Beard Audio Conferences

2009 Physician Fee Schedule Proposed Rule

What Providers Need to Know to Prepare for the Changes

Location: Your office or conference room (no need to travel!)

Date : Audio CD Available

Time(s):

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Hosted By : Beard Group Law and Business Publishers and Nightingale's Healthcare News

This conference will include:

CMS has proposed changes to the Anti-Markup Rule, Gainsharing, and other provisions affecting physicians who offer imaging services. Learn directly from CMS and top legal analysts how these developments could impact your bottom line.

After more than a year of mixed signals and a flood of public comments, CMS has proposed significant changes to the purchased diagnostic test rule, also known as the Anti-Markup Rule.

In its proposed 2009 Physician Fee Schedule released June 30, CMS outlines two alternatives that would NOT apply the rule to diagnostic testing services provided by a physician who shares a practice with a single physician or physician organization. The new rules also clarify certain key terms and concepts including what constitutes the office of the billing physician or other supplier and who is an outside supplier.

Moreover, the new proposed rules outline a ground-breaking Stark Law exception for gainsharing, pay-for-performance, and other incentive payment and shared-savings programs offered by hospitals.

Purchase this Audio CD (recorded late July 2008) and let a trio of the nations leading healthcare attorneys along with senior CMS representatives Donald Romano and Lisa Ohrin explain the proposed new rules, answer your questions, and get you and your colleagues up to speed on the changes. Youll examine

How the two new anti-markup proposals compare common themes and key differences
Whos covered by the rules, and when would they take effect
Clearer definitions of site of service as the continuing controversial factor in determining markup
Other new CMS definitions impacting physician organizations such as professional corporations or medical groups
Possible exceptions, including some hub and spoke arrangements
Effect of employment status of test performers including independent contractors and part-time employees
CMSs latest thinking on calculating net charges and allowing some overhead cost recovery
New Stark Law exception for gainsharing and other incentive programs
Changes to incentive program enrollment rules for physicians, non-physician practitioners, and independent diagnostic testing facilities
Existing arrangements that could require restructuring
CMS insights and perspectives about the proposed new rules

Who Will Benefit:
Any provider of diagnostic ancillary services (including both imaging and lab) and managers, compliance personnel, in-house counsel, accountants, and other consultants involved in diagnostic ancillary services.

Speaker(s):

	Donald H. Romano Centers for Medicare and Medicaid Services (CMS)
Donald Romano is the Director of the Division of Technical Payment Policy within the Center for Medicare Management, Centers for Medicare & Medicaid Services (CMS). His division is responsible for, among other areas, the agency's administration of the Stark law. Previously, he was a Senior Attorney in the Office of the General Counsel, CMS Division, in which he had litigation, program advice and program integrity responsibilities. He received his J.D. from the University of Baltimore in 1984, and his undergraduate degree in Music Performance from Towson State University in 1977. He is a member of the Maryland and Massachusetts bars.
	Hayden S. Wool Garfunkel, Wild & Travis, P.C.
Hayden S. Wool is a partner at Garfunkel, Wild & Travis, P.C., where his practice includes the structuring of hospital-physician relationships, physician group relationships, review of the structure of business transactions, and issues regarding proper reimbursement for healthcare activities. He has particular expertise in the application of federal and state laws governing self-referral (Stark Law), anti-kickback, fee-splitting, and professional misconduct.
	Lisa Ohrin Centers for Medicare and Medicaid Services (CMS)
Lisa Ohrin has practiced health law for 13 years in a variety of settings and specialties. She currently is the Director of the Division of Technical Payment Policy within the Center for Medicare Management at CMS. This division is responsible for developing policy and regulations related to the physician self-referral law, issuing advisory opinions regarding the same, overseeing enforcement of Medicare-approved transplant centers, and handling a variety of statutory and regulatory Medicare payment issues. Previously, Lisa worked for an integrated hospital system, national long term care provider, private law firm, the University of Maryland School of Law, and a Harvard teaching hospital, where she focused primarily on Medicare reimbursement issues. In addition to her health law practice, Lisa teaches law school courses and seminars on general health care law, the physician-patient relationship, Medicare law, long term care law, and the practice of health law.
	Steven J. Chananie Garfunkel, Wild & Travis, P.C.
Steven J. Chananie is a partner at Garfunkel, Wild & Travis, P.C., and the head of the firms Compliance and White Collar Defense Practice Group. In his practice, he represents many health care providers, helping them to set up comprehensive compliance programs and advising them on regulatory and fraud and abuse issues. His clients include hospitals, faculty practice plans, laboratories (both independent and hospital-based), physician practices, nursing homes, and home health agencies.

2009 Physician Fee Schedule Proposed Rule


Conference Audio CD + Written Materials	US$	95.00	add to cart

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