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About the Course
Introduction
This CLE course will guide healthcare counsel on mitigating the regulatory risks in healthcare transactions. The panel will address licensure, fraud and abuse, reimbursement, and other regulatory issues that raise potential liability risks. The panel will offer best practices for minimizing risk and ensuring compliance.
Description
Transactions in the healthcare industry involve unique challenges that are not often present when undertaking similar transactions in other industries. Parties to a healthcare transaction should keep in mind certain key considerations related to regulatory compliance as they contemplate and negotiate a transaction.
As a highly regulated industry, parties to any transaction should consider the licenses and permits needed to provide healthcare services. Compliance challenges also arise in reimbursement for services. While some errors in reimbursement submissions may be minor, they could result in significant penalties and repayment liability. Further, fraud and abuse risks exist under federal and state anti-kickback laws and the Stark Law.
As transactions involving healthcare services providers continue to increase, counsel must have a clear understanding of where potential risks arise. Knowing the risks allows counsel to take steps to mitigate and allocate the risk through contract provisions.
Listen as our authoritative panel of healthcare attorneys examines mitigating healthcare transactions' regulatory risks. The panel will address licensure, fraud and abuse, reimbursement, and other regulatory issues that raise potential liability risks. The panel will offer best practices for minimizing risk and ensuring compliance.
Presented By
Mr. Prives is a seasoned health care and corporate shareholder based in Baker Donelson's Metropark (Iselin), New Jersey office, recognized for his in-depth knowledge and proven success in navigating the intricate regulatory landscape of the health care industry for his national client base. With a reputation for practical, results-driven solutions, he excels at managing high-stakes transactions and negotiating complex deals that align with his clients' goals. Mr. Prives extensive experience spans critical areas such as hospital-physician alignment, mergers and acquisitions, private equity transactions, joint ventures, strategic alliances, due diligence reviews, licensure matters, and health care information technology. He is also experienced in health care compliance, providing guidance on key regulatory matters, including the Stark Law, the Anti-Kickback Statute, HIPAA, and the corporate practice of medicine doctrine. Mr. Prives serves a diverse health care client base, representing both for-profit and not-for-profit health systems, physician groups, academic medical centers, ambulatory surgery centers (ASCs), home health agencies, laboratories, telemedicine companies, medical billing companies, dental groups, and substance abuse centers. His experience also extends to advising private equity firms, investment funds, family offices, and investors in the health care sector.
Mr. Strode's practice focuses on health care business transactions, including mergers, acquisitions, corporate restructurings and joint ventures, general corporate matters and health care regulation. His experience includes the representation of institutional health care providers, large physician groups, specialty providers (ASC development organizations), health care private equity firms and industry consultants. He participated as lead counsel in numerous health care and corporate transactions, including the purchase and sale, or transfer of sponsorship of hospitals, health systems, physician practices and health maintenance organizations; the formation of specialty hospitals; and the formation of ancillary services joint ventures.
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This 90-minute webinar is eligible in most states for 1.5 CLE credits.
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Live Online
On Demand
Date + Time
- event
Wednesday, January 20, 2021
- schedule
1:00 p.m. ET./10:00 a.m. PT
- Key areas of regulatory risk
- Reimbursement
- Fraud and abuse
- Licensure
- CARES Act
- Compliance programs
- Mitigating regulatory risks
- Reps and warranties/ reps and warranties insurance
- Documentation
The panel will review these and other key issues:
- State and federal AKS and Stark Law risks and compliance
- Liability risks that arise from a significant failure to meet reimbursement requirements
- Regulatory requirements relating to retention of healthcare services' licenses or permits
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