2015 Annual Training Conference & Anti-Fraud Expo
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Prosecuting Hospital Fraud: a Case Study
(
Room
Seaport G
)
19 Nov 15
2:00 PM
-
3:15 PM
Tracks:
Fraud Schemes and Investigative Skills, Law Enforcement Path
Speaker(s):
Jack Geren, CFS, Special Agent, U.S. Department of Health and Human Services, OIG-OI;
Nathan Kummerfeld, JD, Assistant U.S. Attorney, Healthcare Fraud Coordinator, U.S. Attorney's Office, Eastern District of Texas
Through the experiences of a team that successfully prosecuted a hospital chain owner for his role in up-coding DRG payments across multiple hospitals, participants will not only be taught the techniques and strategies used throughout the trial, but also the various pitfalls avoided and overcame in route throughout the investigation and prosecution. Participants will be shown useful investigative techniques and informed of strategies used to make critical decisions. Participants' learning will be enforced through the presentation of two cutting-edge cases that received national attention.
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