Stark Law Violations: Prevention, Detection & Damage Control

Product Id : HE54
Instructor : C. J. Wolf
Nov 15, 2018 1:00 PM ET | 12:00 PM CT | 10:00 AM PT | 60 Minutes

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Overview

It’s common knowledge that Stark Law violations, even those that are unintentional, can invite civil monetary penalties. However, many practice or facility is a potential place for Stark Law violations and some maybe already violating the law without realizing it. Reason being, many healthcare practice and facilities have little knowledge about this complex law.

Small areas that are overlooked such as expired contracts, incorrect ancillary referral, prohibited ownership interest, lack of documentation and related omissions can result in hefty fines. Stark Law violators have to repay all billed charges or even face False Claims Act liability. Even if the errors are unintentional, quick action is critical to stop potential losses when a Stark Law violation is discovered. 

During a Congressional hearing on March 21, 2018, CMS recommended reforms to the Stark Law as the healthcare system transitions towards a value-based model. Though many in the industry feel that the Law is a serious impediment towards value-based care, commercial reasonableness still remains the key motive for enforcement of Stark Law.

This webinar with expert speaker C.J. Wolf will educate you on how to detect signs of potential Stark Law violations in your practice/ facility and how to quickly fix them when detected. You’ll also learn damage control steps when a potentially big Stark Law violation has already occurred and know how to stop potential losses. Many strategies will be shared from recent rules and case law. Finally, you learn when Stark Law doesn’t apply and how to avoid or reduce liability.

Session Highlights

  • Identifying the most common but hidden Stark Law violations
  • Quick fixes for simple errors – Expired agreement, therapy supervision errors, etc.
  • Steps to reducing risk of liability
  • Acting swiftly to prevent losses
  • Stark Law exceptions
  • What can we learn from recent rules and cases
  • Calculating how much you owe to Medicare
  • When to pay to Medicare
  • When to consider extended repayment or self-disclosure

Who Will Benefit

  • Hospitals
  • Physicians
  • Long-term care facilities
  • Medical groups
  • Healthcare consultants
  • Group administrators and managers
Speaker Profile:

C. J. Wolf, MD, M.Ed. has been involved in healthcare for over 20 years beginning with his years in medical school. Early in his career, Dr. Wolf made a change to healthcare administration, reimbursement, and compliance. He has worked in various coding, reimbursement, or Chief Compliance Officer roles for Intermountain Healthcare, the University of Texas MD Anderson Cancer Center, the University of Texas System, and Merit Medical Systems. He currently is Sr. Compliance Executive at Healthicity.

Dr. Wolf has a passion for teaching and education. He has developed and taught curricula for adult employees seeking national coding certifications, trade workshops and seminars, and has served as adjunct faculty for Salt Lake Community College and currently is a faculty at Brigham Young University-Idaho. In addition to his medical degree from the University of Illinois at Chicago College of Medicine, Dr. Wolf holds a master of education (M.Ed.) from the University of Texas at Brownsville. He completed his B.S., magna cum laude, from Brigham Young University, Provo, UT.

He holds the following professional certifications:
AAPC (American Academy of Professional Coders):  CPC (Certified Professional Coder), COC (Certified Outpatient Coder)
HCCA (Health Care Compliance Association):  CHC (Certified in Healthcare Compliance)
SCCE (Society of Corporate Compliance and Ethics):  CCEP (Certified Compliance & Ethics Professional)
IIA (Institute of Internal Auditors):  CIA (Certified Internal Auditor)


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