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AICPA

Robin Nagele Serves as Faculty for Two-Part AHLA Webinar on Unnecessary Medical Procedures

On June 6 and June 14, 2016, Health Care Co-Chair Robin Locke Nagele served as faculty for the two-part webinar, "An Interactive Case Study: How to Respond to Complaints of Unnecessary Medical Procedures in the Hospital."

The webinar was sponsored by the American Health Lawyers Association (AHLA) and examined the questions that arise when a hospital receives credible complaints from an internal source that unnecessary medical procedures are being performed. The webinar faculty examined and debated the related issues/questions that include, among others: 

  • Do you conduct a peer review of the physician's procedures, and what does that peer review look like?
  • Do you communicate with the hospital leaders and when?
  • What self-reporting obligations under the 60-day rule may exist and when does the clock start ticking?
  • How do you assess criminal and civil exposures?
  • Is there a whistleblower already speaking with the government?
  • How might the government react?