Fraud & Abuse,Stark & Anti-Kickback Issues
ENDED
Online Webinar by
Netzealous LLC - MentorHealth
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Training Options Duration: 60 Minutes
Friday, September 7, 2018 | 10:00 AM PDT | 01:00 PM EDT
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
Speaker Profile
Gina L. Campanella focuses on healthcare regulatory and transactional matters federally and in
New Jersey, New York and Pennsylvania. Ms. Campanella has assisted clients with transactional
services and regulatory compliance consulting, as well as general counsel services to small
practices and large societies and medical groups alike. Clients also seek her expertise when
reviewing employment agreements, formation of new practices, separation from and sale of
practices, business structuring, and surgical center licensing and registration, including
preparation for Department of Health, AAAHC and AAAASF surveys of licensed and Medicare deemed
facilities, as well as preparation and implementation of resulting plans of correction.
Ms. Campanella graduated Magna Cum Laude from Seton Hall University with a Masters in Healthcare
Administration in 2012 and earned her Juris Doctor from Seton Hall Law in 2005. Ms. Campanella
lectures nationally on issues of health care law and compliance for events and organizations such
as: the New Jersey Association of Osteopathic Physicians and Surgeons, the Atlantic Regional
Osteopathic Conference, the New Jersey Chapter of the American College of Emergency Physicians,
the New Jersey Podiatric Medical Society, the Health Care Compliance Association, the New Jersey
Medical Group Management Association, the New York Medical Group management Association, Columbia
University Medical School, the Advanced Emergency & Acute Care Medicine CME Conference, the
CentraState Medical Center Practice Managers Group, Bassett Medical Center Medical Staff, the New
Jersey State Society of Physician Assistants, Mentor Health and Skillacquire.
Ms. Campanella has been admitted to practice law in the State of New Jersey and United States
District Court for the District of New Jersey since 2006, the District of Columbia since 2013,
the State of New York since 2013 and the State of Pennsylvania since 2017. Ms. Campanella was
recognized by New Jersey Super LawyersTM as a Rising Star in 2014, 2015, 2017 and 2018, a “Best
of Bergen” attorney by Bergen Magazine in 2017, and is recognized by AVVO as a Clients’ Choice
Attorney in 2016, 2017 and 2018 with an AVVO rating of “10 out of 10”.* Her additional
certifications include earning the status of Certified HIPAA Administrator from the HIPAA Academy
and she is a Fellow in the American College of Healthcare Executives.
Price - $139
Contact Info:
Netzealous LLC - MentorHealth
Phone No: 1-800-385-1607
Fax: 302-288-6884
Email: [email protected]
Website: http://www.mentorhealth.com/
Webinar Sponsorship: https://www.mentorhealth.com/control/webinar-sponsorship/
Follow us on : https://www.facebook.com/MentorHealth1
Follow us on : https://www.linkedin.com/company/mentorhealth/
Follow us on : https://twitter.com/MentorHealth1
Friday, September 7, 2018 | 10:00 AM PDT | 01:00 PM EDT
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
Speaker Profile
Gina L. Campanella focuses on healthcare regulatory and transactional matters federally and in
New Jersey, New York and Pennsylvania. Ms. Campanella has assisted clients with transactional
services and regulatory compliance consulting, as well as general counsel services to small
practices and large societies and medical groups alike. Clients also seek her expertise when
reviewing employment agreements, formation of new practices, separation from and sale of
practices, business structuring, and surgical center licensing and registration, including
preparation for Department of Health, AAAHC and AAAASF surveys of licensed and Medicare deemed
facilities, as well as preparation and implementation of resulting plans of correction.
Ms. Campanella graduated Magna Cum Laude from Seton Hall University with a Masters in Healthcare
Administration in 2012 and earned her Juris Doctor from Seton Hall Law in 2005. Ms. Campanella
lectures nationally on issues of health care law and compliance for events and organizations such
as: the New Jersey Association of Osteopathic Physicians and Surgeons, the Atlantic Regional
Osteopathic Conference, the New Jersey Chapter of the American College of Emergency Physicians,
the New Jersey Podiatric Medical Society, the Health Care Compliance Association, the New Jersey
Medical Group Management Association, the New York Medical Group management Association, Columbia
University Medical School, the Advanced Emergency & Acute Care Medicine CME Conference, the
CentraState Medical Center Practice Managers Group, Bassett Medical Center Medical Staff, the New
Jersey State Society of Physician Assistants, Mentor Health and Skillacquire.
Ms. Campanella has been admitted to practice law in the State of New Jersey and United States
District Court for the District of New Jersey since 2006, the District of Columbia since 2013,
the State of New York since 2013 and the State of Pennsylvania since 2017. Ms. Campanella was
recognized by New Jersey Super LawyersTM as a Rising Star in 2014, 2015, 2017 and 2018, a “Best
of Bergen” attorney by Bergen Magazine in 2017, and is recognized by AVVO as a Clients’ Choice
Attorney in 2016, 2017 and 2018 with an AVVO rating of “10 out of 10”.* Her additional
certifications include earning the status of Certified HIPAA Administrator from the HIPAA Academy
and she is a Fellow in the American College of Healthcare Executives.
Price - $139
Contact Info:
Netzealous LLC - MentorHealth
Phone No: 1-800-385-1607
Fax: 302-288-6884
Email: [email protected]
Website: http://www.mentorhealth.com/
Webinar Sponsorship: https://www.mentorhealth.com/control/webinar-sponsorship/
Follow us on : https://www.facebook.com/MentorHealth1
Follow us on : https://www.linkedin.com/company/mentorhealth/
Follow us on : https://twitter.com/MentorHealth1
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MentorHealth is a comprehensive training source for healthcare professionals. Our trainings are high on value, but not on cost. MentorHealth is the right training solution for healthcare professionals. With MentorHealth, healthcare professionals can make use of the best benefits relating to their professional training.
• 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. ...
• 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. ...
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