Director of Healthcare Consulting and Financial Advisory Mazars USA LLP
Eligible for: ACMPE: 1|ACHE: 1|CEU: 1|CME(AAPC*): 1|CPE: 1.2|PDC: 1|PDU: 1 *MGMA is now offering our full conference for AAPC credit via our partnership with ACCME. Please see the event Continuing Education page for more information.
Traditional |Intermediate | Analysis
In fiscal year 2021, the U.S. Department of Justice recovered more than $5.6 billion from False Claims Act (FCA) cases, marking the second-largest annual total in FCA history. More than $5 billion of these losses involved healthcare industry cases, many of which included Anti-Kickback Statute and Stark Law violations. Aligning provider compensation with regulatory compliance and organizational goals can be a daunting task. Performing a visual risk assessment of provider compensation arrangements is an effective way to keep track of arrangements while also monitoring, managing, and mitigating the risks associated with them. During this interactive presentation, attendees will be introduced to a three-phase risk assessment process and will learn how to incorporate a heat map to assign each provider compensation contract a visual risk assessment score of low, moderate, or high. Heat maps provide decision makers a visual, comprehensive view to share while making strategic decisions.
Learning Objectives:
Break down key medical practice provider compensation laws and regulations.
Discuss fair market value and commercially reasonable provider compensation considerations for medical practices.
Analyze provider compensation arrangements risks using heat map methodology.
