Stark Law Compliance: Understand the Latest Changes to Avoid the Biggest Risks
Product Description:
Audio Conference on CD or Audio On-Demand
A program for compliance and audit professionals
presented on August 19, 2009
Changes in the Stark Law spell the potential for significant fines and penalties if you make inappropriate payments to physicians or their groups. Hospitals and medical practices need to make sure that such financial arrangements will represent the fair market value of the services provided, and that they properly document arrangement consistent with all requirements under a Stark Law exception.
There are significant financial penalties for violating Stark and unknowingly breaking the law isn't a valid excuse. A small violation, like an inappropriate gift above the $355 limit, could result in significant penalties of more than $2.5 million if the violation is not caught and the physician refers designated health services over a period of time until the violation is caught and corrected.
During this intermediate-level 90-minute audio conference, speakers Robert A. Wade, Esq., and Lisa M. Ohrin, Esq., explain the rules under Stark. They'll outline steps you can take to perform effective audits and show you how to turn those results into action steps to help you avoid compliance risk.
LEARNING OBJECTIVES
At the conclusion of this audio conference, you will be able to:- Explain the most recent changes to the Stark Law
- Identify the vital issues that affect providers
- Construct an audit plan that will examine your facility's financial arrangements to ensure they are compliant
- Evaluate what to do if you find a potential Stark Law violation
TAKE A LOOK AT THE AGENDA:
- Significant changes to Stark Law
- Fair market value
- Self disclosure protocol
- The OIG open letter
- False Claims Act changes
- Elimination of percentage-based and per-click compensation formulas in hospital-physician arrangements
- Why the doctrine is relevant
- What to do with Under Arrangements, including lithotripsy
- Top three Stark Law issues that should be on your radar
- CMS billing rules, including outpatient department supervision
- Third circuit Kosenske opinion
- Other recent litigation
- Auditing internally
- Financial arrangement approval process and auditing
- Payment to physicians and expenses
- The proper documentation
- When you find something
- Where do you take it?
- How do you self-report it?
A question and answer session follows the presentation
MATERIALS
In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials and- An audit tool
- An internal form
- Copy of the OIG open letter from March 2009
These materials are provided with PDF links.
MEET THE SPEAKERS
Robert A. Wade, Esq., is a partner at Baker and Daniels, LLP, South Bend, IN, where he represents healthcare clients and specializes in Stark Act, Anti-Kickback Statute, False Claims Act, and Emergency Medical Treatment and Active Labor Act.Lisa M. Ohrin, Esq., is a partner in the healthcare group at Sonnenschein Nath & Rosenthal LLP in Washington, DC, where she counsels healthcare clients on fraud and abuse issues, Medicare billing rules and compliance, and other general regulatory matters.
WHO SHOULD LISTEN?
Hospital compliance officers, healthcare auditors, CFO and finance professionals, healthcare attorneys, legal counsel, and members of the board of directors.AUDIO ON-DEMAND
In addition to the regular purchase options for HCPro audio conferences, we are pleased to offer another option, audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase a CD or audio on-demand of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.Product Types : Departments :
