Anti-Kickback Statute

Description:

Every week the U.S. Attorney’s Office publishes press releases of providers who are being indicted, convicted, and sentenced for kickbacks. Kickbacks are not as easy to spot as you might think. Relationships often appear to be legitimate to the provider, but the government views them as illegal. Kickbacks take all sorts of forms. Most kickbacks are not brazen cash payments in a shoe box. On the contrary, most transactions prosecuted as kickbacks appear on the surface to be legitimate. For example, in the past 18 months alone, providers have been prosecuted for setting up MSOs, engaging in research studies, executing consulting agreements, being participants in research studies, entering into marketing agreements, creating charitable foundations, being speakers for vendors, signing prescriptions for telehealth companies, hiring-related individuals, providing gift cards, making lab referrals, and paying marketing commissions. None of these involved sneaky under-the-table cash payments. They were all designed to appear to be legitimate transactions. What about meals brought to the office? Are those kickbacks? What about gifts to referral sources? Are there amounts that can be legitimately given? Additionally, a new kickback statute was recently adopted, EKRA (Eliminating Kickbacks in Recovery Act), which expands kickbacks beyond just Medicare and Medicaid, and extends illegal kickbacks involving clinical laboratory services to commercial insurer claims. EKRA carries a 10-year incarceration term and addresses how you can pay both your employees and the 1099 sales team for the business they generate. New cases are starting to be litigated under EKRA, and those will be covered in this webinar. Additionally, there are numerous safe harbors under the kickback statute, such that if you legitimately fit within a safe harbor, the government is precluded from prosecuting you. Those safe harbors will be explored in this webinar. So, if you want to learn about the recent kickback transactions the Government is targeting, the new EKRA statute, and the safe harbors to protect you, this is the webinar for you.

Learning Objectives:

• Learn what kickback transactions are being targeted most often
• Learn the actual verbiage of the kickback statute
• Learn the safe harbors to protect you from getting indicted
• Learn the contracts that appear legitimate but that the Government ignores
• Learn about the new EKRA statute
• Learn about the recent EKRA cases
• Learn how long you spend in prison for kickback violations
• Learn about the fines and penalties that can be assessed in addition to incarceration

Areas Covered in the Session:

• The kickback statute
• The new EKRA statute
• Recent kickback cases
• Recent EKRA cases
• Safe harbors to protect you
• Length of incarceration
• Amount of financial penalties
• Gifts
• Vendor meals
• Live Q&A Session

Suggested Attendees:

• Medical providers, who are involved in the payment process of their practice
• C-level executives
• Office staff and Billing Managers
• Medical Billing Companies
• Hospital Revenue Cycle Staff
• Physician
• Nurses
• Physician Assistants
• Nurse Practitioners
• Medical Assistants
• Practice Manager
• Office Managers
• Billers
• Coders
• Auditors
• CDI Specialists
• Collection Staff
• Front Desk
• IT Specialists
• HIPAA Privacy and Security officers.
• Compliance Officers
• Telemedicine System Vendors
• Patient Accounts Personnel
• Medical record supervisors
• Health Information Management Administrators and Technicians
• Other Personnel Interested in Billing Privileges with the Medicare Program

Other Related Webinars:

• Mastering E/M Coding Changes & Telehealth Billing for 2022
• No Surprise Act: Balance Billing Rules and Out-Of-Network Rule

About the Presenter:

David Vaughn, JD, CPC is one of the top healthcare attorneys in the United States who is the founding member of Vaughn & Associates, LLC. He graduated from Mississippi College with Special Distinction (Magna Cum Laude) in 1974, graduated from LSU Law School in 1977, and has been a certified coder since 1999. David has served on the Legal Advisory Board of the AAPC and has written several coding and compliance books and manuals. He is also a national speaker on the legal implications of billing and coding. He also has a national healthcare law practice and has represented over 2,000 physicians in approximately 40 states in over 10 physician disciplines. His practice consists of representing providers in federal and state prosecutions, qui tam cases, and Medicare and third-party payer audits. He also conducts audits and provides education to providers.

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement Operating System: Windows any version preferably above Windows Vista & Mac any version above OS X 10.6

Internet Speed: Preferably above 1 MBPS

Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live? No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience.

For more information you can reach out to the below contact: Toll-Free No: 1-302-444-0162 Email: support@skillacquireupdate.com