Healthcare Fraud and Abuse - Common Schemes and Government Priorities

Nov 6, 2018 1:50pm ‐ Nov 6, 2018 2:40pm

Identification: FVC1842

This session will provide an overview of common healthcare fraud schemes and the government's enforcement priorities.

Learning Objectives:

  • Understand why the healthcare system is an easy target for fraud
  • Identify common healthcare schemes
  • Review government enforcement activity and theories
  • Identify issues and concerns in connection with healthcare investigations.

How to Tell an Attorney NO

Nov 6, 2018 1:50pm ‐ Nov 6, 2018 2:40pm

Identification: FVC1843

Expert witnesses are hired by attorneys based on many factors including the expert's reputation, prior cases with that attorney, and an attorney's view that the expert will be helpful for their case. Attorneys are advocates for the their client; however, CPAs are to remain objective and are not an advocate for the client. At times, experts may be asked to perform work and form opinions by attorneys that give them repeat business (or may be an attorney they have not worked with, but hope to receive future business) for which the expert feels the work or opinions may be a stretch or even too far of a reach while also remaining objective. This can put experts in a difficult situation. This session will provide insight from an attorney that regularly hires experts, and how attorneys deal with "no" from experts.

Experts will learn how to tell an attorney "no" to: 

  • Working on the case at all; Expanding into new areas of work
  • Tweaking an opinion; Making assumptions
  • Selecting methodologies to employ
  • Evaluating what legal theory to assume
  • Report drafting
  • What and how to say an opinion at deposition or trial

Introduction to Monte Carlo Simulation in Financial Reporting

Nov 6, 2018 1:50pm ‐ Nov 6, 2018 2:40pm

Identification: FVC1844

As the complexity of financial instruments and business valuations continues to increase, Monte Carlo Simulation (MCS) is becoming a critical tool for valuation professionals, particularly in the financial reporting context. This interactive session will guide attendees through simple applications of MCS discussing the steps and inputs necessary to develop a credible and accurate model while also identifying mistakes and missteps commonly seen in practice.

After this session attendees will be able to:

  • 1. Understand the inputs required and appropriate support
  • 2. Demonstrate the application of the model
  • 3. Identify common errors and mistakes in application.

Transaction Structures: How to Structure a Transaction to Minimize Tax Implications

Nov 6, 2018 1:50pm ‐ Nov 6, 2018 2:40pm

Identification: FVC1845

Structuring a business sale transactions can affect the cash flow from a potential sale as well as the taxes that would be paid on a sale. The structure ultimately affects the value a buyer is willing to pay or a seller is willing to accept for a transaction. In this presentation you will learn about how the structure of a transaction could affect the ultimate cash flow a seller receives and impacts the price the parties negotiate.

  • After this session attendees will learn:
  • Options for Transaction Structure
  • Outline various options for structuring transactions (stock, asset, earn-out, etc.)
  • Impact of contingent liabilities (lawsuits, environmental, etc.)
  • Earn-outs – Considerations and impact on value
  • Non-compete and consulting agreements
  • Personal Goodwill
  • The value of stock as acquisition consideration and related risk
  • Employee benefits and management compensation Tax Issues in Purchase and Sale Transactions and Impact on Value
  • Overview of tax considerations in transactions
  • Asset allocation: Impact on Tax considerations and cash flow
  • Choice of entity and impact on taxes and value
  • Personal Goodwill and benefits in different transaction Structures

Blockchain - Beyond Cryptocurrency

Nov 6, 2018 3:10pm ‐ Nov 6, 2018 4:25pm

Identification: FVC1846

This session covers an overview of the distributed ledger technology known as Blockchain. We will cover the basic architecture, help ground novices in the technology and its promise, and work to identify why cryptocurrencies may be the least interesting thing about this technology within five years.

  • Provide an overview of the Blockchain architecture
  • Develop an understanding of Blockchain via discussion of specific use cases
  • Discuss the implications of self-authenticating systems, enabled by technology
  • Discuss the implications to the accounting and forensic communities raised by this technology

Opioid Fraud

Nov 7, 2018 7:30am ‐ Nov 7, 2018 8:45am

Identification: FVC1847

Session covers what the various stakeholders (i.e., auditors, regulators, management, and the board) should consider as internal controls to mitigate issues related to the opioid crisis. Both public and private company expectations will be represented.

  • Overview of the scope of the crisis
  • Understand areas of risk needing internal controls
  • Learn some specific examples of monitoring for fraud and abuse related to the opioid crisis

How I Survived a Daubert Motion & Hearing and Lived to Testify at Trial

Nov 7, 2018 7:30am ‐ Nov 7, 2018 8:45am

Identification: FVC1848

Session covers the various factors necessary to avoid disqualification under FRE 702. We will present and analyze the concepts of relevancy, reliable methodologies and their application to the facts of the case, with an emphasis on gathering sufficient facts and data, especially when historical financial data is unavailable.

Learning Objectives:

  • How to convince the Daubert Court that you did enough work to satisfy the sufficient facts and data requirement.
  • Differentiate between Daubert hearing testimony and trial testimony.
  • Distinguish between facts and data and the importance of the former when the latter are unavailable.

Goodwill

Nov 7, 2018 7:30am ‐ Nov 7, 2018 8:45am

Identification: FVC1849

This seminar will present a quantitative approach using the residual method for estimating personal and entity goodwill. This approach may be used for tax purposes (e.g., purchase price allocation) as well as for family law cases where personal goodwill is a separate asset. The presentation will include a case study illustrating the method.

  • 1. Applications of the method for different valuation purposes (e.g., tax and family law matters)
  • 2. Background of the residual method
  • 3. Case study illustrating the residual method

Lifestyle Analysis/ Pay & Need Analysis

Nov 7, 2018 7:30am ‐ Nov 7, 2018 8:45am

Identification: FVC1850

How to build a Lifestyle Analysis, otherwise known as a Pay and Need Analysis for a Family Law case needing financial consulting. -Identify assets and liabilities, whether or not they are marital or separate, and their future income producing ability. -Analyze sources of income and the future contribution to investments, retirement accounts, as well as future draws from the respective accounts -Assess current and future net worth accumulation over time.

Learning objectives:

  • 1. Identify and Classify Assets & Liabilities to include on marital and separate balance sheets 
    • a. Examine documentation and accuracy of the support
  • 2. Assemble relevant information a. Current accounts (bank, brokerage) vs long-term compensation accounts (401k, pensions, etc.)
  • 3. Evaluate monthly budget for each spouse 
    • a. Compare/contrast spouse's budgets
  • 4. Evaluate the payor's ability to support and the payee's need for support 
    • a. Lifestyle analysis comes into play here as the historical expenses may be used as a basis for monthly budget, however, depending on the finances, may or may not be supported post-divorce
    • b. Lifestyle analysis also provides the ability to measure the division of net worth at date of divorce and future net worth accumulation over time

Valuation of Employee Stock Options, Market Condition, and Performance Based Options

Nov 7, 2018 7:30am ‐ Nov 7, 2018 8:45am

Identification: FVC1851

Introduction to valuation of employee stock compensation awards. Service, market, and performance conditions and their impact the fair value. Deeply out-of-the-money options. Size and leverage impact on the volatility. Introduction to Black-Scholes, binomial model, and Monte Carlo simulations.

Learning Outcomes:

  • List and explain the different types of options
  • Identify the methodologies used to value options
  • Define the concept of "moneyness" and how it impacts the selection of the valuation methodology
  • Identify significant assumptions used in the valuation of options
  • Recognize the ASC 718 and SAB 14 requirements for estimating the expected volatility for public companies
  • Recognize the AICPA recommendations for estimating the expected volatility for privately-held companies