPTER 3
Criminal Causes of Action
CHAPTER 4
Civil Causes of Action
CHAPTER 5
Administrative Sanctions and Collateral Consequences
CHAPTER 6
Pretrial Strategies in Health Care Fraud Cases
CHAPTER 7
Evidence and Trial Strategies in Health Care Fraud Cases
CHAPTER 8
Internal Investigations When Fraud Is Suspected: Issues of Strategy
CHAPTER 9
Corporate Compliance Plans
CHAPTER 10
Fraud and Abuse Issues in the Pharmaceutical Industry
Appendices
Table of Abbreviations
Index
