Introduction

Hospital-Physician Contracts and Compliance Clinic

The COVID-19 pandemic and reactions to it by federal and state government agencies have presented a host of new challenges for hospital-physician relationships. On one hand, many regulations were waived to allow flexibility in meeting these new challenges while at the same time, federal and state relief funds had a lot of strings attached and the promise of more government investigations and False Claims Act suits in the future.

But even before COVID-19, there were big changes in the air.

Last October, CMS and the OIG proposed major changes to the Stark and Anti-kickback regulations that reinterpreted fundamental concepts such as fair market value, commercial reasonableness and the volume and value standard. They also established ground rules for dealing with value-based arrangements. Couple that with the likely passage of “price transparency” legislation and the usual Washington shenanigans that typically occur in a Presidential election year, 2020 is going to be one for the record books.

Join faculty Henry Casale and Dan Mulholland for a rundown of these earth-shattering legal developments and, more importantly, suggestions about what you should do about them.

Dates and Locations

November 12 - 14, 2020
JW Marriott Phoenix Desert Ridge Resort and Spa
Phoenix, AZ

Call 1-800-835-6206 to make your room reservations now*.
or
You may book your room online by clicking HERE*.

*Be sure to mention that you're part of the HortySpringer group to get the
discounted room rate of $301 + $20 nightly resort fee. This room rate
discount is available through October 14, 2020 or until the room block is
sold out (whichever comes first).

April 8 - 10, 2021
The Ritz-Carlton, New Orleans
New Orleans, LA

Call 1-800-826-8987 to make your room reservations now*.

Or, you may book your room by clicking here.

*Be sure to mention that you're part of the HortySpringer group to get the discounted room rate of $369 per night.
This room rate discount is available through March 8, 2021 or until the
room block is sold out (whichever comes first).

Topics

The following topics will be discussed in depth:

  • Proposed amendments to Stark and Anti-kickback regulations
  • Value-based arrangements and how to safely structure them
  • Fair market value and commercial reasonableness reimagined
  • Is it OK to track or require referrals?
  • The latest on Employment Contracts and Personal Service Arrangements
  • Do productivity incentives still make sense?
  • Making sure compensation tracks reimbursement rules and modifiers
  • Compensation for AHPs and physicians who supervise them
  • Making sense of the “incident to” and “split share” rules
  • How often should you review physician contracts and compensation?
  • Using artificial intelligence for contract management
  • What’s new with exclusive contracts
  • Using employed physicians as your exclusive provider
  • Update on FCA, Stark and Anti-kickback decisions and settlements

And much much more!

Who Should Attend?

  • Hospital Managers
  • Physician Practice Managers
  • Legal Counsel
  • Physician Leaders
  • Hospital and Physician Practice Board Members

This seminar will take a practical “hands on” approach, not a boring theoretical discussion of legal concepts.

Participation by all individuals is encouraged.  Advance notification of any special needs will help us provide better service.  Please notify us at least two weeks in advance of the program.

Certification

Educational Intent

This program is designed for hospital managers, physician practice managers, physicians who serve in medical staff and hospital leadership positions, and hospital and physician practice Board members.

Upon completion of this program, participants will:

  • understand the fraud and abuse implications of hospital-physician contractual relationships; and
  • understand how to structure financial relationships between hospitals and physicians so that they comply with federal statutes prohibiting payment for referrals.

Continuing Education Credit

In support of improving patient care, this activity has been planned and implemented by the University of Pittsburgh and HortySpringer Seminars. The University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

This activity is approved for the following credit:  AMA PRA Category 1 Credit. Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

The University of Pittsburgh designates this live activity for a maximum of 11.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Category 1 CME Credit

The University of Pittsburgh School of Medicine designates this live activity for a maximum of 11.25 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CEU Credit

Other healthcare professionals are awarded 1.125 continuing education units (CEU’s) which are equal to 11.25 contact hours.

NAMSS Accreditation

This course has been approved for National Association of Medical Staff Services (NAMSS) for up to 11 hours of continuing education credit(s). Accreditation of this educational content in no way implies endorsement or sponsorship by NAMSS.

Presenter Disclosure Statement

In accordance with the Accreditation Council for Continuing Medical Education requirements on disclosure, information about relationships of presenters with commercial interests (if any) will be included in materials distributed at the time of the conference.

Seminar Disclaimer

HortySpringer Seminar Disclaimer Statement:

The information presented at these seminars and the supplementary materials provided to registrants are intended for educational and informational purposes only. Nothing contained therein is to be considered as the rendering of legal advice for specific cases or circumstances. No one should act or refrain from acting on the basis of any information presented at these seminars without seeking the appropriate legal or other professional advice on the particular facts and circumstances at issue from a lawyer practicing as permitted by applicable laws, regulations or rules of professional conduct. No attorney-client relationship is formed by registration for any seminar or the use of the seminar materials.

Registration

Registration fee:

$1,595 Individual

or

$4,950 for a team of four
$1,195 for each additional registrant (after a team of four registration)

We design our programs with a team fee because we found that it usually requires at least three or four Board members or physician leaders to implement changes or to move forward on any particular matter.

You can send a team of four to one seminar in one location, or you can register at multiple locations and for multiple programs.

Included With Registration Fee

  • Online Access to slide text, forms, letters, procedures, suggestions for policy elements and more.

Hotel Reservations

All registrants are responsible for making their own hotel reservations. Special group room rates have been established for Horty Springer registrants. The block of rooms being held for registrants will be released 30 days prior to the seminar. Within 30 days of the program, you may not be able to get rooms or receive the special rate.

Refund Policy

If registration is canceled (and notice of the cancellation is received at least 30 days before the seminar), the registration fee will be refunded, minus a $100 processing fee.

If cancellation is received less than 30 days before the seminar, the registration fee is nonrefundable, but can be applied to another seminar and location within one year.

With notice, you may substitute registrants at any time.

There will be no credit granted for no-shows at the time of the seminar.