This presentation by the Health 2.0 Conference highlights medical device fraud, schemes used by fraudsters, ways to recognize the fraud, and what can be done to steer clear of the adversaries.

1. Healthcare Experts On Recognizing & Preventing
Medical Device Fraud
– Health 2.0 Conference

2. Table Of Contents
→ An Overview Of Medical Device Fraud
→ Common Schemess Used By Fraudsters
→ Avoiding Medical Device Fraud

3. An Overview Of Medical Device
Fraud →

4. → Medical device makers' sales and marketing strategies, such as off-label advertising and
contracts for consulting or speaking engagements with doctors, may violate the False
Claims Act and subject providers to liability for claims submitted to Medicare and
Medicaid.
→ In addition, before a product can lawfully be promoted to consumers, the FDA must
approve it as shared by healthcare providers who attended Health 2.0 Conference to
explore anti-fraud solutions for the industry.
→ The degree of risk the product poses to consumers will determine whether pre-market
approval is necessary.
→ Both FDA regulatory standards and regulations governing government health care
programs apply to devices and equipment.
→ Liability under the False Claims Act may result from failing to adhere to one of those
requirements (FCA).

5. Common Schemes Used By
Fraudsters →

6. Medical device and equipment producers, sellers, and suppliers are
involved in a number of fraud schemes against government health care
programmes.
In addition to costing the government money, several of these initiatives
endanger or injure patients.
Keynote speakers who attended top healthcare conferences in 2022 shared
a few common schemes used by fraudsters to trick consumers into losing
their money.

7. ● Selling or disseminating a faulty (adulterated) or unapproved
(misbranded, "off label") product.
● Providing kickbacks to distributors, suppliers, doctors, nurses, and/or
patients to get them to recommend or utilize the product.
● Making false claims regarding the product's effectiveness or safety.
● Prescribing a piece of equipment or a device that is neither reasonable
nor essential for the patient's diagnosis or care.

8. ● Fabricating diagnosis and patient data.
● Charging the government for supplies never delivered.
● Upcoding (misrepresenting the device provided or needed).
● Duplicate billing
● Using unauthorized employees to manage or run machinery

9. Avoiding Medical Device
Fraud→

10. Medicare fraud continues to plague the medical industry, as stated by
healthcare experts at the top healthcare conferences in 2022. The upcoming
slide contains valuable information on avoiding medical device fraud rampant
in the industry.
Check out!

11. ● The most effective method of preventing fraud is establishing a solid compliance
program. Essential components of an effective program include:
1. Internal vigilance and examination
1. Standards of behavior and conformity
1. A designated contact or compliance officer
1. A suitable reaction to potential abuses and a corrective action strategy
1. Open channels of communication with staff
1. Guidelines on disciplinary norms
1. Appropriate education and training

12. ● To induce customer loyalty, the company must establish guidelines about
kickbacks, billing Medicare for free samples, and phony consulting
contracts.
● Agencies should make a toolset available to prevent fraud, waste, and
abuse.
● However, 2022 healthcare event calendar is filled with eminent names
like the Health 2.0 Conference. If you want to stay updated on the anti-
fraud technologies and trends, you can follow up on attending such
conferences at least once a year.

13. Thank You!
This Presentation Is Prepared By
Sagar Sharma
Manager, Health 2.0 Conference