AHLA Publishes Legal Issues in Health Care Fraud & Abuse, Fifth Edition

Published by AHLA and authored by Laura F. Laemmle-Weidenfeld, Legal Issues in Health Care Fraud & Abuse, Fifth Edition provides in-depth coverage of the Anti-Kickback Law, Stark Law, False Claims Act, and more, and is a necessity for anyone who needs to understand the intricacies of how fraud and abuse laws are structured and enforced in the health care context.

Since the previous edition of this book, the risks relating to fraud and abuse have evolved significantly, for reasons ranging from the proliferation of health care data, to the expansion of the use of technology in health care, to changes in the regulatory scheme resulting from the shift toward value-based payment. Every chapter analyzes the impact of these changes:

1. The Fraud Enforcers: Who Are They and What Do They Do?
2. Federal Anti-Kickback Laws
3. Federal Physician Self-Referral Prohibitions
4. Administrative Sanctions Available to Federal Enforcers
5. The False Claims Act and Other Means of Federal Enforcement of Health Care Fraud and Abuse Laws
6. State and Private Initiatives to Combat Fraud
7. Compliance and Self-Reporting

“As the health care system has continued to evolve, so have the laws, regulations, and government enforcement trends which must be understood not only by those prosecuting and defending health care fraud cases, but by anyone advising health care providers on how to structure transactions to avoid government scrutiny.  Having handled complex and significant health care cases both on behalf of the Department of Justice and in private practice representing a wide range of health care providers, Laura Laemmle-Weidenfeld is particularly well-positioned to help readers understand, and navigate, this complex world.”

- Jacob T. Elberg, Associate Professor, Seton Hall University School of Law, Former Chief of the Health Care & Government Fraud Unit, U.S. Attorney’s Office for the District of New Jersey

Legal Issues in Health Care Fraud & Abuse, Fifth Edition  is available to order through AHLA’s store on the LexisNexis website for both members of AHLA and the broader health law professionals community.

For a high-resolution image of the book cover, author headshot, or interview inquiries, please contact AHLA.

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About the Author

Laura F. Laemmle-Weidenfeld is a partner in the Health Care and Life Sciences practice at Jones Day in Washington DC. She defends against numerous investigations and litigation brought by the Department of Justice (DOJ), various U.S. Attorneys offices, the Department of Health and Human Services Office of Inspector General, state attorneys general, and other state and federal agencies. Laura helps her clients navigate challenging compliance issues, including analyzing arrangements under the Stark Law and Anti-Kickback Statute, conducting internal investigations, and preparing self-disclosures. Earlier in her career, Laura served as a trial attorney in the Frauds Section of the DOJ's Civil Division, where she conducted health care fraud investigations and litigation matters brought under the False Claims Act and its whistleblower provisions.