Navigate Contracting Amid Health Care Fraud Regulations

Presented on:
February 2, 2021 9:00 AM PT
Duration:
1 hour, 30 minutes
Location:
Online

At some point, all health care organization must determine how to monitor and complete internal audits of referral source contracts—both proactively and during an investigation.

To help you prepare, our on-demand webcast will provide a brief background of the False Claims Act, Stark Law, Anti-Kickback Statute, and the emerging importance of the Eliminating Kickback in Recovery Act of 2018.

We’ll discuss how each of these can affect fair market value, physician contracts, remuneration, and other risk areas. In addition, we’ll cover how to complete internal audits of physician payments proactively. Case examples will be given addressing specific risks, ideas on how to avoid them, and insight on how to tackle focused and random internal audits.

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Speakers

Lawrence Vernaglia, Partner, Foley & Lardner

Lawrence Vernaglia, Partner and Former Health Care Industry Team Department Chair, Foley & Lardner. Lawrence Vernaglia is a partner and health care lawyer with Foley & Lardner LLP where he is the department chair for the firm’s Industry Teams Department, responsible for overall strategy and leadership across all industry teams. Prior to that, he served for eight years as chair of the firm’s Health Care Industry Team.

Jim Passey, Vice President, Honor Health

Jim Passey serves as the Vice President, Chief Audit & Compliance Officer for HonorHealth, a 6-hospital integrated delivery system serving the greater Phoenix area. Mr. Passey is an experienced executive with over 30 years in the health care industry. He has served in such areas as compliance, privacy, internal audit, risk management, business development and as a hospital administrator.

Lori Laubach, Partner, Moss Adams

Lori has been in health care consulting and public accounting since 1991. She has experience consulting for the private sector and not-for-profit organizations, including regulatory compliance program development and monitoring for integrated hospitals, multi-specialty clinics, single specialty clinics, mental health centers, and community health centers; forensic reviews; operational and revenue bench-marking projects; revenue cycle assessments; operational reviews; and risk assessments of physician groups and integrated systems.

Calvin Swartley, Managing Director, Moss Adams

Calvin Swartley has provided valuation services since 1998. He provides valuation consulting for business succession, purchase or sale, allocation of purchase consideration, option issuance pricing, buy/sell agreement requirements, shareholder disputes, and testing for Goodwill Impairment for fair value reporting, corporate planning, joint ventures, marital dissolution, and estate and gift reporting. He analyzes and values operating companies, limited liability companies, intangible assets, options and warrants, notes receivable, contracts of sale, preferred stock, and family limited partnerships for a variety of purposes.

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Applicable Industries

Ancillary Health Care ServicesHospitalsLong-Term CareMedical Groups & Physicians