The health care
industry is subject to complex laws, rules and regulations, many of which
prohibit business practices that are generally accepted (and the norm) in other
industries. In addition, federal and
state governments, as well as commercial insurance companies, have invested
millions of dollars to detect and combat health care fraud and abuse. As a result of the complex rules and
significant enforcement activities, factoring of health care receivables
presents significant risks to Factors and their investments to help ensure that
the receivables are not subject to recoupment by the government and other
payors. In addition, Factors need take
steps to help mitigate against accusations of having financed fraudulent
conduct of a health care provider.
Some
of the topics include:
- A beginner to intermediate level discussion on the most
important health care laws and regulations relating to Factoring of health
care receivables;
- The basic risks of Factoring health care receivables;
- Strategies that can be employed by Factors to mitigate risks.
Instructor:
Andrew
Blustein is a Partner, Director and Vice Chairman of Garfunkel Wild, P.C. Mr. Blustein is a member of the firm’s Health
Care, Business, and Compliance and White Collar Defense practice groups. He is the
Chair of both the Health Care and Information Technology Practice Group and the
Insurance Regulatory Practice Group. Mr.
Blustein and members of his firm advise Factors on a variety of transactions,
including helping Factors conduct an appropriate level of due diligence in the
factoring of health care provider receivables.
Mr. Blustein has been honored by New York Super Lawyers - Metro Edition
(2010-2015) and as a member of the Leading Lawyers List by The Ambulatory
M&A Advisor (2014). He graduated
from Vassar College (B.A., Phi Beta Kappa, cum laude) in 1987 and Benjamin N.
Cardozo School of Law (J.D., magna cum laude) in 1990.
Robert Del Giorno is a Partner of Garfunkel Wild and a
member of the firm’s Compliance and White Collar Defense Group, Health Care
Group and the Litigation & Arbitration Group. Mr. Del Giorno has significant experience
representing health care providers in connection with federal and state criminal
and civil investigations involving health care fraud. He assists Factors and other financial
institutions in developing and executing due diligence reviews of health care
providers. Mr. Del Giorno attended
Fairfield University where he graduated in 1998 with a B.A. in Economics. He received his law degree from St. John's
University School of Law, cum laude, in 2002.