2015 Annual Training Conference & Anti-Fraud Expo

Prosecuting Hospital Fraud: a Case Study (Room Seaport G)

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.