Top Legal Issues Facing Urgent Care
1 hour Audio and Power Point Presentation
Recorded April 18, 2016
To open and operate a successful urgent care center, there are specific legal issues related to healthcare regulation and reimbursement that should be taken into account as well as the consequences of non-compliance. In this session, healthcare attorneys Damaris Medina and Ron Lebow explore the key legal issues facing urgent care providers and their owners, whether at startup or during operation. Topics discussed include: The Corporate Practice of Medicine, the Stark Law, the Anti-Kickback Statute, Corporate Compliance, and Payor Contracting. The session provides practical guidance for both physicians and private business investors seeking to maximize business goals.
•Identify the top legal concerns affecting start-up centers and those currently in operation.
•Assess the center operations for common risks
•Identify the consequences of non-compliance.
•Recognize when an issue is applicable to your center, and the ramifications.
•Appreciate the value of being legally pro-active from the beginning.
Faculty Bio: Damaris L. Medina, Esq.
Damaris L. Medina represents a diverse array of health care clients in complex litigation, contracting, and risk management. She also advises health care providers on managed care contracting, employment, compliance, breach of contract and other related business matters, in addition to defending them against government investigations and audits, including by the Office of the Inspector General (OIG). Ms. Medina has successfully litigated numerous large exposure cases on behalf of health care providers, including those involving major health plans, as well as many independent practice associations. Seasoned in class action matters, she has successfully opposed motions for class certification and counseled both plaintiffs and defendants on class action employment issues. Ms. Medina’s clients include urgent care centers, emergency physician groups, billing companies, gastroenterologists, hospitals, pathologists, neurologists, hematologists, pharmacies, plastic surgeons, dentists, healthcare consulting companies, emergency transportation providers and Part D health plan providers. She sits on the Board of Directors of the UCAOA.
Faculty Bio: Ron Lebow, Esq.
A member of M&R’s Health Care Department, Ron Lebow focuses his practice on business, contract, corporate and regulatory matters. He has extensive experience drafting and negotiating agreements and structuring operations and business arrangements for ambulatory surgery centers, urgent care centers, hospitals and clinical laboratories. Additionally, Mr. Lebow routinely works with physicians, podiatrists, chiropractors, dentists and a wide range of other health care professionals. With significant regulatory expertise, Mr. Lebow is able to ensure legal compliance on the deals he structures. He has vast knowledge of the Stark Law, Anti-Kickback Statute, additional fraud and abuse laws and regulations, HIPAA, fee splitting laws and those regulations governing professional misconduct, both at the state and federal level. Mr. Lebow helps clients establish practices and mega-groups, as well as buy and sell practices and facilitates management service organization relationships and inter-facility affiliations, acquisitions and joint ventures. He also drafts and negotiates shareholder and operating agreements, asset purchase agreements, employment agreements, equipment and intellectual property licenses, management agreements, marketing and sales representative agreements, billing agreements and software-related contracts. Mr. Lebow sits on the UCAOA’s Documents & Position Papers Committee.
The Urgent Care Association of America designates this enduring material activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education. Credit for this course is good for 1 year after purchase.
Urgent Care Management Certificate
Earn 1 UCMC credit in Legal & Regulatory by listening to this recorded session.
Submitting for Credit:
If you would like to submit for either of the credit above, once you complete the activity you must submit for credit you will need to complete the 5 question exam. You must answer 3 out of 5 correctly to receive credit. Your credit will be placed in your profile under Professional Development or click on "My Credits". Email firstname.lastname@example.org with questions.
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