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Prosecuting and Defending Health Care Fraud Cases

Book Description: Straight talk on all aspects of health care fraud investigations and prosecutions. The job of the health care attorney, whether prosecutor or defense counsel, is a complex one. The issues for a provider under investigation are similarly complex—and the liabilities and penalties can be quite severe. Prosecuting and Defending Health Care Fraud Cases, written by two experienced practitioners, guides you through difficult medical, regulatory, and law enforcement issues. This treatise will assist prosecutors in conducting thorough investigations—and guide transactional lawyers and defense counsel in anticipating and dealing with potential pitfalls. Step-by-step analysis will help you: understand complex federal statutes and regulations conduct investigations or respond to the prosecutive process negotiate settlements or handle trials Beginning with a detailed overview of the law, Prosecuting and Defending Health Care Fraud Cases explains how the disconnected nature of treatment choices and payment mechanisms has increased the opportunity for abuse of the system and raised the stakes for all players. The authors address the enforcement tools designed by Congress and the regulatory agencies to prevent and prosecute false billing and corruption, while also exploring the various possible outcomes of the litigation and settlement process.

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