Reducing Patient Leakage by Directing Physician Referrals, AKS Safe Harbors, and Stark Law Exceptions
Recording of a 90-minute CLE video webinar with Q&A
This CLE course will guide healthcare counsel on combatting patient leakage. The panel will discuss whether and how healthcare systems are currently using directed referral requirements. The panel will also address how to implement referral requirements in compliance with the Stark Law. The panel will offer best practices for healthcare systems interested in using, monitoring, and enforcing directed referral requirements. The panel will also address safe harbors to the AKS and exceptions to the Stark Law to incentivize physicians to achieve health outcomes.
Outline
- Directed referral requirements
- Whether and how to use
- Implementation in compliance with healthcare regulations
- Best practices
- Using directed referral requirements
- Monitoring directed referral requirements
- Enforcing directed referral requirements
- AKS safe harbors and Stark exceptions
Benefits
The panel will review these and other key issues:
- How can healthcare systems use directed referral requirements to minimize patient leakage?
- How can directed referral requirements be implemented in compliance with the Stark Law?
- What best practices should hospitals and healthcare systems employ to monitor and enforce directed referral requirements?
Faculty
Karen S. Lovitch
Chair, Health Law and Health Care Enforcement Defense Practices
Mintz
Ms. Lovitch counsels clients on regulatory, transactional, and operational issues, including Medicare coverage and... | Read More
Ms. Lovitch counsels clients on regulatory, transactional, and operational issues, including Medicare coverage and reimbursement, the development and implementation of health care compliance programs, and licensure and certification matters. In addition, she advises clients on the legal, practical, and fraud and abuse implications of business arrangements.
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Rachel E. Yount
Of Counsel
Mintz Levin Cohn Ferris Glovsky and Popeo
Ms. Yount’s practice involves a variety of regulatory, compliance, and transactional matters for a broad range... | Read More
Ms. Yount’s practice involves a variety of regulatory, compliance, and transactional matters for a broad range clients across the healthcare industry, including healthcare systems, managed care organizations, pharmacies, device and pharmaceutical manufacturers, long-term and post-acute care providers, and private equity firms investing in the health care industry. She is particularly well versed in the federal anti-kickback statute, the Stark Law, state fraud and abuse laws, beneficiary inducement prohibitions, provider-based rules, Medicare and Medicaid program requirements, and the federal Physician Payments Sunshine Act. Ms. Yount regularly advises clients on the regulatory framework for value-based healthcare, including new and evolving CMS-sponsored payment models (e.g., ACO REACH, Medicare Shared Savings Program, Kidney Care Choices). She is particularly adept at assisting healthcare companies in navigating the anti-kickback statute safe harbors and Stark Law exceptions for value-based care. Ms. Yount is frequently invited to speak on healthcare fraud and abuse, compliance, and other health law matters.
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