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BarJournal
JULY/AUGUST 2015
SPOTlIgHT On: HEalTH CarE law
& CrIMInal law SECTIOnS
Sections Collaborate for Seminar
Regarding Trends in Health Care and
Fraud Enforcement SECTIOn SPOTlIgHT
he Criminal Law Section was panel comprising of federal and state law Lisa Barrett described the import of
pleased to partner with the enforcement agents, Cleveland Clinic Compliance Programs, the areas that an
Health Care Law Section at counsel, and a former Assistant United effective Compliance Program should
the December 5, 2018 half- States Attorney now in private practice. address, and the processes that the Cleveland
T day seminar focused on two Panel participants were FBI Special Agent Clinic utilizes in compliance-related matters.
trends in Health Care — Cyber Security and Julie Morgan, U.S. Department of Health The panel members each shared their
Fraud Investigations. & Human Services — Office of Inspector experiences in a variety of healthcare
The seminar kicked off with a robust General Special Agent Cathy Hanselman, related investigations and emphasized that
discussion regarding cyber security, a Ohio Attorney General’s Office — Healthcare health care fraud, particularly involving
timely and critically important topic Fraud Section Special Agent-Supervisor opioids, would be a continuing focus of their
for health care participants in today’s Greg Mounts, Cleveland Clinic Deputy Chief respective agencies.
environment. The discussion included in- Legal Officer Lisa Barrett, Esq. and Paul The Criminal Law Section welcomes the
depth analysis and insight from three (3) Flannery, Esq., Partner, Flannery | Georgalis, opportunity to again partner with the Health
industry leading experts — a representative LLC and former Assistant United States Care Law Section for future seminars as Health
from MRK Technologies; Jamie Ramsey, Attorney for the Northern District of Ohio. Care Fraud continues to be a high priority for
Partner and leader of the Privacy and Data Special Agents Morgan, Hanselman and both state and federal governmental agencies.
Security practice group of Calfee, Halter Mounts detailed the cooperative efforts
& Griswold, LLP; and Lacy Rex, Cyber between various state and federal agencies in
Strategic Leader for Oswald Companies. health care fraud investigations and the steps
The experts discussed the various taken and investigatory tools used that result gET EngagEd!
cyber threats and risks facing health care in a criminal prosecution and/or civil action. For information on how to join
providers and other industry participants. Paul Flannery discussed the importance the health Care Law Section,
They identified cyber security best practices of effective internal investigations both from Criminal Law Section, or any section
in terms of frameworks, processes, and a defense and prosecutorial standpoint and or committee, contact Samantha
policies designed to guard against cyber how to effectively proceed when wrongdoing Pringle at (216) 696-3525 x 2008 or
threats and risks. is discovered during the course of the springle@clemetrobar.org.
The experts also talked about the appropriate internal investigation.
responses to a cyber incident, including a
detailed summary of the top risk mitigation
techniques. They concluded with an insightful
discussion regarding cyber insurance. The
discussion included highlights of available
insurance coverages, common terms and
conditions of insurance policies, and helpful
tips for navigating the cyber insurance process.
Michael VanBuren, Partner and leader of
the Health Care practice group of Calfee,
Halter & Griswold, LLP, and executive
member of CMBA’s Health Law Section,
moderated the discussion.
The Fraud Investigations portion of the
program featured a five-person expert
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