Auditing Physician Contracts Under the New Stark Rules

Course Description:

Last year, CMS finalized a number of significant changes to the Stark Law. Now that these changes have gone into effect, health care organizations should be monitoring and auditing their existing arrangements to ensure they are compliant with Stark's technical requirements and key tenets of defensibility (e.g., fair market value, commercial reasonableness, and not taking into account designated health service referrals) in case their physician arrangements are ever challenged.

In this session Mr. Wolfe will provide an overview of the Stark Law, including its 2016 changes. Joseph will also discuss best practices for auditing physician compensation arrangements on behalf of health systems, hospitals, medical groups and physician practices.

Why should you attend?

Healthcare reform has invigorated the government's focus on healthcare fraud, including enforcement of the Stark Law. Improper design and implementation of physician arrangements can result in penalties, denial of payments, and exclusion from federal health care programs. Thus, ensuring Stark Law compliance will be critical for medical groups, hospitals and health systems looking to manage areas of enterprise risk.

Health care organizations should periodically audit their existing arrangements to ensure they are compliant with Stark's technical requirements and key tenets of defensibility (e.g., fair market value, commercial reasonableness, and not taking into account designated health service referrals, etc.) in case their physician compensation arrangements are ever challenged.

 This webinar will offer best practices for implementing and auditing physician compensation arrangements to minimize liability exposure and penalties, including conducting compliance audits, instituting policies, and establishing ongoing monitoring and reviews.

Areas covered:

 This webcast will focus on regulatory requirements, key provisions, valuation considerations and potential pitfalls that should be avoided.

• Provide a general Stark Law Overview
• Examine critical regulatory requirements related to physician compensation arrangements
• Review processes for documenting fair market value and commercial reasonableness
• Discuss best practices for auditing physician compensation arrangements and potential pitfalls
• Discuss how to resolve issues that may arise during the audit process

Who will benefit?

This webcast will be of a valuable assistance to the below audience.

• In-House Counsels
• Health Care Compliance Officers
• Health Care Human Resources
• Health Care CFOs
• Health Care executives

Companies/Organization

• Hospitals & Health Care

Others Details

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