Introduction

Hospital-Physician Contracts and Compliance Clinic

The Government has dramatically escalated healthcare fraud enforcement. Predictive data analytics is now being used to ferret out improper billing and kickbacks. Hospital 990s are routinely scanned by potential whistleblowers to target hospitals with highly compensated physicians. The newly formed National Fraud Enforcement Division will turn up the heat even more. Settlements of False Claims Act cases or self-disclosures based on alleged Stark Law violations often top $10 million or more.

And if that isn’t enough to keep you up at night, the rules are getting more complicated. Among other things, CMS is requiring that all off-campus hospital outpatient departments re-attest that they comply with the provider-based billing rules by January 1, 2028. No small task, especially for large systems but also for small hospitals. But if you don’t start reviewing for compliance with the provider-based rules, you could be in for a rude awakening. One hospital recently paid $14.3 million in connection with physician services at an off-campus provider-based clinic.

At HortySpringer’s Hospital-Physician Contracts and Compliance Clinic, these and other issues will be examined in detail, such as:

What’s new?

  • The coming PB Apocalypse – New rules for off-campus provider-based departments
  • AI powered government and payor audits
  • A new sheriff in town – the National Fraud Enforcement Division
  • Will proposed visa fees raise the cost of your physician group?

The Fundamentals

  • Basic rules for hospital-physician contracts
  • Physician employment contracts
  • Personal services agreements
  • Exclusive contracts and closed specialties
  • ED Call pay
  • APP compensation and supervision

How to Stay of Trouble

  • False Claims Act developments
  • Recent Stark Law enforcement actions
  • How to correct a Stark violation
  • Self-disclosure options

Join attorneys Dan Mulholland, Henry Casale, and Fisher Filippazzo in Las Vegas for practical, real-world advice on how to deal with the increasingly complex world of contracts and compliance and, more importantly, how to stay out of trouble.

Dates and Locations

November 5 - 7, 2026
 Caesars Palace
 Las Vegas, Nevada

Book your room by using our discounted room rate by clicking HERE.

Topics

The following topics will be discussed in depth:

What’s new?

  • The coming PB Apocalypse – New rules for off-campus provider-based departments
  • AI powered government and payor audits
  • A new sheriff in town – the National Fraud Enforcement Division
  • Will proposed visa fees raise the cost of your physician group?

The Fundamentals

  • Basic rules for hospital-physician contracts
  • Physician employment contracts
  • Personal services agreements
  • Exclusive contracts and closed specialties
  • ED Call pay
  • APP compensation and supervision

How to Stay of Trouble

  • False Claims Act developments
  • Recent Stark Law enforcement actions
  • How to correct a Stark violation
  • Self-disclosure options

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.

Category 1 CME Credit

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.

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.

Learning Objectives

Learning Objectives:

  • Identify recent laws and legal trends such as the No Surprises Act and Telemedicine and discuss best practices for Hospitals and their physicians to comply.
  • Discuss laws that govern or impact hospital-physician contractual relationships and learn how to effectively manage those legal issues.
  • Define the benefits of having contractual language that addresses compensation issues with physicians and other practitioners.

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.

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 Pricing:

$1,695/attendee

Please note that registration is not guaranteed until payment is received in full.  Past due invoices 60+ are subject to attendee(s) not getting into selected course.

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 HortySpringer registrants. The special group rate rooms are available until 30 days from the seminar date, or until the room block sells out, whichever comes first.

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 per person 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.