Program Details
2026-12-04 12:00:00
Over 1,000+ webinars
Course Overview
2026-12-04 12:00:00
2h CLE Credits
Intermediate
2
12:00 pm - 1:00 pm ESTThis session walks through how the federal government finds, investigates, and prosecutes Medicare skin-substitute fraud. Attorneys will learn how data analytics start an investigation, which legal theories drive today’s prosecutions, and which billing patterns act as red flags in claims review. Attendees leave able to recognize the evidence these cases are built on and to counsel clients on the conduct that turns a compliance problem into criminal exposure.
Rachel Hold-WeissChristopher T. Grohman 1:10 pm - 2:10 pm ESTThis session covers what happens to wound-care practices after the 2026 cut: Medicare payment suspensions, the expanded grounds CMS can use to revoke a provider’s enrollment under 42 C.F.R. § 424.535, and the corrective-action path back to reenrollment. Attorneys will learn how withdrawn Local Coverage Determinations, the collapse of old billing habits, and AI-driven prepayment review combine into cascading liability. Attendees leave knowing the documentation requirements, how suspensions and revocations work, and the steps needed to rebuild a compliant billing program.
Rachel Hold-WeissChristopher T. GrohmanRachel Hold-Weiss is a partner in the Healthcare Practice Group of Benesch, Friedlander, Coplan & Aronoff LLP in New York. She represents healthcare providers through Medicare audits and appeals, federal and state investigations, and fraud and abuse matters, including reviews by the HHS Office of Inspector General, the New York State Office of the Medicaid Inspector General, and CMS Medicare Administrative Contractors. A licensed physician assistant since 1996, she brings clinical training to a regulatory, transactional, and litigation practice centered on post-acute and long-term care providers.
Christopher T. Grohman is a partner in the Chicago office of Benesch, Friedlander, Coplan & Aronoff LLP, where he defends healthcare providers and other companies in False Claims Act investigations, government audits, Medicare recoupment actions, and criminal healthcare fraud prosecutions. He has first-chaired hundreds of Medicare administrative law judge appeals, with a focus on wound care, home healthcare, and hospice. He previously served as an Assistant United States Attorney for the Northern District of Illinois.
Rachel Hold-Weiss is a partner in the Healthcare Practice Group of Benesch, Friedlander, Coplan & Aronoff LLP in New York. She represents healthcare providers through Medicare audits and appeals, federal and state investigations, and fraud and abuse matters, including reviews by the HHS Office of Inspector General, the New York State Office of the Medicaid Inspector General, and CMS Medicare Administrative Contractors. A licensed physician assistant since 1996, she brings clinical training to a regulatory, transactional, and litigation practice centered on post-acute and long-term care providers.
Christopher T. Grohman is a partner in the Chicago office of Benesch, Friedlander, Coplan & Aronoff LLP, where he defends healthcare providers and other companies in False Claims Act investigations, government audits, Medicare recoupment actions, and criminal healthcare fraud prosecutions. He has first-chaired hundreds of Medicare administrative law judge appeals, with a focus on wound care, home healthcare, and hospice. He previously served as an Assistant United States Attorney for the Northern District of Illinois.
Requirements
The Alabama State Bar MCLE Commission requires attorneys to complete 12 credits, including 1 ethics, by December 31 of each year. All credits must be reported by February 15 of the following year. A maximum of 12 credits, including 1 ethics credit, may be carried over for 1 year only.
Formats
