[4052] Fraud, Waste and Abuse | A Look Under the Microscope
This program gives home health and hospice staff a working grasp of the core fraud, waste, and abuse laws — the False Claims Act, Anti-Kickback Statute, Stark Law, and Civil Monetary Penalties Law — and how they apply to agency operations.
Presentation Info:
- TAHC&H Event | 57th Annual Meeting | Rich-Media Presentation Capture | Online On-Demand Access
- Presentation Date: September 3rd, 2026
Program Description:
This program gives home health and hospice staff a working grasp of the core fraud, waste, and abuse laws — the False Claims Act, Anti-Kickback Statute, Stark Law, and Civil Monetary Penalties Law — and how they apply to agency operations. It examine key risk areas, including billing for medically unnecessary or unrendered services, and addresses current enforcement initiatives. You will gain practical compliance strategies, from audit protocols to OIG self-disclosure considerations, to help agencies limit exposure and respond effectively when issues surface.
HCSSA Topic(s) Addressed:
- §558.259[c][2]information on the state and federal laws applicable to an agency
- §558.259[d][1]information regarding fraud and abuse detection and prevention
- §558.259[d][4] agency responsibilities
- §558.260[a][3] basic principles of management in a licensed health-related setting
Education-Training Credits:
- TX HCSSA Administrator/Alternate Continuing Education
- Continuing Education for Nurses
- 1.0 Contact Hr(s)
- This program awards CNE until 09.03.2028
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
Nurse CE Approval Statement
Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association,
an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. LSNA Provider No. 4002151
Requirements for Successful Completion:
To receive continuing education credits for this online presentation, the participant must view the entire online presentation, complete an evaluation, and post-test attestation.
Reporting of Perceived Bias:
Bias, as defined by the American Nurses Credentialing Center's Commission on Accreditation (ANCC COA/LSNA) is the tendency or inclination to cause partiality, favoritism, or influence.
Commercial bias may occur when a CNE activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc.). This definition is not all inclusive and participants
may use their own interpretation in deciding if a presentation is biased. The ANCC COA is interested in the opinions and perceptions of participants at approved CNE activities,
especially in the presence of actual or perceived bias in continuing education. Therefore, ANCC invites participants to access their ANCC Accreditation Feedback Line to report any noted
bias or conflict of interest in the education activity.
The toll-free number is 1(866) 262-9730.
TAHC&H Faculty/Presenter(s):
Heidi Kocher, Esq and Jennifer Papapanagiotou, Liles Parker
About the Presenter(s): Heidi Kocher
Ms. Kocher is a partner with Liles Parker and has over 20 years of experience in health care legal and compliance-related issues, representing all kinds of health care providers of all size. Her experience includes serving as a chief privacy officer and interim chief compliance officer at a medical device manufacturer. She also served as an outside compliance expert to a hospital and a clinical laboratory that were under Corporate Integrity Agreements. She has significant reimbursement experience, responding to and defending audits, addressing coverage policy issues, challenging denials, recoupments, and loss of billing privileges, obtaining HCPCS codes, and other reimbursement related issues. Her experience also includes implementing Corporate Integrity Agreements, guiding clients through voluntary self-disclosures and seeking advisory opinions from the OIG. In acknowledgement of her expertise, Ms. Kocher has served as a lecturer in the Biomedical Engineering department at the University of Texas at Dallas. Ms. Kocher is licensed in Texas and Maryland and Certified in Healthcare Compliance.
About the Presenter(s): Jennifer Papapanagiotou
Ms. Papapanagiotou’s practice focuses on compliance, regulatory and transactional matters for a wide array of health care providers, including home health and hospice agencies. She has extensive experience in analyzing proposed and existing business arrangements for compliance with federal and state fraud and abuse laws, and drafting a wide variety of legal agreements. Ms. Papapanagiotou is knowledgeable in all aspects of state licensing for home health and hospice providers, and in Medicare and Medicaid enrollment, including initial enrollment, changes of ownership and appeals of revocation actions. Finally, she assists clients with compliance plans, forming new businesses, and addressing Medicare and Medicaid program coverage and reimbursement issues.
[4052] Fraud, Waste and Abuse | A Look Under the Microscope
