Exploring Compliance in Healthcare: Insights from the 5th Annual National Congress
Join us for the 5th Annual National Congress on Healthcare Compliance, featuring keynote speaker James G. Sheehan, Assistant U.S. Attorney and Chief of the Civil Division. This event will address the tools and measures that have emerged in response to the healthcare compliance landscape. We will explore how the market reacts to fraud enforcement, discussing current issues such as the quality of care, denial of services, and the impact of voluntary disclosures. Engage with experts in the field to enhance your understanding of compliance in healthcare.
Exploring Compliance in Healthcare: Insights from the 5th Annual National Congress
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Presentation Transcript
THE 5th ANNUAL NATIONAL CONGRESS ON HEALTH CARE COMPLIANCE JAMES G. SHEEHAN Assistant U. S. Attorney Chief, Civil Division 615 Chestnut Street Suite 1250 Philadelphia, PA 19106 Phone: (215) 861-8301 Fax: (215) 861-8647 E-Mail: Jim.Sheehan@USDOJ.GOV
YOU HAVE MADE A DIFFERENCE • YOU HAVE MADE OUR (Investigative) JOB EASIER • 3)THE MARKET HAS RESPONDED TO THE NEED FOR TOOLS AND MEASURES OF COMPLIANCE
4) HOW DOES THE MARKET RESPOND TO FRAUD ENFORCEMENT? • GOOD GUYS • BAD GUYS
AVOID THE USUAL SUSPECTS • CURRENT ISSUES • QUALITY OF CARE/DENIAL OF SERVICES • QUALITY OF CARE/DENIAL OF SERVICES • DRUGS (CLINICAL RESEARCH)
D. VOLUNTARY DISCLOSURE E. PRIVATIZATION OF HEALTH CARE FRAUD ENFORCEMENT