Fraud & Abuse, Stark & Anti-Kickback Issues
Details
Overview:
The presentation will provide an overview of the Federal Stark and Anti-Kickback laws and corresponding regulations including the history and purpose of these laws.
The presenter will provide the background upon which these laws were determined to be necessary and developed. The attendees will be provided with an overview and description of the laws, why they were instituted, what they do and do not cover and who they
are and are not applicable to.
Once the basic constructs of the laws themselves are reviewed, the presenter will then go over the most common exceptions to these laws. Exceptions include specific scenarios in which the law allows physicians, practices and providers to participate in activities
that may otherwise be deemed prohibited under both laws.
Attendees will learn how these laws are different and why, even though they are different, they are very often "lumped" together and referred to simultaneously. Moreover, attendees will get a brief overview of how these laws may interact with other laws and
regulations and guidance on how to interpret similar state laws in the overall context of the federal requirements.
The presenter will go through several common examples of the most frequent scenarios that get physicians in trouble under these laws including, subleasing, leasing from other physicians, laboratory partnerships, accepting gifts from colleagues or contractors,
contractor agreements and more!
Do not become a statistic! You are not working hard to build your practice to end up losing it all – attendance at this webinar will provide a core understanding of what is required of physicians, health care providers, practices and ancillary services providers
and attendees will leave with a strong understanding of what is good in their practice, and what may need to be modified immediately.
Why should you Attend: Physicians, health care providers, practice managers and anyone who works in for or with a medical practice of any kind can gain valuable knowledge about the "red flags" of fraud. Red flags can be anything from unusually
high volume of reimbursement to unclear division between two separate medical practices functioning in the same space.
Fraud can result in a thriving medical practice suddenly becoming a recipient of the Federal Prison Retirement Plan and this concerns all members of the practice, not just the physicians. In recent headlines, we have all seen physicians, laboratory owners,
practice managers and billers being walked out of various offices in handcuffs.
This is not what you want your practice to be famous for. Medical practices, physicians and health care providers cannot accept payment for referrals, but do you know what the federal government considers a "payment for a referral"? If you have a sublease that
is not in writing, or is not quite for fair market value, you may be giving/receiving a kickback.If you take a colleague to lunch and pick up the bill, you may be giving/receiving a kickback. When it comes to federal law, ignorance is not bliss and is certainly
not an excuse or a defense when caught in the crosshairs of the federal Stark or Anti-kickback laws. Educate yourself and protect yourself.
Areas Covered in the Session:
- Federal bases for allegations of healthcare fraud
- The Federal Stark Law
- The Federal Anti-Kickback Law
- Common Scenarios that get providers in trouble
- What to do if you realize you are in one of these Common Scenarios
Learning Objectives:
- Develop and understanding of the basics of the federal laws prohibiting healthcare fraud
- Learn to recognize and eliminate "red flags"
- Understand common scenarios that are considered fraud and how to modify these scenarios to be compliant
Who Will Benefit:
- Physicians
- PAs/APNs
- Practice Managers
- Health Care Providers
- Pharmaceutical Representatives
- Billing & Coding Professionals
- Financial Managers/Advisors
- Compliance Officers
Event link: https://www.mentorhealth.com/webinar/-801680LIVE?channel=speedycourse-july_2019_SEO
Contact Info:
Netzealous LLC - MentorHealth
Phone No: 1-800-385-1607
Fax: 302-288-6884
Email: [email protected]
Website: http://www.mentorhealth.com/
Schedules
No. of Days: | 1 |
Total Hours: | 1 |
• They can get the benefit of advice from experts in the field.
• Healthcare professionals will have the flexibility of viewing recorded webinars at their convenience.
• MentorHealth offers online interactive participation. Using this, healthcare professionals, no matter which part of the world they are based in, will have the opportunity to listen to and interact with some of the most accomplished experts in the healthcare Industry.
MentorHealth is driven by a core objective –that of being a platform for learning and discussion to address some of the important issues and challenges that the healthcare community, consisting of healthcare workers from doctors to nurses to other support staff, is up against in today‘s scenario. Various aspects of healthcare, such as Meaningful Use, Patient Protection and Affordable Care, HIPAA, HITECH Act, Stark and Anti Kickback Act, Valid Consent, Patient Safety and Process Improvement, Patient Safety and Quality Outcomes, Healthcare Information Technology Standards Panel (HITSP), Substance Abuse and Mental Health Records, Nursing Informatics, Healthcare Disclosure, Electronic Transactions Standards such as 5010 and ICD-10, Electronic Health Records, Stimulus Code, Healthcare Information Exchange, Healthcare Information Technology, Medical Necessity, Personal Health Records, Clinical Decision Support, Financial Management and ROI, Electronic Prescribing, Healthcare Information Systems, Clinical Informatics, Insurance Claim Appeals, Auto ID and Bar Coding, Integration and Interoperability, Risk Management in the Retention and Destruction of Medical Records and Medical Records Law, to name just a few, are covered. ...