This presentation will discuss the following topics as they relate to physical therapy practice and health care fraud in rehabilitation: healthcare fraud statistics, investigations, potentially problematic conduct, sanctions, civil and administrative statutes, criminal statutes, stark, responding to government inquiries, and protective measures. This presentation will also include case studies and hypothetical case scenarios related to ethical issues pertaining to the said topics as they relate to physical therapy. The APTA code of ethics for professional conduct and legal standards of behavior including the Texas Physical Therapy Practice Act will be reviewed and discussed during each case scenario. The presentation will conclude with basic ethical decision making related to health care fraud in rehabilitation.
• Be familiar with a general overview of healthcare fraud statistics
• Identify different types of investigations
• Identify potential problematic conduct leading to healthcare fraud
• Recognize common types of violations in clinical settings
• Learn different types of sanctions, civil and criminal statutory violations
• Learn strategies on how to respond to government inquiries
• Identify strategic proactive measures.
Richard Y. Cheng is a shareholder at Anderson Kill, based in the Dallas, TX office. Mr. Cheng focuses his practice in the healthcare and hospitality industries, with particular concentration in the long-term care and rehabilitation industries, serving skilled nursing facilities,assisted living facilities, home health agencies, hospices and rehabilitation providers. He counsels clients with respect to corporate transactions, healthcare insurance recovery, and regulatory and compliance matters. In addition, Mr. Cheng has extensive knowledge with representing clients before administrative law judges with the Office of Medicare Hearings and Appeals and Departmental Appeals Board, Civil Remedies Division. Mr. Cheng is a member of Anderson Kill's Health Care Reform Task Force. He is also a member of Anderson Kill's Hospitality Industry Practice group, Foreign Asset Recovery group and Cyber Insurance Recovery group.
Mr. Cheng serves as the blog editor and contributor for the firm's Long Term Care Law blog. Previously, Mr. Cheng served as general counsel and vice president at two healthcare companies where he started the legal departments at both organizations. He assisted with change of ownership transactions, counseled on operational legal matters and worked closely with outside counsel managing multiple litigation matters, including a large wage and hour collective action with 2200-2400 putative class members. While in those positions, Mr. Cheng created the medical appeals departments, overseeing multiple staff members that he trained, resulting in the successful recovery of millions of dollars in governmental and private health care insurance claims. Prior to his career as an in-house counsel, he was an associate at a civil litigation law firm in Minneapolis and a corporate staff attorney for an international organization.
Prior to his legal career, Mr. Cheng worked as a licensed occupational therapist in Dallas, Texas. He has served as an adjunct faculty at Saint Catherine University, Nova Southeastern University, has presented at multiple conferences and lobbied in Washington D.C. through the American Occupational Therapy Association. He has published extensively on legal matters concerning the occupational therapy industry and healthcare. Mr. Cheng was the former author of "Legal Line," a column in ADVANCE for OT and authored a legal chapter (Legal Dimension in Occupational Therapy) in the textbook "OT Manager, 5th Edition." Mr. Cheng is involved in many aspects of community service. Since 2012, he has been a Street Law Program Lecturer. Since 2011, he has been a member of the Dallas Volunteer Attorney Program, The Presbyterian Stewpot Program and the Human Rights Initiative. Mr. Cheng received his occupational therapy degree from Texas Tech University Health Sciences Center, Juris Doctor degree from Nova Southeastern University Shepard Broad Law Center and Graduate Certificate in Public Health from the University of Texas Health Sciences Center.
This course is approved for 2.0 CCUs.
PT/PTA Members: $40.00
PT/PTA Non-members: $50.00