Fraud, Abuse & the OIG


Audio Conferences
		Stark 4: The End of Joint Ventures As We Know Them? FAQ about Bylaws Series: Medical Staff Structure Credentialing Privileging Questions Medical Staff Investigations and Hearings Allied Health Professionals
Audio CDs/MP3s
	ACGME: Incorporating ACGME General Competencies into Your Credentialing Process AHP Potpourri Board Conflicts of Interest The "Borderline" Physician: Managing Performance Improvement for Those Who Can Improve (and Building the Legal Record for Those Who Can't) Charity Care Class Action Lawsuits Clinical Privileges: Tough Issues and Solutions CMS Clarification on Hospital Privileging CMS Issues Final Rule on 4 CoPs CMS: The New Guidelines for Informed Consent - Process, Policies and Forms Community Need for Physicians: How to Analyze, Prove and Document It Conduct Outside the Hospital: Are You Your Brother's Keeper? Conflicts of Interest on the Medical Staff Contracting and Credentialing: Bridge the Gap or Pay the Piper Corporate Bylaws: When Was the Last Time You Looked Yours Over? Credentialing and Medical Staff Records - Access, Control and Confidentiality Credentialing and Privileging Teleradiologists The Credentialing Process: Who is Slipping Through the Cracks? Credentialing the Aging Physician Credentialing Verification in the Trenches Criminal Background Checks for Physicians Deferred Compensation for ER Call Disruptive Behavior and the Joint Commission's Sentinel Event Alert Effective Performance Improvement Plans Employing Physicians Series EMTALA and On-Call: Important New Changes EMTALA: The Final Rule and Regulations EMTALA Guidelines EMTALA Investigations: How to Survive Excess Benefit Transactions Exclusive Contracts - Strategies to Deal with the Shortage of Doctors Executive Compensation in IRS Crosshairs Fair Market Value The Feds Are Coming – Do You Know Where Your Physician Contracts Are? Forgoing Life Sustaining Treatment FPPE: Practical Tips Fraud, Abuse & the OIG: A Look Back — A Look Ahead Free Speech or Disruptive Behavior? The FTC's Evanston Decision - Are Mergers Still OK? Gainsharing Exception: The Sixteen Step Program HIPAA and Credentialing HIPAA - Everything You Ever Wanted To Know — And Weren't Afraid to Ask HIPAA Investigations and Enforcement HIPAA Security Regulations Hospitalists: The Who, What and How The "Independent" Medical Staff – What Would It Really Mean? Investigations and Hearings — Should You Follow Your Bylaws? Maybe Not! IRS Final Form 990 The IRS is Watching YOU – Part I: Good Governance Practices for 501(c)(3) Organizations The IRS is Watching YOU – Part II: Exempt Organizations Executive Compensation Compliance Project Report It's Never Too Late for an Amicable Resolution — Alternatives that Can Protect Patients and Save a Career Joint Venture Series The Kadlec Appeal – Decision Against Hospital Reversed! The Limited English Proficiency Rules Low and No Volume Practitioners Malpractice Claims and Your Credentialing Process Malpractice Insurance Premiums: Helping Your Doctors Pay Managing the Disruptive or Difficult Patient Medical Ethical Issues - Right Choices, Legal Answers Medical Record Deficiencies: Practical Solutions to a Persistent Problem Medical Staff Integration Models for a Sustainable Future Medicare Physician Supervision and "Incident-to" Billing: What are the Rules? New MS.1.20: Stay the Course or Jump Ship? Must Hospitals Train Their Staffs to Bite the Hand that Feeds Them? Nonprofit Governance Audio Series: Legal Compliance and Public Disclosure Effective Governance Practices Financial Management and Fundraising On-Call Audit & EMTALA Update On-Call Problems and Solutions Is OPPE Making You CRAZ-EEE? The Organized Medical Staff & Joint Commission Compliance:: Real Life Issues, Practical Solutions Panel on Nonprofit Sector Announces Principles for Good Governance and Ethical Practice Patient Complaints and Grievances – Time to Take Them Seriously Patient Safety and Quality Improvement Act: Proposed Regulations Paying for On-Call Services - the OIG Speaks Performance Improvement Plans Physician Behavior Physician Recruitment and Retention After Stark III Poliner: Court Upholds Jury's Findings Poliner on Appeal: What Does It Mean for Peer Review? Practical Solutions to Your Toughest On-Call Problems Practical Tips for Developing Medical Staff Leaders Precautionary Suspensions are to Protect Patients A Primer on Preemption: Incorporating State Privacy Laws into Your HIPAA Compliance Plan Protecting Peer Review Information Quality/Performance Improvement & Peer Review Best Practices Reconciling Conflicting Financial Interests of Physicians & Hospitals Recruitment Before Credentialing: What Were You Thinking? Resignation of Privileges to Avoid On Call Responsibilities Self-Disclosure & Government Investigation Sexual Harassment - It's Not Going Away! Does "Sham" Peer Review Really Happen? Sizzlin' Hot Credentialing Issues Specialty Hospitals and Gainsharing Alert! Stark 3.5? Proposed Changes in Inpatient Prospective Payment Rules Stark 2.5 - the Party's Over Stark Phase III Regulations ... They're he-e-e-e-e-e-re! Stark: Software/New Stark and Antikickback Rules Stark Violations in Your Medical Staff Office? Strategies to Address Medical Records Violations Take Control of Your Medical Staff Hearing Process Tax-Exempt Hospitals and Politics: Survival Guide for the Election Year Teleradiologists: Credentialing and Privileging Temporary & Locum Tenens Privileges Unanticipated Outcomes Disclosure and Medical Error Reporting

Fraud, Abuse & the OIG:
A Look Back — A Look Ahead Audio CD
Recorded January 20, 2005

Faculty: Henry Casale & Phil Zarone

It's been a busy time with respect to Advisory Opinions from the Office of Inspector General:

On January 6, 2005, OIG posted an advisory opinion addressing malpractice insurance subsidies. The legal effect of these subsidies has been, to quote Winston Churchill, "a riddle wrapped in a mystery inside an enigma." Does this opinion, along with one issued in September 2004, help to unravel the mystery, or must hospitals await further guidance from OIG and CMS?
On December 29, 2004, OIG posted an advisory opinion addressing a health system's charitable donations to a nonprofit hospice, adding to a series of similar opinions issued throughout 2004. Most hospitals have recently taken a renewed interest in their charity care programs. What do these OIG opinions say about charitable giving by hospitals?
On December 17, 2004, OIG posted an opinion regarding contractual joint ventures that were structured in a manner that was intended to comply with the Stark Phase II regulations. Did the OIG show any deference to such a structure, given its intended purpose? Does this opinion, and others issued throughout 2004, help or hinder the efforts of hospitals to find innovative business arrangements to deliver health care?
On December 8, 2004, GAO issued a report titled "Medicare: Advisory Opinions as a Means of Clarifying Program Requirements," which discussed the usefulness of Advisory Opinions to health care providers. What are the advantages and disadvantages of obtaining an Advisory Opinion? How can they be used strategically by health care providers to achieve a business purpose?

Henry and Phil consider the recent actions by the OIG (and the federal government generally) with respect to three key issues: malpractice subsidies, charity care, and joint ventures, by reviewing recent OIG opinions and the OIG Work Plan for 2005, and discuss the use of advisory opinions to achieve a business purpose.

Audio CD: $225

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