Fraud & Abuse,Stark & Anti-Kickback Issues

Training Options Duration: 60 Minutes
Friday, September 7, 2018 | 10:00 AM PDT | 01:00 PM EDT

Overview: The presentation will provide an overview of the Federal Stark and Anti-Kickback

laws and corresponding regulations including the history and purpose of these laws. The presenter

will provide the background upon which these laws were determined to be necessary and developed.

The attendees will be provided with an overview and description of the laws, why they were

instituted, what they do and do not cover and who they are and are not applicable to.

Once the basic constructs of the laws themselves are reviewed, the presenter will then go over

the most common exceptions to these laws. Exceptions include specific scenarios in which the law

allows physicians, practices and providers to participate in activities that may otherwise be

deemed prohibited under both laws.

Attendees will learn how these laws are different and why, even though they are different, they

are very often “lumped” together and referred to simultaneously. Moreover, attendees will get a

brief overview of how these laws may interact with other laws and regulations and guidance on how

to interpret similar state laws in the overall context of the federal requirements.

The presenter will go through several common examples of the most frequent scenarios that get

physicians in trouble under these laws including, subleasing, leasing from other physicians,

laboratory partnerships, accepting gifts from colleagues or contractors, contractor agreements

and more!

Do not become a statistic! You are not working hard to build your practice to end up losing it

all – attendance at this webinar will provide a core understanding of what is required of

physicians, health care providers, practices and ancillary services providers and attendees will

leave with a strong understanding of what is good in their practice, and what may need to be

modified immediately.

Why should you Attend: Physicians, health care providers, practice managers and anyone who works

in for or with a medical practice of any kind can gain valuable knowledge about the “red flags”

of fraud. Red flags can be anything from unusually high volume of reimbursement to unclear

division between two separate medical practices functioning in the same space.

Fraud can result in a thriving medical practice suddenly becoming a recipient of the Federal

Prison Retirement Plan and this concerns all members of the practice, not just the physicians. In

recent headlines, we have all seen physicians, laboratory owners, practice managers and billers

being walked out of various offices in handcuffs.

This is not what you want your practice to be famous for. Medical practices, physicians and

health care providers cannot accept payment for referrals, but do you know what the federal

government considers a “payment for a referral”? If you have a sublease that is not in writing,

or is not quite for fair market value, you may be giving/receiving a kickback.If you take a

colleague to lunch and pick up the bill, you may be giving/receiving a kickback. When it comes to

federal law, ignorance is not bliss and is certainly not an excuse or a defense when caught in

the crosshairs of the federal Stark or Anti-kickback laws. Educate yourself and protect yourself.

Areas Covered in the Session:

Federal bases for allegations of healthcare fraud
The Federal Stark Law
The Federal Anti-Kickback Law
Common Scenarios that get providers in trouble
What to do if you realize you are in one of these Common Scenarios

Learning Objectives:
Develop and understanding of the basics of the federal laws prohibiting healthcare fraud
Learn to recognize and eliminate “red flags”
Understand common scenarios that are considered fraud and how to modify these scenarios to be


Who Will Benefit:
Practice Managers
Health Care Providers
Pharmaceutical Representatives
Billing & Coding Professionals
Financial Managers/Advisors
Compliance Officers

Speaker Profile
Gina L. Campanella focuses on healthcare regulatory and transactional matters federally and in

New Jersey, New York and Pennsylvania. Ms. Campanella has assisted clients with transactional

services and regulatory compliance consulting, as well as general counsel services to small

practices and large societies and medical groups alike. Clients also seek her expertise when

reviewing employment agreements, formation of new practices, separation from and sale of

practices, business structuring, and surgical center licensing and registration, including

preparation for Department of Health, AAAHC and AAAASF surveys of licensed and Medicare deemed

facilities, as well as preparation and implementation of resulting plans of correction.

Ms. Campanella graduated Magna Cum Laude from Seton Hall University with a Masters in Healthcare

Administration in 2012 and earned her Juris Doctor from Seton Hall Law in 2005. Ms. Campanella

lectures nationally on issues of health care law and compliance for events and organizations such

as: the New Jersey Association of Osteopathic Physicians and Surgeons, the Atlantic Regional

Osteopathic Conference, the New Jersey Chapter of the American College of Emergency Physicians,

the New Jersey Podiatric Medical Society, the Health Care Compliance Association, the New Jersey

Medical Group Management Association, the New York Medical Group management Association, Columbia

University Medical School, the Advanced Emergency & Acute Care Medicine CME Conference, the

CentraState Medical Center Practice Managers Group, Bassett Medical Center Medical Staff, the New

Jersey State Society of Physician Assistants, Mentor Health and Skillacquire.

Ms. Campanella has been admitted to practice law in the State of New Jersey and United States

District Court for the District of New Jersey since 2006, the District of Columbia since 2013,

the State of New York since 2013 and the State of Pennsylvania since 2017. Ms. Campanella was

recognized by New Jersey Super LawyersTM as a Rising Star in 2014, 2015, 2017 and 2018, a “Best

of Bergen” attorney by Bergen Magazine in 2017, and is recognized by AVVO as a Clients’ Choice

Attorney in 2016, 2017 and 2018 with an AVVO rating of “10 out of 10”.* Her additional

certifications include earning the status of Certified HIPAA Administrator from the HIPAA Academy

and she is a Fellow in the American College of Healthcare Executives.

Price – $139

Contact Info:
Netzealous LLC – MentorHealth
Phone No: 1-800-385-1607
Fax: 302-288-6884
Email: [email protected]
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Event Details

Registration is closed for this event.

Maurice Gilbert

Maurice Gilbert founded Corporate Compliance Insights in December 2008 to further the discussion and professional knowledge exchange of important, forward-thinking corporate governance, risk and compliance topics.

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