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3-Hour Virtual Seminar On The Anti-Kickback Statute and Stark II: Basis for An Action Under the Federal False Claims Act? - Your Organization May be at Risk

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Online Training by  Netzealous LLC - MentorHealth
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Overview:

The session will provide an overview of the Federal Civil False Claims Act (FCA) and how it works, the prohibitions of the Anti-Kickback Statute (AKS) and the physician anti-referral law (known as Stark II), and their available safe harbors.

It will also show how violation of the AKS and/or Stark II can raise FCA concerns, and it will provide an assessment of enforcement activities, showing how participants may be at risk. 

In addition, the session will review recent cases and show how they potentially impact participants. We will start with a review of the Federal False Claims Act and discuss how it works and how it is being used to fight health care fraud. We will discuss how the various health care fraud task forces use the Federal False Claims Act and its whistleblower provisions to identify and prosecute health care fraud. The webinar will take the Federal False Claims Act apart and show step by step how an action is filed, how the government responds and how the courts interpret various elements of the Act. We will discuss proof, damages under the Act and how the whistleblower is rewarded for bringing a successful case. In addition, we will discuss retaliation under the act and how the whistleblower is protected from retaliation. Finally, with regard to the Federal False Claims Act, we will discuss how the Act is being used in the health care arena. 

In addition, we will discuss the OIG's Joint Venture Advisory Opinion, where a hospital expands into a related service line by contracting with an existing provider of that service. The OIG has significant problems with such an arrangement. We will also discuss the recent advisory opinion by the OIG regarding Physician-Owned Entities. OIG views PODs as inherently suspect under the AKS because the opportunity for a referring physician to earn a profit, including through an investment in an entity for which he or she generates business, could constitute illegal remuneration under the AKS.

The focus will then turn to Stark II, with an emphasis on the exceptions and how to fit within and exception. While there are several exceptions, it is important to be able to meet the criteria of an exception. We will discuss these criteria, and the nuances that must be met. 

Why should you Attend: This session is designed for healthcare executives, physicians and other healthcare providers who participate in and receive remuneration from Medicare, Medicaid, and other federal healthcare programs such as TriCare. The session will provide an overview of the FCA and how it works, the prohibitions of AKS and Stark II, and their available safe harbors. It will also show how violation of the AKS and/or Stark II can raise FCA concerns. In addition, it will provide an assessment of enforcement activities, showing how participants may be at risk. Finally, the session will review recent cases and show how they potentially impact participants.

Areas Covered in the Session:

  • Federal False Claims Act (what it is and how it works)
  • Federal Civil Anti-Kickback Statute
  • Safe Harbors providing protection under the AKS
  • Federal Physician Self-Referral Law (including a review of the designated health services
  • Exceptions to Stark II
  • How the three statutes interface and pose dangers for healthcare providers

Who Will Benefit:
  • Hospital Executives
  • Particularly CEOs, COOs, CFOs, CNOs, and CMOs
  • Nursing Home Executives
  • Physicians
  • Physician Practice Managers
  • Other Healthcare Provider Executives

Speaker Profile 
William Mack Copeland MS, JD, PhD, LFACHE, practices health care law in Cincinnati at the firm of Copeland Law, LLC. He is also president of Executive & Managerial Development Group, a consulting entity providing compliance and other fraud and abuse related services. A graduate of Northern Kentucky University Salmon P. Chase College of Law, Bill is a frequent author and speaker on health law topics. 




Event link:  https://www.mentorhealth.com/webinar/-801739LIVE?channel=speedycourse-sep_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/

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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. ...
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