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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
            March 2019                                                                 Cleveland Metropolitan Bar Journal | 7
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