Health Care Contracting Toolkit: Best Practices and Three Key Tenets of Defensibility

Overview:

This webinar will include a "Contracting Toolkit" of 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.

Why should you Attend:

Given the substantial awards and settlements in recent enforcement actions, compensation-focused compliance in provider contracting has become more than just a compliance concern: it is now considered an enterprise risk management issue. As health care organizations develop and implement provider contracts, they must manage their compliance and enterprise risk by ensuring the contracts are defensible under the applicable laws, both in substance and in technical detail. Recent government and qui tam enforcement actions have concentrated on technical noncompliance and alleged violations related to Three Key Tenets of Defensibility.
Areas Covered in the Session:

• Summarize the enforcement trends and the "Three Key Tenets of Defensibility."
• Provide a focused review of the technical requirements of the health care laws.
• Describe emerging physician contracting compliance traps.
• Discuss the "Provider Contracting Toolkit" and best practices for enhancing defensibility.

Who Will Benefit:

• Governing Board Members, Trustees and Directors
• Health Care Executives
• In-House Counsel
• Health Care Human Resources
• Health Care CFOs
• Health Care Compliance Officers

Speaker Profile

Joseph Wolfe is an attorney with Hall, Render, Killian, Heath & Lyman, P.C., the largest health care focused law firm in the country. Mr. Wolfe provides advice and counsel to some of the nation's largest health systems, hospitals and medical groups on a variety of health care issues. He regularly counsels clients on a national basis regarding compliance-focused physician compensation and alignment strategies. He is a frequent speaker on issues related to the physician self-referral statute (Stark Law), hospital-physician transactions, physician compensation governance and health care valuation issues. Before attending law school at the University of Wisconsin, he served as a combat engineer in the United States Army.

Others Details

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