In this episode, Let’s Talk Compliance Hosts Jana Kolarik a partner of Foley’s Health Care Practice Group and PYA principal Angie Caldwell, discuss physician compensation plans and the latest trends in physician compensation...more
As part of our work with clients and preparing for Let’s Talk Compliance events, we often notice trends through the questions we receive. The following physician compensation compliance topics are currently trending....more
Although most health care lawyers and compliance officers who review and analyze physician compensation understand that fair market value (FMV) is important, the nuances around FMV are sometimes missed....more
8/13/2024
/ Anti-Kickback Statute ,
Audits ,
Chief Compliance Officers ,
Compensation ,
Compliance ,
Corporate Integrity Agreement ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Fair Market Value ,
Healthcare ,
Medical Coding ,
OIG ,
Physician Payments ,
Stark Law ,
Valuation
In its November 2023 Proposed Rule and in its recently issued Final Rule that will be published in the Federal Register later this month, the Centers for Medicare & Medicaid Services (CMS) addressed concerns related to agent...more
4/23/2024
/ Brokers ,
Centers for Medicare & Medicaid Services (CMS) ,
Compensation ,
Contract Renewal ,
Enrollment ,
Fraud and Abuse ,
Health Insurance ,
Medicare Advantage ,
Medicare Part D ,
OIG ,
Proposed Rules ,
Public Health Insurance Marketplace ,
Risk Management
Editor’s Note: PYA and Foley & Lardner hosted the 6th Annual “Let’s Talk Compliance” two-day Virtual Conference on January 18 and 19, 2024. Panelists included Foley & Lardner attorneys and PYA experts. The event was hosted by...more
2/19/2024
/ Artificial Intelligence ,
Collaboration ,
Compensation ,
Compliance ,
Ethics ,
Fair Market Value ,
Governance Standards ,
Health and Safety ,
Health Technology ,
Healthcare ,
Internal Controls ,
Machine Learning ,
OIG ,
Physicians ,
Privacy Laws ,
Regulatory Requirements ,
Value-Based Payments
Based on recent changes and clarifications made by the Centers for Medicare and Medicaid Services (CMS) in the Federal Physician Self-Referral Law (commonly known as the “Stark Law”), hospitals and health systems need to...more
CMS made impactful changes to the Federal physician self-referral law’s (i.e., Stark Law’s) regulations in its Final Rule that were effective January 19, 2021 (with the exception of the changes to 42 C.F.R. § 411.352(i) that...more
CMS made impactful changes to the Federal physician self-referral law’s (i.e., Stark Law’s) regulations in its Final Rule that were effective January 19, 2021 (with the exception of the changes to 42 C.F.R. § 411.352(i) that...more
1/21/2021
/ Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
Commercially Reasonable Efforts ,
Compensation ,
Cybersecurity ,
Final Rules ,
Physicians ,
Remuneration ,
Stark Law ,
Value-Based Care ,
Value-Based Payments