Physician Payments Under PPACA's Sunshine Provisions and State Law

Meeting the Challenges of Healthcare Reform's Reporting Requirements

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

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Conducted on Wednesday, October 6, 2010

Recorded event now available

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Course Materials

This CLE course will provide guidance for healthcare counsel on the new reporting requirements of the physician payment provisions under the new healthcare reform law. The panel will outline best practices to meet the challenges of complying with both federal and state transparency reporting requirements.

Description

Healthcare reform ushered in reporting of payments to physicians and teaching hospitals by drug, medical device, biological or medical supply manufacturers. Under the Patient Protection and Affordable Care Act's Physician Payment Sunshine (PPS) provisions, payments or transfers must be disclosed.

States are also scrutinizing physician payments, and Vermont and Massachusetts recently established payment reporting requirements. The PPS provisions preempt duplicative requirements but do not prohibit states from requiring additional or different information reporting.

Civil penalties will apply for failure to report as required. In addition, the information reported will be made available on a public searchable website. Companies and counsel must plan and implement procedures to ensure compliance with both federal and applicable state law.

Listen as our authoritative panel of experienced healthcare attorneys examines the new reporting requirements for payments to physicians and teaching hospitals under PPACA, reviews what is required by the states, and offers best practices for meeting federal and state requirements.

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Outline

  1. PPACA requirements
    1. Who’s covered
    2. What must be reported
    3. What’s excluded
    4. Definitions
    5. Timeline
    6. Physician ownership reporting
  2. State requirements
    1. New states legislations
    2. States requiring more than the PPACA
    3. Exemption from PPACA
  3. Best practices to comply with federal and state law

Benefits

The panel will review these and other key questions:

  • What must be reported under the new PPACA transparency reporting requirements for physician payments?
  • What are the exemptions to the new reporting requirements?
  • What steps should companies and counsel take to ensure compliance with the new federal reporting requirements and state requirements?

Following the speaker presentations, you'll have an opportunity to get answers to your specific questions during the interactive Q&A.

Faculty

Donald H. Romano
Donald H. Romano
Partner
Arent Fox

He focuses on physician self-referral (Stark) anti-kickback matters and Medicare reimbursement issues affecting...  |  Read More

Ann DesRuisseaux
Ann DesRuisseaux
Principal
GlobalComplianceStrategies.com

She previously served as Assistant General Counsel with DaVita; Senior Compliance Counsel and Acting Chief Compliance...  |  Read More

Kathleen McDermott
Kathleen McDermott
Partner
Morgan, Lewis & Bockius

She is a former Assistant U.S. Attorney and DOJ Health Care Fraud Coordinator and represents various health industry...  |  Read More

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