Physician Contracting Toolkit: Understanding the Three Key Tenets of Defensibility

HEALTHCARE Aug 01, 2017 60 minutes
01:00 PM EST 12:00 PM CST 11:00 AM MST 10:00 AM PST

Description:-

Recent news stories are full of stories of physicians and practices caught in a web of enforcement law suits and compliance issues.  Compensation focused compliance has become an enterprise risk management issue; understanding your rights and potential liability is more important now than ever before.

The laws governing compliance in contracting are complicated.  Failure to understand these laws will result in penalties, fines, and lawsuits.  Enforcement actions are now concentrated on technical noncompliance and violations related to the Three Key Tenets of Defensibility.

Why should you attend ?

These tenets will be covered in detail:

  • Fair market value
  • Commercial reasonableness
  • Failure to recognize account volume and the value of referrals

This conference will summarize and visit trends in governmental and whistleblower enforcement, giving attendees the information they need to keep their practices and businesses protected and within the legal guidelines.Additionally, attendees will receive a Contracting Toolkit thatwill give health care organizations and practices the information they need to understand the technical requirements for billing and payment within the Three Key Tenets of Defensibility.

Areas Covered in the Session :

In addition to providing the exclusive Contracting Toolkit, this important webinar will:

  • Provide a focused review detailing the technical requirements of health care laws
  • Detail and describe common physician contracting compliance traps
  • Summarize enforcement trends
  • Explain and summarize the Three Key Tenets of Defensibility
  • Discuss using the Provider Contracting Toolkit and best practices for ensuring defensibility

Who will benefit?

This important webinar is valuable to any practice, facility or business that falls under contracting laws to ensure the ventures remain legally compliant under governmental guidelines.  Recommended attendees will include:

  • Health Care Executives
  • In-House Counsel
  • Health Care Human Resources
  • Health Care Compliance Officers
  • Governing Board members, directors and trustees
  • Health Care CFOs
Presenter BIO

Joseph Wolfe is a partner with Hall Render, the largest health care focused law firm in the country, now with offices nationwide. Hall Render attorneys provide advice and counsel to many of the nation's largest health systems, hospitals and medical groups on a broad range of regulatory, operational and strategic matters. Mr. Wolfe regularly counsels clients on a national basis regarding compliance-focused physician governance, alignment and compensation strategies.He is a frequent speaker and author on issues related to the physician self-referral statute (Stark Law), hospital-physician transactions, medical group structures, value-based payment strategies (MACRA, MIPS, APM, bundled payments, etc.), physician compensation 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.

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