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.
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.
Areas Covered in the Webinar:
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 best practices for enhancing defensibility.
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.
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.
Areas Covered in the Webinar:
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 best practices for enhancing defensibility.
Speakers
Joseph Wolfe is an attorney with Hall Render, the largest health care focused law firm in the country. Mr. Wolfe provides advice and counsel to some of the 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.Mr. Wolfe is a frequent speaker on issues related to the physician self-referral statute (Stark Law), hospital-physician transactions, physician compensation and health care fair market value issues. Before attending law school at the University of Wisconsin, he served as a combat engineer in the United States Army.
