CLE Credit Topics

Offered by JKMG Group

Fraudulent Billing Practices: Legal Implications and Mitigation

Objective and Purpose:

To educate attorneys on detecting and mitigating fraudulent billing practices, including upcoding and phantom billing.

Content and Subject Matter:

This session explores forensic accounting, data analysis, and compliance programs for addressing fraudulent billing practices.

Presenter:

Managing Director of Litigation Support at JKMG Group.

Qualifications: Certified Public Accountant (C.P.A.) and Chartered Financial Analyst

(C.F.A.), specializing in economic damage analysis, forensic accounting, and dispute resolution.

Timed Outline:

o 0:00-0:05: Opening Remarks

o 0:05-0:45: Lecture: Addressing Billing Fraud

o 0:45-0:55: Case Studies on Legal Implications

o 0:55-1:00: Q&A and Closing Remarks

Healthcare Fraud: Forensic Accounting in Action

Objective and Purpose:

To provide attorneys with tools to address healthcare fraud through forensic accounting techniques.

Content and Subject Matter:

Attendees will learn about fraud schemes, forensic investigations, financial record analysis, and preparation of evidence for legal proceedings. Examples emphasize the collaboration between financial experts and legal teams.

Presenter:

Managing Director of Litigation Support at JKMG Group.

Qualifications: Certified Public Accountant (C.P.A.) and Chartered Financial Analyst

(C.F.A.), specializing in economic damage analysis, forensic accounting, and dispute resolution.

Timed Outline:

o 0:00-0:05: Opening Remarks

o 0:05-0:45: Lecture: Investigating Healthcare Fraud

o 0:45-0:55: Real-World Case Studies

o 0:55-1:00: Q&A and Closing Remarks

Valuation Disputes in Healthcare Transactions

Objective and Purpose:

To equip attorneys with tools to navigate valuation disputes in healthcare transactions, including mergers and acquisitions, shareholder disagreements, and partnership buyouts.

Content and Subject Matter:

The session covers valuation methodologies (income, market, asset-based approaches), common sources of disputes, and financial and legal strategies for resolution. Real-world examples illustrate these challenges.

Presenter:

Managing Director of Litigation Support at JKMG Group.

Qualifications: Certified Public Accountant (C.P.A.) and Chartered Financial Analyst

(C.F.A.), specializing in economic damage analysis, forensic accounting, and dispute resolution.

Timed Outline:

o 0:00-0:05: Opening Remarks

o 0:05-0:45: Lecture: Valuation Methodologies in Healthcare

o 0:45-0:55: Case Studies on Valuation Disputes

o 0:55-1:00: Q&A and Closing Remarks

Handling Reimbursement and Payer Disputes

Objective and Purpose:

To educate attorneys on the complexities of disputes between healthcare providers and payers, including reimbursement rates and denied claims.

Content and Subject Matter:

Participants will learn legal frameworks, analytical methods, and strategies for dispute resolution through case studies.

Presenter:

Managing Director of Litigation Support at JKMG Group.

Qualifications: Certified Public Accountant (C.P.A.) and Chartered Financial Analyst

(C.F.A.), specializing in economic damage analysis, forensic accounting, and dispute resolution.

Timed Outline:

o 0:00-0:05: Opening Remarks

o 0:05-0:45: Lecture: Reimbursement and Payer Disputes

o 0:45-0:55: Case Studies on Successful Resolutions

o 0:55-1:00: Q&A and Closing Remarks

Economic Damages in Healthcare Litigation

Objective and Purpose:

To teach attorneys the methodologies for calculating economic damages in healthcare litigation, including malpractice claims and operational disruptions.

Content and Subject Matter:

This session covers financial models for lost profits, diminished value, and future earnings. Case studies highlight collaboration between forensic accountants and attorneys to present compelling evidence.

Presenter:

Managing Director of Litigation Support at JKMG Group.

Qualifications: Certified Public Accountant (C.P.A.) and Chartered Financial Analyst

(C.F.A.), specializing in economic damage analysis, forensic accounting, and dispute resolution.

Timed Outline:

o 0:00-0:05: Opening Remarks

o 0:05-0:45: Lecture: Quantifying Economic Damages

o 0:45-0:55: Case Studies in Healthcare Litigation

o 0:55-1:00: Q&A and Closing Remarks

Post-Acquisition Disputes in Healthcare M&A

Objective and Purpose:

To equip attorneys with knowledge of financial and operational misalignments in healthcare M&A post-acquisition disputes.

Content and Subject Matter:

This session covers earnout calculations, working capital adjustments, and financial misrepresentation issues. Strategies for resolving disputes through arbitration and mediation are explored.

Presenter:

Managing Director of Litigation Support at JKMG Group.

Qualifications: Certified Public Accountant (C.P.A.) and Chartered Financial Analyst

(C.F.A.), specializing in economic damage analysis, forensic accounting, and dispute resolution.

resolution.

Timed Outline:

o 0:00-0:05: Opening Remarks

o 0:05-0:45: Lecture: M&A Dispute Resolution

o 0:45-0:55: Case Studies and Practical Applications

o 0:55-1:00: Q&A and Closing Remarks