Get assistance in clarifying and understanding fair market value standards when considering physician compensation.
Many hospitals and physicians do not fully understand the regulations that pertain to the Stark Law, Anti-Kickback Statute, or how important it is to understand compensation for a physician at a fair market value level. This course will assist in clarifying and understanding fair market value standards when considering physician compensation. The material will review how to structure physician compensation arrangements that are compliant with the Stark Law and Anti-Kickback Statute and the key factors in considering fair market value assessments to avoid violations resulting in potential penalties and fines. If financial arrangements are not the fair market value or commercially reasonable severe fines and penalties can be imposed. If the government can prove that the parties intended to induce referrals through such financial arrangements, criminal sanctions, including imprisonment, can also be imposed.
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Why Lorman?
Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Agenda
Ensuring Your Hospital Has Defensible Fair Market Value Analysis Process
- Understanding the Definition of the Fair Market Value Analysis Process
- How to Structure the Process of a Fair Market Value Analysis
- How to Establish a Defensible Fair Market Value Analysis
Must Organizations Start to Focus on Commercial Reasonableness When Analyzing Fair Market Value?
- Due to Regulatory Requirements and Changes in the Law, Health Care Organizations Need to Have Knowledge of the Regulatory Statutes When Considering the Commercial Reasonableness in a Fair Market Value Assessment
- Regular Review of Financial Arrangements to Verifying Financial Arrangements Are Commercially Reasonable and Compliant With the Stark Law and Anti-Kickback Statutes
How Will Organizations Address Fair Market Value in the Move From Volume to Value?
- Identify the Key Factors in Evaluating a Fair Market Value With Transition From Volume to Value
- Recognize Non-Productivity Quality Indicators
Specific Case Study Discussions of Documenting Fair Market Value for Physician Supervision/Collaboration, Administrative Services, Team-Based Models of Care and More
- Lessons Learned From Recent Prosecutions, Rulings and Settlements
- Consequences and Penalties for Failure to Report Violations
- Specific Strategies to Minimize the Risk of a Lawsuit
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Why Lorman?
Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Credits
OnDemand Course
This course was last revised on April 5, 2022.
Call 1-866-352-9540 for further credit information.
- HR Certification Institute 1.0
- This E-Learning program has been pre-approved for 1.0 (General) recertification credit hours toward aPHR®, aPHRi(TM), PHR®, PHRca®, SPHR®, GPHR®, PHRi(TM), and SPHRi(TM) recertification through HR Certification Institute® (HRCI®). For more information about certification or recertification, please visit the HR Certification Institute website at www.hrci.org.
- SHRM 1.0
- Lorman Education Services is recognized by SHRM to offer Professional Development Credits (PDCs) for the SHRM-CPSM or SHRM-SCPSM. This program is valid for 1.0 PDC(s) for the SHRM-CP or SHRM-SCP.
To earn each credit Lorman offers through the OnDemand learning platform, you need to watch 100% of the program. Also, for certain credits you will need to fulfill additional requirements which will be displayed on the "credits" tab when viewing the course.
- Those applying for AIA and HRCI must view 100% of the program and answer the questions following the program.
This program does NOT qualify, nor meet the National Standard for NASBA accreditation.
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Why Lorman?
Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Faculty
Robert A. Wade, Esq.
Nelson Mullins Riley & Scarborough LLP
- Partner in the office of Barnes & Thornburg LLP
- Practice emphasizes all aspects of health care compliance, including developing, monitoring, and documentation of an effective compliance program
- Served as the compliance expert to the Board of Commissioners of Halifax Health, advising the hospital on all aspects of their corporate integrity agreement
- Has experience in representing health care clients with respect to issues being investigated by the Department of Justice and the Office of Inspector General and negotiating and implementing Corporate Integrity Agreements
- Assists clients in documenting and defending financial arrangements between health care providers, including referring physicians, as being fair market value and commercially reasonable
- Has operationally practical experience, having served as a general counsel and organizational integrity officer for a multihospital system for 6 1/2 years
- Host of Stark Integrity: The Stark Law and Compliance Podcast
- Conducts regular seminars and workshops on numerous health care laws, which includes the False Claims Act, Stark Law, and the Anti-Kickback Statute
- Wrote several publications related to the areas of health care law
- Best Lawyers In America®, health care law, 2009-2014; Indiana Super Lawyers, 2009-2015
- J.D. degree, summa cum laude, Ohio State University, Moritz College of Law, Columbus, Ohio; B.A. degree, summa cum laude, Bowling Green State University
- Can be contacted at 574-237-1107 or [email protected]
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More Program Information
Why Lorman?
Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
All of your training, right here at Lorman.
Pay once and get a full year of unlimited training in any format, any time!
- OnDemand Courses
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- Course Manuals
- Executive Reports
- White Papers and Articles
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- State Specific Credit Tracker
- All-Access Pass Course Concierge
Questions? Call 877-296-2169 to speak with a real person.
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