Auditing Physician-Third Party Relationships Amid Heightened Scrutiny and Enhanced Penalties

Assessing Arrangements for Stark, AKS, FCA and FERA Compliance, Mitigating Risks and Liabilities

Recording of a 90-minute CLE webinar with Q&A

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Conducted on Thursday, January 8, 2015

Recorded event now available

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Course Materials

This CLE course will provide guidance to healthcare counsel on the regulatory requirements for physician relationships with third parties under the Stark law, Anti-Kickback Statute (AKS), False Claims Act (FCA) and Fraud Enforcement and Recovery Act (FERA). The panel will discuss best practices for conducting an effective internal audit of physician relationships and responding to the audit results, as well as offer guidance to minimize liability for noncompliant physician relationships.

Description

Physician contracts must be carefully structured and monitored to ensure compliance with federal law. Physician relationships should also be audited and reviewed to ensure they will withstand heightened regulatory scrutiny and to avoid enhanced penalties and liabilities.

Typical physician relationships that should be reviewed include space and equipment rentals; employment relationships; medical directorships; physician ownership in group practices, ambulatory surgery centers, and imaging centers; and physician compensation arrangements with medical device manufacturers.

Conducting audits of physician relationships is an important element to ensure compliance. It is critical for healthcare counsel and providers to understand the steps necessary to conduct an effective audit of physician relationships as well as respond to the results of those audits.

Listen as our panel discusses regulatory requirements under the Stark law, AKS, FCA and FERA for physician relationships with third parties. The panel will discuss tactics for conducting an effective internal audit of physician relationships and responding to the audit results. The panel will offer guidance to minimize liability for noncompliant physician relationships.

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Outline

  1. Regulatory requirements and exceptions
    1. Stark Law
    2. AKS
    3. FCA
    4. FERA
  2. Physician relationship audit process
  3. Responding to audit results
  4. Minimizing liability for noncompliant relationships

Benefits

The panel will review these and other key issues:

  • The audit process for review of physician relationships
  • Issues to consider when responding to audit results
  • Guidance for minimizing liability for noncompliant physician relationships

Faculty

Grizzle, Anna
Anna M. Grizzle
Member
Bass Berry & Sims

Ms. Grizzle focuses her practice on representing healthcare providers and companies in operational and compliance...  |  Read More

Alice Keith Moore
Alice Keith Moore
Assistant General Counsel
Novant Health

Ms. Moore provides legal advice on a broad array of business and regulatory issues. Her role requires her to routinely...  |  Read More

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