CMS has proposed new “safe harbors” that prevent providers from being prosecuted for violating the Medicare fraud and abuse or anti-kickback statute if they are fully compliant. Further, the proposed rules provide hints on how to lessen regulatory risk even as to activities that don’t fully come within safe harbor protection.
Taken as a whole, the regulations impact arrangements where “perks”, courtesies or fee reductions are offered among providers or to patients. For example, they modify standards involving discounts offered in connection with services. They address such items as free transportation and cost sharing waivers, as well as offering coupons or other freebies to patients and to suppliers. Also, recent OIG opinions provide insight into these issues.
In this 60-minute webinar, expert speaker Wayne J. Miller, Esq. will address the new F&A safe harbor rules and recent OIG decisions and their implications for health care providers. Medical practices and facilities need to re-evaluate their approach to discounts, cost waivers and gratis services based on the new rules. Many providers, for example, do not have clear policies regarding patient cost “write offs”. Alternatively, facilities may utilize the new standards to determine when it is appropriate to offer courtesies, including the permitted types and value of free items and transportation offered to patients.
Topics to be discussed :
Who should attend
Billers, coders, practice managers, physicians, medical groups, and health care facilities
Wayne J. Miller, Esq., is a founding partner of the Compliance Law Group, Los Angeles, a law firm focused on health care industry legal compliance for clients nationwide. Wayne has practiced healthcare business and regulatory law throughout his 30-year career. His firm represents a wide range of healthcare industry clients throughout the nation. He is a frequent speaker for The Coding Institute national teleconferences on healthcare reimbursement, transactional and regulatory...
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