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Recent cases and/ or enforcement actions involving the Federal Physician Self-Referral Law (Stark II) raise serious concerns regarding compliance issues with hospitals, physician practices and other healthcare entities. However, Stark is greatly misunderstood by physicians, as well as healthcare executives.

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. Several recent cases bring home the realization that violations of Stark are common, and those violations can be used as the basis of a False Claims Act action.

As a health care executive, physician or other health care provider, attendees should be very concerned about the potential for violation of the Stark rules. In this webinar, attendees will learn about the elements of the Stark II law, along with the various exceptions that attendees can rely on for protection against enforcement under this law. This is important because under recently enacted healthcare laws, particularly The Affordable Care Act (also known as Obamacare), enforcement and healthcare fraud task forces have been greatly enhanced.

In Tuomey, the jury award was $279 million, and the case settled for $74 million, with the system being sold and the CEO personally paying $1 million and agreeing to be barred from federal healthcare programs for 5 years.

The law codifies the American Medical Association ethics rules concerning referrals. We will review these rules and the various exceptions to Stark so that attendees can be aware of what they can and cannot do regarding referrals.

Attendees will want to attend this webinar to learn how to protect themselves and their organization.

Learning Objectives:

• Help attendees understand the complexities of Stark.
• Show how a violation of Stark can result in a violation of the False Claims Act.
• Provide an assessment of enforcement activities.
• Review recent cases and show how they potentially impact attendees.
• Show what is prohibited under Stark.
• Review exceptions to Stark.
• Discuss the criteria of exceptions.
• Show how courts interpret the law.

Areas Covered in the Session:

• Review Federal Physician Self-Referral Law
• Review designated health services
• Show what is prohibited under Stark
• Review exceptions to Stark
• Show how Stark II rules pose dangers for healthcare providers
• Review of recent case law
• Show how the courts interpret Stark
• Live Q&A session

Suggested Attendees:

• Nursing Homes
• Physician Practices
• Durable Medical Equipment Suppliers
• Physical Therapy Practices
• Home Healthcare Companies
• Healthcare CEOs
• Healthcare CFOs
• Chief Compliance Officers
• Chief Medical Officers
• Providers
• Practice Manager
• Attorneys and Legal Staff
• Medical Providers
• Physicians
• Registered Nurses
• Physicians Assistants
• Administrative Staff
• Sales and Marketing Managers
• Customer Service Managers
• Risk Managers
• Hospitals Human Resources
• Supervisors/ Managers
• Other Healthcare Provider Executives

Presenter Biography:

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This is a Live Virtual session.

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