Risk Management

2018 AHCA/NCAL Annual Convention

RM-2 - Compliance Programs: Minimizing Risk in a Fraud & Abuse World

Monday, October 8
3:15 PM - 4:45 PM
CE: NAB: 1.5 | Nurses 1.5

This session will discuss recent developments in False Claims Act cases and investigations and other risk areas. We will review the trends in investigations and response strategies, and the impact and benefit of compliance programs. We will discuss the most recent guidance on compliance programs, including for phase three of the Requirements of Participation, and how to implement or update the programs in SNFs.

Learning Objectives:

Mark Johnson

Hooper, Lundy & Bookman, P.C.

Mark A. Johnson is Managing Partner of the firm's San Diego office, and a member of the firm's Fraud & Abuse Practice Group. He has litigated a broad range of civil and regulatory cases for health care providers, including hospitals, long-term care facilities, physicians and physician organizations, health care provider trade associations, management service organizations and other health care related entities and individuals. He has represented health care providers in dealings and disputes with health plans, insurance companies, and state and federal regulatory agencies. Mr. Johnson litigated Mount Diablo Medical Center v. Health Net, 101 Cal.App.4th 711 (2002), involving the enforcement of health plan arbitration agreements against a hospital.

Mr. Johnson has also represented numerous health care providers in defending unfair competition cases in California.

Mr. Johnson received his B.A. degree in Political Science from Revelle College at the University of California at San Diego in 1994. He received his J.D. from Emory University School of Law in 1997, graduating with honors, and was admitted to the California Bar in the same year. Mr. Johnson is also admitted to practice in the United States District Courts for the Northern and Central Districts of California.


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Mark E. Reagan, Attorney at Law

Managing Partner/ S.F. Office
Hooper Lundy and Bookman, P.C.

Mark Reagan is the managing partner of the San Francisco office of Hooper, Lundy & Bookman, P.C. He is general counsel for the California Association of Health Facilities and the Massachusetts Senior Care Association. He is also a member of the legal committee of the American Health Care Association. Mr. Reagan was previously chair of the legal committee for four years.

Mr. Reagan's practice is devoted to counseling, litigation, trial and appellate work before administrative agencies and all courts and specializies in the areas of post-acute and long-term care, Medicare and Medicaid reimbursement, managed care, health care fraud and elder abuse, licensing and certification, and corporate compliance. He frequently testifies before state legislatures on these and other health-related matters and assists clients with legislation and regulatory enactments.


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RM-2 - Compliance Programs: Minimizing Risk in a Fraud & Abuse World

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Send Email for Compliance Programs: Minimizing Risk in a Fraud & Abuse World