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Spring 2025

5217 Fraud and Abuse - PACHUCA- 18001

Professor(s): Banee  Pachuca (ADJUNCT)

Credits: 2

Course Areas: Health Law 

Time: 5:30p-7:30p  TH  Location:  

Course Outline: This course explores the administrative, civil, and criminal enforcement of health care fraud and abuse laws and the resulting penalties imposed on health care providers for a variety of unlawful activities. In particular, the course examines the implications of federal and state Anti-Kickback laws, the federal anti-referral (Stark) law, federal and state false claims laws, federal civil monetary penalties and exclusion authorities, and various federal criminal statutes, as well as the strategies employed by the government to pursue health care violations and by defense attorneys who represent accused providers.

Course Syllabus: Syllabus

Course Notes: (Synchronous Online)  The UH registration system instruction mode for this course is listed in parenthesis. Contrary to the UH information, some student materials may not be available online, such as an assigned casebook. A physical classroom may be assigned for this course to give students a location in the Law Center to join the virtual class sessions. If the course has a final examination, the final and any other assessment for the course, such as a mid-term exam, will be conducted without the need to physically come to the Law Center, such as, for example, via the EBB portal as a take home exam or under remote proctoring.


Quota= 20.

This is an LL.M class, and JD students may register, if space is available.

Prerequisites:  

First Day Assignments:

Final Exam Schedule: 05/03/2025      

This course will have:
Exam:
Paper:


Satisfies Senior Upper Level Writing Requirement: No

Experiential Course Type: No

Bar Course: No

DistanceEd ABA: No

Pass-Fail Student Election: Unavailable (Instructor Preference)

Course Materials

Book(s) Required

Course Materials: The mandatory textbook for this Course is AHLA Legal Issues in Health Care Fraud and Abuse, Fifth Edition (ISBN 9780769881577). We will also review additional reading materials primarily consisting of statutes, regulations, cases, and agency guidance. Assigned readings or course materials are subject to change.