Auditing Physician Contracts Under the New Stark Rules

CMS recently finalized a number of significant changes to the Stark Law for the 2016 calendar year. Now that these changes have gone into effect, health care organizations should be monitoring and auditing their existing arrangements to ensure they are compliant with Stark's technical requirements and key tenets of defensibility (e.g., fair market value, commercial reasonableness, and not taking into account designated health service referrals) in case their physician arrangements are ever challenged.

In this session Mr. Wolfe will provide an overview of the Stark Law and its 2016 changes. He will also discuss best practices for implementing and auditing physician compensation arrangements to minimize liability exposure and penalties, including conducting compliance audits, instituting policies, and establishing ongoing monitoring and review processes.

Given the substantial awards and settlements in recent Stark Law enforcement actions, Stark Law compliance has become more than just a compliance issue: it is an enterprise risk management issue. As medical groups, hospitals, and health systems pursue integration strategies and transition to more innovative hospital-physician arrangements, these organizations must manage their compliance and enterprise risk by ensuring their compensation arrangements are defensible under the Stark Law.

• Provide a general Stark Law Overview
• Explain the requirements for compliance with key regulatory exceptions
• Summarize the recent changes to the Stark Law for 2016
• Discuss the audit process and how to resolve issues that may arise during the audit process

This webcast will be of a valuable assistance to the below audience.

• In-House Counsels
• Health Care Compliance Officers
• Health Care Human Resources
• Health Care CFOs
• Health Care executives