Mentorhealth To Organize Webinar On "Quality Fraud: What's That?"

Top Quote "Quality Fraud: What's That?" is the topic of a webinar that MentorHealth, a leading provider of continuing professional education for the healthcare industry, is organizing on October 1. Alice G. Gosfield, who heads Alice G. Gosfield and Associates in Philadelphia, will be the speaker at this webinar. End Quote
  • (1888PressRelease) September 27, 2013 - Description:
    One of the highlights of the Affordable Care Act is that it has elucidated new ways by which quality performance will affect payment. As a result, there is now a high possibility of new false claims liabilities, both in the rendering of care and in reporting about it, making it a fertile playground for whistleblowers. Adherence to many compliance programs is necessary to neutralize these liabilities. Also, where payment varies based on measured performance, the legitimacy of those reports is critical. This has brought about a situation where compliance officers and quality managers will have to find ways to work together.

    This session will expound the two pathways to which problems in this area can originate: a) from quality failures in delivering care to quality reporting, and b) where false claims liabilities can arise.

    At a time where reimbursements are declining and there is appeal for more efficiency, health care providers run the risk of reducing quality in the process of trying to lower costs. The speaker at this session will discuss how this situation can create fraud and abuse liability, and explain how quality reporting can create liability.

    This webinar will cover the following areas:
    - "Traditional" bases for quality process fraud: civil money penalties, exclusions, criminal charges
    - The OIG's targeting of hospital boards and what that also means to physician groups
    - The OIG Work Plan issues (2009-2013) and their significance
    - Fraud in quality reports
    - What whistleblowers can do
    - 8 Specific Action Steps
    - The Department of Justice's interests
    When: October 1, 10:00 AM PDT | 01:00 PM EDT
    By whom:
    Alice G. Gosfield Esq, of Philadelphia's Alice G. Gosfield and Associates, PC, has a national practice devoted to health law and healthcare regulation with a special emphasis on physician representation, managed care, quality, fraud and abuse, and medical staff issues.

    A graduate of Barnard College and NYU Law School, she has been named as one of the top twenty-five health lawyers in the country in 2007 and 2009 and has been a Best Lawyer in America (Health Law) for more than twenty years. She served as Chairman of the Board of Directors of the National Committee for Quality Assurance for five terms (1998-2002) and was President of the National Health Lawyers Association (now the American Health Lawyers Association) from 1992-93.

    She was the founding Chairman of the Board of PROMETHEUS Payment Inc., and a member of the original and continuing Design Team. She is the first Chairman of the Board of the Healthcare Incentives Improvement Institute, Inc., (HCI3) the merger of PROMETHEUS Payment Inc. and Bridges to Excellence, Inc.
    Who will benefit:
    This webinar will benefit
    - Vice Presidents for Medical Affairs
    - Senior Quality Officers
    - Medical Group Administrators
    - Health System CFOs and Finance Directors
    - Health System Physician Group Managers
    - Health System and Group Practice Compliance Officers
    - In-house Counsel of Physician Groups and Health Systems
    Duration: 60 minutes
    To enroll for this webinar, contact
    webinars ( @ ) mentorhealth dot com
    Ph: 800-385-1607
    Fax: 302-288-6884

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