Stark Compliance Audits in Hospital-Physician Arrangements

Duration: 60 Minutes
Instructor: Joseph Wolfe
Webinar Id: 800565


One Attendee


This webinar will focus on the major fraud and abuse laws, including the Stark Law, the Anti-Kickback Statute, and the False Claims Act. Mr. Wolfe will discuss best practices to minimize liability exposure and penalties, including conducting compliance audits, instituting policies, and establishing ongoing monitoring and reviews. An understanding of the fraud and abuse laws and these best practices will be critical as providers navigate their organizations through this perfect storm.

Why should you Attend: 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.

These health care organizations, independent, hospital and system-affiliated groups in particular, should evaluate 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, etc.) in case their physician compensation arrangements are ever challenged.

Areas Covered in the Session:

  • Provide a general overview of the Stark Law, Anti-Kickback Statute and the False Claims Act.
  • Explain the requirements for compliance with key regulatory exceptions and safe harbors.
  • Discuss recent enforcement trends, self-disclosure and other hot topics.
  • Discuss the audit process and how to resolve issues that may arise during the audit process.

Who Will Benefit:
  • In-House Counsel
  • Health Care Compliance Officers
  • Health Care Practice Managers
  • Health Care CFOs
  • Health Care executives

Speaker Profile
Joseph Wolfe is an attorney with Hall Render, the largest healthcare-focused law firm in the country. Mr. Wolfe supports high-performing hospitals, health systems, medical groups, and other healthcare organizations nationwide on complex financial, legal, regulatory, and strategic issues both as a consultant and attorney, depending on the scope of support, client preference, and need. He is a frequent speaker for most of the national healthcare trade associations and has given over 200 in-person, web-based, and podcast presentations in recent years. He is the leader of Hall Render’s healthcare regulatory practice group and currently serves as the vice chair of educational programming for the American Health Law Association’s Fraud & Abuse Practice Group. He is licensed as an attorney in both Florida and Wisconsin.

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