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Risk 120

  • Board Restrictions note: Co-sponsored courses may not be eligible for CE in Tennessee; Credit calculations may vary for New Mexico approval
  • Assess state, federal and board rulings regarding fee discounts, particularly time-of-service discounts and hardship discounts, and the extent to which they may be impacted by anti-kickback legislation, insurance regulations, self-referral laws, marketing restrictions, and the tenets of unprofessional conduct.. • Identify potential problems associated with routine approval of hardship discounts and the requirement for inquiry and documentation regarding qualifying for same. • Distinguish between appropriate and inappropriate/illegal marketing relating to fees and professional services. • Demonstrate how these discounts are regarded by relevant professional boards, and state and federal enforcement agencies. • Explain terms associated with time of service discounts and relevant factors associated in calculating an appropriate reduction in fees. • Identify specific conduct and activities within the practice of healthcare that violate a host of regulatory and statutory proscriptions relating to pre-paid fee arrangements. • Explain the development of current fee discounting legislation, rules and holdings. • Distinguish between appropriate and inappropriate/illegal marketing relating to fees and professional services. • Demonstrate a working knowledge regarding the roles played by the various state and federal enforcement agencies as they related to fee splits and kickbacks. • Assess ones working knowledge regarding the process by which state and federal rulings regarding fees impact a healthcare providers practice in light of marketing, fee-splitting and anti-kickback legislation, insurance regulations, self-referrals, and the tenets of unprofessional conduct generally.
    InstructorPeter Van Tyle, Esq
    Subject BreakdownRisk 3
    Total Credits3.00
    FormatDistance - On-demand


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