2023 HCCA Clinical Practice Compliance Conference

A Healthcare Case Study in Fraud and Collaboration with Clinical and Medical Coding Teams

  • A Healthcare Case Study in Fraud and Collaboration with Clinical and Medical Coding Teams

    Leah Lane , Director , SunHawk Consulting LLC.

    Lorraine Aniello , Coding Practice Leader , SunHawk Consulting LLC.

    2023-10-11

    • False Claims Act, Conflict of Interest, and Misrepresentation of a Provider were discovered during the investigation

    • Medical Practice Acquisition with little due diligence in costly litigation and complete dissolution of the practice

    • The varied experience allowed for unique and different transaction reviews resulting in the identification of additional fraud

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About SCCE

The Society of Corporate Compliance and Ethics (SCCE) is a non-profit, member-based professional association. SCCE supports our members' work with education, news, and discussion forums. We are a community of leaders, defining and shaping the corporate compliance environment across a wide range of industries and geographic regions. In developing and maintaining effective ethics and compliance programs, our members strengthen and protect their companies.

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About HCCA

The Health Care Compliance Association (HCCA), is a 501(c)6 non-profit, member-based professional association. HCCA was established in 1996 and is headquartered in Minneapolis, MN. We provide training, certification, and other resources to over 10,000 members. Our members include compliance officers and staff from a wide range of organizations, including hospitals, research facilities, clinics and technology service providers.

952.988.0141

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