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Program Details
2026-04-15 13:00:00
Over 1,000+ webinars
Course Overview
2026-04-15 13:00:00
1h CLE Credits
Intermediate
1
Attorneys will examine the healthcare billing system and where legal disputes originate under the False Claims Act, Anti-Kickback Statute, and Stark Law, including how government audits and whistleblower complaints trigger investigations.
The same clinical encounter can legitimately support more than one code. Speakers will address how documentation gaps create legal vulnerability without fraudulent intent and what a defensible position looks like from both sides.
Statistical sampling can convert a small number of coding errors into multimillion-dollar claims. Attendees will learn the legal and methodological standards for contesting those projections and practical strategies to limit calculated damages.
Coding auditors, statisticians, and damages analysts each play distinct roles in billing cases. Speakers will cover how to retain and position these experts effectively and address common vulnerabilities they face on cross-examination.
Counsel will gain a framework for identifying billing risk areas, strengthening compliance posture, and advising on audit preparedness and voluntary disclosure before coding issues become enforcement targets.
VMG Health
VMG Health
VMG Health
Pam D’Apuzzo is a nationally recognized coding and compliance expert with more than 30 years of experience advising some of the country’s leading healthcare institutions. As Managing Director of Revenue Optimization Consulting at VMG Health, she specializes in coding audit and compliance services, corporate compliance program development, and revenue integrity, bringing deep technical knowledge and practical insight to complex billing and documentation challenges. Her clients range from academic medical centers and community hospitals to faculty practice plans and large private practices, and she is widely regarded as a trusted adviser to New York’s premier healthcare organizations.
VMG Health
Frank Cohen is a nationally recognized healthcare data scientist and computational statistician whose work sits at the intersection of analytics, compliance, and litigation support. As Senior Data Scientist at VMG Health, he brings a rigorous, evidence-based approach to some of the most technically complex challenges in healthcare, from predictive risk modeling and machine learning to statistical sampling and expert analysis in high-stakes legal matters. With decades of experience spanning clinical practice, hospital administration, and consulting, Frank is a trusted resource for healthcare organizations, legal and accounting firms, and government agencies seeking data-driven insight and defensible analytical frameworks.
VMG Health
Pam D’Apuzzo is a nationally recognized coding and compliance expert with more than 30 years of experience advising some of the country’s leading healthcare institutions. As Managing Director of Revenue Optimization Consulting at VMG Health, she specializes in coding audit and compliance services, corporate compliance program development, and revenue integrity, bringing deep technical knowledge and practical insight to complex billing and documentation challenges. Her clients range from academic medical centers and community hospitals to faculty practice plans and large private practices, and she is widely regarded as a trusted adviser to New York’s premier healthcare organizations.
VMG Health
Frank Cohen is a nationally recognized healthcare data scientist and computational statistician whose work sits at the intersection of analytics, compliance, and litigation support. As Senior Data Scientist at VMG Health, he brings a rigorous, evidence-based approach to some of the most technically complex challenges in healthcare, from predictive risk modeling and machine learning to statistical sampling and expert analysis in high-stakes legal matters. With decades of experience spanning clinical practice, hospital administration, and consulting, Frank is a trusted resource for healthcare organizations, legal and accounting firms, and government agencies seeking data-driven insight and defensible analytical frameworks.
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.
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