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The Sweeping Landscape of Potential Liability For Risk Adjustment Activities: Providers and Vendors Beware, It’s Not Just a ‘Health Plan Issue’ Anymore


Thursday, October 14, 2021

3:00 p.m. – 4:00 p.m. ET
2:00 p.m. – 3:00 p.m. CT
12:00 p.m. – 1:00 p.m. PT

Complimentary Program via Webinar

*Webinar details will be sent upon registration.*

Click here to register.

Risk adjustment has always been an area of potential significant False Claim Act liability for Medicare Advantage organizations and other plans.  However, the growing number of False Claims Act settlements and complaints in which the Department of Justice has intervened should also raise the alarm for healthcare providers and vendors that submit risk adjustment data to plans.  The ever-increasing popularity of value based and risk based contracting means even greater exposure for providers’ diagnosis coding and other risk adjustment activities.  This webinar will review recent allegations and settlements under the False Claims Act relating to risk adjustment, government prosecution strategies, and the implications for plans and providers arising from the D.C. Circuit Court of Appeals’ recent reinstatement of CMS’ Part C and Part D overpayment rule.


  • Xavier Baker, Partner, Sheppard Mullin
  • Christine Clements, Partner, Sheppard Mullin
  • Michael Paddock, Partner, Sheppard Mullin
  • Danielle Vrabie, Senior Associate, Sheppard Mullin


This activity has been approved for Minimum 1 Continuing Legal Education credit by the State Bar of California. Sheppard Mullin Richter & Hampton LLP certifies that this activity conforms to the standards for approved education activities prescribed by the rules and regulations of the State Bar of California governing minimum continuing legal education.

New York
This program has been approved in accordance with the requirements of the New York State Continuing Legal Education Board for a maximum of 1 credit hour which may be applied toward the Areas of Professional Practice requirement, and is suitable for both transitional and non-transitional attorneys.

Sheppard Mullin Richter & Hampton is an accredited sponsor, approved by the State Bar of Texas, Committee on MCLE.

Please contact Maricela Alfonso for application materials, if you would like to apply for credit in other jurisdictions.

*You must attend the full webinar and provide your Bar Number to receive credit.

Questions? Please contact Maricela Alfonso via email.

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