Introduction

Hospital-Physician Contracts and Compliance Clinic

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

  • Earlier this year, CMS and the OIG published massive changes to the Stark and Safe Harbor regulations, including how fair market value can be calculated.
  • Then earlier this month, CMS issued more changes to the Stark regulations – effective January 1 – that, among other things:
  • “clarify” the definition of indirect compensation arrangements;
  • expand the exception for Preventive Screening Tests, Immunizations, and Vaccines to cover COVID-19 vaccines; and
  • update the list of CPT and HCPCS codes that are designated health services.
  • The Surprise Billing Rules also go into effect on January 1. Have you reviewed your physician contracts yet to see if you can comply?
  • On November 8, the OIG published updates to its Health Care Fraud Self-Disclosure Protocol for the first time in 8 years, which now include minimum settlement amounts.
  • The 2022 Physician Fee Schedule Regulations are chock full of new rules, including billing for services of physician assistants, split/share visits and E&M codes.
  • There are also new rules on processing and revoking Medicare provider and supplier enrollment.

… and that just scratches the surface!

Join Henry Casale, Dan Mulholland and Mary Paterni in Naples on January 27-29, 2022 to learn about these and a whole lot of other compliance challenges that will affect your physician contracts and operations in today’s Brave New World.

Topics

The following topics will be discussed in depth:

    • Learning to live with the Surprise Billing Rules
    • How the COVID vaccine mandates can affect employed or contract physicians
    • Recent amendments to the Stark and Anti-kickback regulations
    • Value-based arrangements and how to safely structure them
    • Fair market value and commercial reasonableness reimagined
    • Is it okay 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
    • Significant changes to 2022 Medicare physician fee schedule rules
    • Exclusive and employee-only specialties
    • Recent FCA, Stark and Anti-kickback decisions and settlements

And 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
(Your team must attend the same seminar location to receive the team rate. Split locations cannot receive this rate.)

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

We offer our programs with a team fee because we find 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.

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.