Structuring Healthcare Management Arrangements: Corporate Practice of Medicine, Regulatory Compliance
Recording of a 90-minute CLE video webinar with Q&A
This CLE course will provide guidance to counsel involved in structuring healthcare management arrangements. The panel will discuss the nuts and bolts of structuring the transaction, including solutions to the specific risks presented by the corporate practice of medicine and fee-splitting issues. The panel will also address regulatory compliance unique to the healthcare industry and compensation issues.
Outline
- Structuring healthcare management arrangements
- Corporate practice of medicine
- Fee-splitting
- Regulatory compliance
- Anti-Kickback Statute
- Stark law
- State laws
- Compensation and FMV considerations
Benefits
The panel will review these and other key issues:
- Anti-Kickback Statute and Stark law compliance
- Practice management and the ban on the corporate practice of medicine
- FMV compensation for management service
Faculty
Khaled John Klele
Partner
Riker Danzig
Mr. Klele provides counsel to a variety of providers, including ambulatory surgery centers, hospitals, laboratories,... | Read More
Mr. Klele provides counsel to a variety of providers, including ambulatory surgery centers, hospitals, laboratories, imaging centers, addiction centers, skilled nursing facilities, urgent care centers and pharmacies. He routinely services his health care provider and pharmacy clients in a variety of areas including negotiating provider agreements and addressing credentialing issues; drafting and negotiating employment agreements or independent contractor agreements and addressing fair market value issues as well as routinely represents health care providers in noncompete actions; creating and advising management services organization; ensuring state and federal healthcare regulatory compliance, including HIPAA and telemedicine; conducting medical billing audits and litigation, hospital audits, payor audits, Medicare and/or Medicaid audits, Medicare appeals, and other health care reimbursement issues including ERISA and out of network claims and reimbursements; representing physicians and other health care professionals before their respective boards for investigations, fair hearings, and disciplinary actions, as well as other licensing matters; and addressing federal and state fraud and abuse issues including anti-kickback and Stark Law Compliance, self-referral issues, Federal False Claims Act, New Jersey Insurance Fraud Act claims, and health care qui tam actions.
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Ashley N. Osak
Principal
Polsinelli
Ms. Osak's practice regularly includes working with hospitals and health care systems to identify and effectuate... | Read More
Ms. Osak's practice regularly includes working with hospitals and health care systems to identify and effectuate strategic affiliations and acquisitions, and to provide guidance on topics such as the corporate practice of medicine, licensure and certification requirements and health information privacy and security. Ms. Osak draws on her previous experience as an associate counsel at a large academic medical center as she assists clients with balancing the business- and legal-needs for each strategic relationship, as well as advising clients on day-to-day health care operations.
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