What’s New Regarding the Reverse False Claims Act?

Product Id : HE155
Instructor : C. J. Wolf
Jul 23, 2019 1:00 PM ET | 12:00 PM CT | 10:00 AM PT | 60 Minutes


In 2018, the government recovered over $2.8 billion through the False Claims Act.  Many in health care are aware of the False Claims Act and its ramifications in the healthcare industry, but what a lot of people are unaware of is the so-called Reverse False Claims Act and the new uptick in enforcement on healthcare providers under this provision.

The government is using this new aspect of the False Claims Act to increase their enforcement and most healthcare providers are unaware of this new approach.  Adapting to the requirements requires understanding of this law and how it applies to health care providers and their compliance programs.

Find out how it impacts you and your organization by tuning into this webinar by our expert Dr. C.J.Wolf.

Session Highlights:

  • Case studies of non-compliance with the rules and what went wrong with the resulting fines and settlements.
  • Strategies for complying with the 60-day overpayment rule
  • What documentation is necessary for the healthcare providers to make sure they stay in compliance?
  • What do financial settlements with the government teach us about the compliance risks associated with the Reverse False Claims Act?

Who Will benefit:

  • Physicians
  • Coders
  • Billers
  • Compliance Officers
  • Auditors
Speaker Profile:

C. J. Wolf, MD, M.Ed. has been involved in healthcare for over 20 years beginning with his years in medical school. Early in his career, Dr. Wolf made a change to healthcare administration, reimbursement, and compliance. He has worked in various coding, reimbursement, or Chief Compliance Officer roles for Intermountain Healthcare, the University of Texas MD Anderson Cancer Center, the University of Texas System, and Merit Medical Systems. He currently is Sr. Compliance Executive at Healthicity.

Dr. Wolf has a passion for teaching and education. He has developed and taught curricula for adult employees seeking national coding certifications, trade workshops and seminars, and has served as adjunct faculty for Salt Lake Community College and currently is a faculty at Brigham Young University-Idaho. In addition to his medical degree from the University of Illinois at Chicago College of Medicine, Dr. Wolf holds a master of education (M.Ed.) from the University of Texas at Brownsville. He completed his B.S., magna cum laude, from Brigham Young University, Provo, UT.

He holds the following professional certifications:
AAPC (American Academy of Professional Coders):  CPC (Certified Professional Coder), COC (Certified Outpatient Coder)
HCCA (Health Care Compliance Association):  CHC (Certified in Healthcare Compliance)
SCCE (Society of Corporate Compliance and Ethics):  CCEP (Certified Compliance & Ethics Professional)
IIA (Institute of Internal Auditors):  CIA (Certified Internal Auditor)

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