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JAMES G. SHEEHAN Assistant U. S. Attorney Chief, Civil Division 615 Chestnut Street Suite 1250

THE 5th ANNUAL NATIONAL CONGRESS ON HEALTH CARE COMPLIANCE. JAMES G. SHEEHAN Assistant U. S. Attorney Chief, Civil Division 615 Chestnut Street Suite 1250 Philadelphia, PA 19106 Phone: (215) 861-8301 Fax: (215) 861-8647 E-Mail: Jim.Sheehan@USDOJ.GOV. YOU HAVE MADE A DIFFERENCE

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JAMES G. SHEEHAN Assistant U. S. Attorney Chief, Civil Division 615 Chestnut Street Suite 1250

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  1. THE 5th ANNUAL NATIONAL CONGRESS ON HEALTH CARE COMPLIANCE JAMES G. SHEEHAN Assistant U. S. Attorney Chief, Civil Division 615 Chestnut Street Suite 1250 Philadelphia, PA 19106 Phone: (215) 861-8301 Fax: (215) 861-8647 E-Mail: Jim.Sheehan@USDOJ.GOV

  2. YOU HAVE MADE A DIFFERENCE • YOU HAVE MADE OUR (Investigative) JOB EASIER • 3)THE MARKET HAS RESPONDED TO THE NEED FOR TOOLS AND MEASURES OF COMPLIANCE

  3. 4) HOW DOES THE MARKET RESPOND TO FRAUD ENFORCEMENT? • GOOD GUYS • BAD GUYS

  4. AVOID THE USUAL SUSPECTS • CURRENT ISSUES • QUALITY OF CARE/DENIAL OF SERVICES • QUALITY OF CARE/DENIAL OF SERVICES • DRUGS (CLINICAL RESEARCH)

  5. D. VOLUNTARY DISCLOSURE E. PRIVATIZATION OF HEALTH CARE FRAUD ENFORCEMENT

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