Understanding Anti-Kickback and Self-Referral Laws for Fair Market Value in Hospital and Physician Transactions

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Description

The government has a remarkable record in prosecuting healthcare fraud. The U.S. Department of Justice (DOJ) has recovered over $29.9 billion through False Claims Act cases since January 2009. More than $18.3 billion recovered were through fraud claims involving federal health care programs. This continued increase in the government’s enforcement actions focusing on the health care industry implies a critical need for health care providers to proactively ensure compliance with the Anti-Kickback Statute, the Physician Self-Referral Law (Stark Law), and other laws governing Medicaid and Medicare fraud and abuse.

One of the issues confronting almost every healthcare-related transaction is Fair Market Value (FMV) determination, which has been disputed in several government litigation and investigations. Unfortunately, many healthcare providers have failed to use FMV as defense in several cases.

In this LIVE Webcast, a panel of thought leaders and professionals assembled by The Knowledge Group will provide the audience with an overview and in-depth discussion of Anti-Kickback and Self-Referral Laws for Fair Market Value involving Hospital and Physician Transactions. Speakers will also offer best practices in developing and implementing compliance policies and procedures.

Key topics include:

  • Anti-Kickback Statute and Self-Referral Law – Overview
  • FMV Compliance Challenges
  • Best Compliance Practices
  • Regulatory Outlook