Edward Baker Discusses Risk Adjustment Litigation at American Association of Professional Coders HealthCon 2023 Event in Nashville

Lieff Cabraser attorney Edward Baker recently spoke at the American Association of Professional Coders HealthCon 2023 event in Nashville, where he co-led a panel discussion on Risk Adjustment on 5/22, and led a separate presentation entitled “The Essential Role of Coders and Auditors in Risk Adjustment Litigation” on 5/24.

Healthcon is an annual healthcare conference organized by the AAPC. The goal of the event is for attendees to update themselves on changes and best practices in the healthcare industry. Healthcon 2023 featured 65+ expert speakers, 1000+ in-person attendees, and 500+ virtual attendees, and offered 80+ insightful sessions including ten tracks with eight breakout sessions.

For more information and to view the full conference agenda, visit the event website.

About Edward Baker

Edward Baker is Of Counsel at Lieff Cabraser Heimann & Bernstein, LLP. He 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.