James Boazzo, Special Agent, Federal Bureau of Investigation (FBI) Join Special Agent James Boazzo and dive into the world of medical billing fraud as he presents examples of successful civil and criminal prosecutions in the District of New Jersey. Ranging from large scale conspiracies to sole practitioner healthcare fraud, these criminal matters were charged with violations of the anti-kickback statute, billing for services not rendered, and money laundering. The session will also explore whistleblower complaints involving violations of the false claims act and describe the role of the third-party medical billing company in these investigations.
Learning Objectives - At the end of this session, participants will be able to:
• Describe recent cases prosecuted by the District of NJ
• Understand the difference between civil and criminal investigations and the burden of proof for each
• Explain the role of the whistleblower and external partners in health care fraud investigations
Directions for Viewing: Once the mp4 file has finished downloading, click the icon and your video player should open up. Click the play button if the video does not begin on its own.
If your computer does not have a video player already installed, free programs that will play the file are Quicktime or Windows Media Player.
Please see the HBMA Refund Policy page for details on refunds for educational events and products