Fraud and Compliance Forum

Tri MacDonald spoke on “A Collision at the Intersection of the Anti‑Kickback.” BRG was a sponsor.

Topics included:

• Legal theories tying the Anti‐Kickback Statute to relationships between government-managed care plans and their contracted providers, as well as risk areas for allegations of Anti‐Kickback Statute violations
• Key considerations for modifying compliance programs and departmental policies and procedures to incorporate these risks
• The use of data analytics to put the compliance department into action, monitor activity, and detect areas for internal review
• Effective responses to allegations of wrongdoing made by an employee, contracted provider, anonymous whistle-blower, and/or government entity.