From April 6 through April 9, 2025, AAPC is hosting HealthCon 2025. The nation’s largest education and credentialing organization for medical coders, billers, auditors, practice managers, documentation specialists, compliance officers, and revenue cycle managers, AAPC “discovers, develops, and provides innovative products, services, and solutions to help the global healthcare industry recognize the full potential of their revenue cycle.” This includes information on medical billing fraud including against the government under the False Claims Act..
On Tuesday, April 8, 2025, Lieff Cabraser partner Ed Baker will speak on a panel at AAPC HealthCon, joining Dr. Khush Singh and Colleen Gianatosio on “Bad, Better, Best Practices: Avoiding FCA Liability for False or Invalid HCC Diagnoses from HRAs.”
On Wednesday, April 9, 2025, Ed will join Stephanie Allard for a discussion on “Your Risk of False Claims Act Violations When Filing Medicare Advantage Claims.” Learn more online at the event website.
About Edward Baker
A partner in Lieff Cabraser’s New York office, Edward Baker previously served as an Assistant U.S. Attorney in the Eastern District of California, where he was the Civil Healthcare Fraud Coordinator, as well as the Elder Justice Coordinator, within the Affirmative Civil Enforcement practice group. As an AUSA, Mr. Baker investigated numerous FCA cases, including allegations against physicians for medically unnecessary procedures, pharmacies for kickbacks to nursing homes, defense contractors and federal grant recipients for fraudulent billing, and hospitals for up-coding. He was the lead attorney for the United States in an FCA settlement against a group of Fresno cardiologists for performing medically unnecessary nuclear scans, and in a qui tam settlement against Omnicare, Inc., a national long-term care pharmacy, for improperly submitting claims for prescription drugs dispensed to patients in skilled nursing facilities. He worked closely with criminal prosecutors to enhance the district’s parallel proceedings practice and coordinated regular meetings of the EDCA Healthcare Fraud Task Force.
Prior to serving as an AUSA, Mr. Baker was an Assistant Attorney General for the State of Vermont, where he was the Director of the Medicaid Fraud and Residential Abuse Unit. He was a member of the litigation table team for thirty-six states in a qui tam lawsuit against Wyeth and Pfizer for Medicaid pharmaceutical “best price” violations that ultimately resulted in a $785 million settlement. He also laid the groundwork for the enactment of the Vermont False Claims Act and held leadership positions within the National Association of Medicaid Fraud Control Units.
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