The Office of Inspector General's Approach to CMP Cases

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March 28, 2006 | 12 Central | 1.2 CEUs

The Office of Inspector General is using its CMP authority, or Civil Monetary Penalty authority, with greater frequency. An understanding of these CMP authorities is a crucial component of an organization's fraud detection and prevention activities as it enables an organization to see what CMP consequences occur when violating laws and regulations governing the Medicare Program. Hear from one of the leading experts on OIG CMP actions, Arthur Di Dio, Senior Counsel for the Administrative and Civil Remedies Branch of the Office of Counsel to the Inspector General for the Department of Health and Human Services. Howard Young, a former Deputy Branch Chief with the Office of Inspector General, will assist you with the comprehension of CMP cases.

In this 90-minute session you will learn:

  • The OIG's approach to CMP cases, including investigative techniques, legal theories, and potential defenses.
  • To analyze potential ancillary effects of CMP enforcement matters like exclusions and CIAs.
  • About recent CMP settlements.

Arthur S. Di Dio works on matters involving civil and administrative health care fraud enforcement. He litigates cases on behalf of the Office of Inspector General under the Civil Monetary Penalties Law based on violations of the Anti-Kickback Statute, Stark Law, and EMTALA, and based on the submission of false or medically unnecessary claims. He also works with United States Attorney’s Offices and the Department of Justice on the investigation, development, and settlement of health care fraud cases and qui tam suits brought under the False Claims Act. In addition, he handles matters submitted by health care providers under the OIG’s Self Disclosure Protocol.

Howard Young is a partner in the Washington, D.C. office of Sonnenschein, Nath & Rosenthal, a 700 lawyer national law firm. Prior to that, Mr. Young was a Deputy Branch Chief with the Office of Inspector General in Washington where he worked on health care fraud and compliance matters, including Anti-Kickback investigations, False Claims Act matters, and corporate integrity agreements. Howard supervised a staff of attorneys while at OIG. Mr. Young advises a broad range of health care businesses, including the hospital, medical supply and device, pharmaceutical, dialysis, and physician sectors. He works extensively on fraud and abuse, regulatory, reimbursement and compliance program matters. He also counsels and defends providers involved in False Claims Act, Anti-Kickback Law, and similar litigation matters.

Mr. Beattie will moderate the CMP session and brings years of insight in health care operations and compliance to the program. John Beattie is a Director of Healthcare Operational and Compliance Services at the consulting firm Parente Randolph, LLC. He has worked in the health care environment for over twenty years and is a frequent speaker of national recognition.

Featured Speakers

Howard Young, Esq.
Partner
Sonnenschein, Nath & Rosenthal, LLP
Washington DC

Arthur S. Di Dio
Senior Counsel for the Administrative and Civil Remedies Branch of the Office of Counsel to the Inspector General for the Department of Health and Human Services.

John Beattie, CPA, CFE
Director, Healthcare Operational and Compliance Services
Parente Randolph, LLC
Harrisburg, PA

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Member registration is only $175 per session.

Non-member registration is $215 per session.

Member: March 28, 2006
The OIG's Approach to CMP Cases
$175
Non-Member: March 28, 2006
The OIG's Approach to CMP Cases
$215

 

 

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NASBA
The Health Care Compliance Association is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be addressed to the National Registry of CPE Sponsors, 150 Fourth Avenue North, Nashville, TN 37219-2417. A maximum of 1.2 credits based on a 50-minute hour will be granted. Recommended experience level for this course is intermediate to advanced. No prerequisites or advance requirements exist for this activity. This is a live-group activity. For more information regarding administrative policies such as complaint or refund, call the HCCA at (888) 580-8373.

ACHE
Health Care Compliance Association is authorized to award 1 hour of preapproved Category II (non-ACHE) continuing education credit for this program toward advancement or recertification in the American College of Healthcare Executives. Participants in this program wishing to have the continuing education hours applied toward Category II credit, should list their attendance when applying for advancement or recertification in ACHE.

HCCB
This program is approved for 1.2 HCCB continuing education credits for compliance certification.

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