Developing Best Practices for Structuring and Auditing Physician Compensation Arrangements
12 PM GMT
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Any time a health care organization structures or audits a compensation arrangement with a physician, it must be aware of the federal laws that are unique to the healthcare industry (e.g., the Stark Law, Anti-Kickback Statute, Civil Monetary Penalties Law, False Claims Act, etc.). These laws affect most physician arrangements, including employment or service contracts, group compensation structures, joint ventures, leases for space or equipment, free or discounted items or services and virtually any other exchange of remuneration.
This webinar will discuss developing best practices that health care organizations can follow to avoid compliance traps related to the technical requirements for payments to physicians and the Three Key Tenets of Defensibility: fair market value, commercial reasonableness, and not taking into account volume or value of referrals. The session will also recap trends in government and whistleblower enforcement.
Areas covered in the webinar session:
•The technical requirements of the health care laws, emerging physician contracting compliance traps and developing best practices for enhancing defensibility.
•Sampling techniques, including the issue of sample by arrangement type (i.e., employment, call coverage, leasing, etc.)
•Methods for auditing physician arrangements to include both (i) procedural (e.g., attorney review and execution) and (ii) substantive considerations (e.g., necessity, fair market value, etc.)
•Recommendations for a meaningful audit with key takeaways (e.g., documentation, policies, market necessity)
The content of this program does not meet requirements for Continuing Legal Education (CLE) accreditation.
•Joe Wolfe, Partner, Hall, Render, Killian, Heath & Lyman, PC
•Allison Carty, Director, Pinnacle Healthcare Consulting