Removing Fraud Landmines from Your Referral Network

As an HME provider, you need to create unique relationships with your referral partners, but how can you make sure you don’t step on any unseen fraud landmines?

With 78 million Baby Boomers retiring at the rate of 10,000 per day, we know the demand for DME is increasing exponentially, but that demand is butting up against limited funding from government programs and third-party payers. At the same time, providers must face down the “perfect storm” of competitive bidding; low reimbursement; stringent documentation requirements; and aggressive audits. How can they come out on top?

To survive and succeed in such a market, HME providers must implement innovative marketing programs and enter into heavily tailored arrangements with physicians and other referral sources. In so doing, it is essential that the supplier not step onto any fraud landmines.

This webinar will discuss the federal and state anti-fraud laws that DME suppliers must adhere to, including the federal anti-kickback statute; the federal Stark physician self-referral statute; the federal beneficiary inducement statute; the federal telephone solicitation statute; and examples of their state counterparts.

We will cover the types of marketing programs and relationships with physicians/other referral sources that are legally acceptable, including paying commissions to W2 employee marketing reps; paying fixed annual compensation to marketing companies; entering into Medical Director Agreements with physicians; sponsoring educational talks by physicians; providing meals and related items to physicians and their staffs; entering into “preferred provider” arrangements; and purchasing leads. This webinar will discuss those programs/arrangements that are legally unacceptable.

Equally as important, this webinar will set out concrete steps that the DME supplier can take to avoid fraud landmines in the first place, and take remedial steps if the supplier discovers that it may have engaged in fraudulent actions.

Attend so you will:

  • Know the federal anti-fraud laws that the provider must follow, and potential legal pitfalls.
  • Understand what marketing programs/arrangements with referral sources are legally acceptable, and which arrangements to avoid.
  • Know the steps the provider should take to avoid problems under federal and state anti-fraud laws.

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Date: Thursday, July 12, 2018
Time: 11 a.m. Pacific / 1 p.m. Central / 2 p.m. Eastern
Duration: 1 hour
Registration: $99 for access to the live event, plus an on-demand version of the event for three additional months

Webcast Access
All registrants will have access to the live event and an on-demand recording of the presentation. If registrants want to watch the presentation again or have a scheduling conflict, they can register and access the on-demand version of this webcast, which will be available after the live event until October 11, 2018.

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Duration: 1 hour

Only $99 for access to the on-demand replay of this event!

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Jeffrey S. Baird, Esq.About Our Speaker
Jeffrey S. Baird, Esq., is Chairman of the Health Care Group of Brown & Fortunato, P.C., an Amarillo, TX based law firm. Baird represents HME providers, pharmacies and other health care providers throughout the United States. He works closely with governmental agencies, has authored numerous articles, and is a frequent lecturer throughout the country. Additionally, Baird serves on the Medtrade Education Advisory Board, the AAHomecare Regulatory Council, and the AAHomecare Audit Task Force. He earned a B.B.A. from the University of Iowa and received his law degree from the University of Tulsa College of Law. Baird is Board Certified in Health Law by the Texas Board of Legal Specialization.