Session ID: 
250

Applying the Fraud and Abuse Laws in Digital Health

1:00pm - 2:00pm Thursday, February 14
Orlando - Orange County Convention Center
W307A

Description

This session will describe common fraud schemes, why so much fraud and abuse exists in healthcare (federal government estimates over $36 billion in improper fee-for-service Medicare payments), a broad overview of the tools the government uses to stop it (e.g., statutory enforcement), the potential application of these tools to digital health and its developers/vendors, and digital health's impact on whether it will drive or mitigate program integrity concerns.

Learning Objectives: 

  • Recognize the importance of fraud and abuse in healthcare and its impact on health information technology
  • Compare and contrast program integrity issues from the traditional health care world to the digital health care world
  • Display knowledge that the fraud and abuse laws can apply to health information technology and that these laws carry heavy civil and criminal penalties
  • Identify why fraud and abuse is so pervasive in health care, common fraud schemes, and what tools can be used to prevent fraud and abuse

Speaker(s): 

Washington Counsel,
American Medical Association

Audience: 

C-Suite
Investor/Entrepreneur
Technologist

Level: 

Introductory