Applying the Fraud and Abuse Laws in Digital Health
1:00pm - 2:00pmThursday, February 14
Orlando - Orange County Convention Center
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.
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