Health Care Fraud Investigations and Lit (1st 6 weeks)



SLN #: 26665
Course Prefix: LAW-791
Course Section: A01
Credit Hours: 1
Instructor(s): Giancola

Course Description:
This course will meet on Tuesdays from 8:00 am to 9:55 am for the first 6 weeks of the semester. The first class will be Tuesday, January 10, with the final class on Tuesday, February 14. The final exam will be scheduled at 8:00 am on Tuesday, February 21.

This class will introduce students to the federal laws, regulations, and guidance that have been enacted to combat fraud and abuse in federal health care programs such as Medicare and Medicaid. The topics to be covered include an overview of Medicare, an introduction to the primary civil and criminal fraud statutes, such as the False Claims Act, Anti-Kickback Statute, the Stark Law, fraud and abuse investigations, initiatives, enforcement and prosecution by the government against health care providers, the impact and implications of Qui tam actions, the fraud and abuse provisions contained in recent health care reform legislation (Patient Protection and Affordable Care Act of 2010), self-disclosure protocols, and practical considerations for defending health care fraud and abuse investigations and cases.

Additional Information:
Credit Hours: 1
Grading Option: Letter Grade Only
Graduation Writing Requirement: No
Flexible Writing Requirement: No
Skills Requirement: No
Final Exam Given: Yes
Final Exam Type: In-Class
Attendance Policy: Per Statement of Student Policies
Online Course Site: None