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Products > Health Care Compliance Association > HCCA’s 2007 ANNUAL COMPLIANCE INSTITUTE
407: Hospital Responsibilities for Medically Unnecessary and Subquality Care: Is the 800-Pound Gorilla Out of the Closet?

SPEAKERS: Dennis Diaz, Partner, Davis Wright Tremaine LLP; Jim Passey, Compliance Officer, Huntington Memorial Hospital

  • Are hospitals responsible for medically unnecessary and subquality care provided at their facilities? Legal and operational considerations pro and con; recent case law; recent OIG investigations and enforcement posture
  • Potential hospital liability to the government, including civil and criminal false claims allegations, civil money penalties, OIG exclusion, Stark, and other fraud and abuse laws; accreditation authorities including JCAHO
  • Case studies; practical considerations and tips for hospitals: conducting internal hospital investigations, coordinating with risk management and insurance carrier, interacting with the medical staff peer review process and preserving peer review privileges, risks and benefi ts of voluntary disclosure to the patient and the government, preserving attorney client privilege and work product

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