2019 Healthcare Enforcement Compliance Conference

Medical necessity cases are very much alive in the FCA world, though the environment is everchanging. This panel of attorneys, with experience in the government, defense, and relator’s bar will examine the evolving landscape

We will consider legal issues around medical necessity cases, recent rulings, post-Escobar questions of materiality, as well as regulations typically in play in common questions of medical necessity

We will discuss factual issues that arise in medical necessity cases, including investigating, proving, and defending against allegations of the lack of medical necessity, as well as designing and implementing statistically valid medical reviews