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Mitigating Regulatory Risk in Healthcare Services Transactions: Reimbursement, Licensure, Fraud and Abuse

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

This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

Conducted on Wednesday, January 20, 2021

Recorded event now available

or call 1-800-926-7926

This CLE course will guide healthcare counsel on mitigating the regulatory risks in healthcare transactions. The panel will address licensure, fraud and abuse, reimbursement, and other regulatory issues that raise potential liability risks. The panel will offer best practices for minimizing risk and ensuring compliance.

Description

Transactions in the healthcare industry involve unique challenges that are not often present when undertaking similar transactions in other industries. Parties to a healthcare transaction should keep in mind certain key considerations related to regulatory compliance as they contemplate and negotiate a transaction.

As a highly regulated industry, parties to any transaction should consider the licenses and permits needed to provide healthcare services. Compliance challenges also arise in reimbursement for services. While some errors in reimbursement submissions may be minor, they could result in significant penalties and repayment liability. Further, fraud and abuse risks exist under federal and state anti-kickback laws and the Stark Law.

As transactions involving healthcare services providers continue to increase, counsel must have a clear understanding of where potential risks arise. Knowing the risks allows counsel to take steps to mitigate and allocate the risk through contract provisions.

Listen as our authoritative panel of healthcare attorneys examines mitigating healthcare transactions' regulatory risks. The panel will address licensure, fraud and abuse, reimbursement, and other regulatory issues that raise potential liability risks. The panel will offer best practices for minimizing risk and ensuring compliance.

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Outline

  1. Key areas of regulatory risk
    1. Reimbursement
    2. Fraud and abuse
    3. Licensure
    4. CARES Act
    5. Compliance programs
  2. Mitigating regulatory risks
    1. Reps and warranties/ reps and warranties insurance
    2. Documentation

Benefits

The panel will review these and other key issues:

  • State and federal AKS and Stark Law risks and compliance
  • Liability risks that arise from a significant failure to meet reimbursement requirements
  • Regulatory requirements relating to retention of healthcare services' licenses or permits

Faculty

Prives, Glenn
Glenn P. Prives

Partner
Greenbaum Rowe Smith & Davis

Mr. Prives concentrates his practice in the areas of healthcare and corporate law.  His experience on behalf of...  |  Read More

Strode, Roger
Roger D. Strode

Partner
Foley & Lardner

Mr. Strode's practice focuses on health care business transactions, including mergers, acquisitions, corporate...  |  Read More

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