Regulatory enforcement in the health care space continues to be on the rise. A negative outcome in a Medicaid claims audit or licensure investigation can be devastating, both financially and professionally. Govern yourself and your practice accordingly. Joe will provide an overview of the Nebraska Medicaid False Claims Act and Nebraska unprofessional conduct rules as they apply to licensed healthcare providers, as well as the Nebraska DHHS investigation processes that apply to both. Using real-world examples, Joe’s presentation will provide guidance on what to do (and what not to do) when the medical practice (or provider) receives notice of a claims audit (overpayment review) or license disciplinary investigation, what notifications are required, what to expect, and how to navigate the process.