Introduction

Hospital-Physician Contracts and Compliance Clinic

What’s New in Contracts and Compliance? Not much except…

  • The COVID Public Health Emergency ended, meaning that the Stark and Anti-kickback rules will now once again be strictly enforced.
  • The Supreme Court just issued a landmark opinion defining “knowledge” in the context of the False Claims Act.
  • A number of states are now reviewing physician practice acquisitions.
  • 75% of all physicians are now employed. When questions arise with regard to the competence, behavior or health of an employed physician, should you follow your HR policies or the medical staff bylaws?
  • Even more APPs are becoming employed. What are the rules for paying them and the physicians who supervise or collaborate with them?

… and that just scratches the surface!

Join Henry Casale, Dan Mulholland and Hala Mouzaffar to learn about these and other challenges that will affect your physician contracts and compliance efforts in today’s Brave New World.

Topics

The following topics will be discussed in depth:

    • No Surprises Act
    • Telemedicine Dos and Don’ts
    • Latest Stark and Anti-kickback regulations
    • Physician compensation including productivity incentives – fair market value and commercial reasonableness reimagined
    • Compensation for AHPs and physicians who supervise them
    • Is it okay to track or require referrals?
    • The latest on Employment Contracts and Personal Service Arrangements
    • Making sure compensation tracks reimbursement rules and modifiers
    • 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
    • Using employed physicians as your exclusive provider
    • Update on FCA, Stark and Anti-kickback decisions, settlements and ways to correct mistakes
    • And much, much more!

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.

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 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.

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 Pricing Tier:

$1,695/person for 1-3 attendees
$1,450 for each additional registrant
(Attendees must attend the same seminar location and be from the same hospital to receive the discounted rate)

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 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 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.