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ACI's Managed Care Litigation Conference

Pat Coffey will be speaking at the ACI's Managed Care Litigation Conference taking place on May 17-18, 2011.

As the litigation surrounding managed care organizations continues to heat up, learn how to:

• MINIMIZE your exposure to False Claims Act violations under health care reform’s expanded statute
• ANALYZE RICO implications raised in the Ingenix case
• ESPOUSE the theories on which out-of-network providers pursue reimbursement from patients’ health plans
• DETERMINE when to pursue affirmative cost recovery litigation against third parties
• INTEGRATE existing state rules and health care reform provisions into a comprehensive system
• DEFEND against class action lawsuits filed on behalf of subscribers and doctors

Mr. Coffey will participate in a session entitled "Defending Against False Claims Actions and Identifying the Other Fraud & Abuse Implications of Managed Care Litigation."

This session will discuss the following topics:

• Minimizing your exposure to False Claims Act violations under Health Reform’s expanded statute
• Ensuring diagnosis codes are properly submitted so that the plan is reimbursed correctly
• Reporting to the government and paying back overpayments within a defined time period to avoid increased monetary penalties
  • responding to government inquiries
• Investigating whether hospitals are increasing prices and upcoding patient treatments in order to get additional money from the managed care company
• Top 5 things to do now to minimize your risk of a government investigation
• Managing and defending against whistleblower claims and qui tam suits
• Developing a risk adjustment model that withstands government scrutiny
  • justifying your sliding scale of increasing patient premiums

To access the event brochure, please click here. To register or view the event website, please visit AmericanConference.com/managedcare.

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