OnlineCE - Course

Chiropractic Doctor

Risk 119 : Understanding the Legalities of Fee Discounts, Particularly Time-of-Service Discounts and Hardship Discounts - 6 Hour

Credit Hours(s)6.0

InstructorsPeter Van Tyle, Esq

Price$120.00 USD

Format(s)Downloadable Course in PDF, Text

Educational Objectives

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 one’s working knowledge regarding the process by which state and federal rulings regarding fees impact a healthcare provider’s practice in light of marketing, fee-splitting and anti-kickback legislation, insurance regulations, self-referrals, and the tenets of unprofessional conduct generally.
Verify how certain discount practices may be legally actionable as “improper inducements.”
Evaluate federal Stark legislation and the discouragement of corruption in sound professional healthcare decision-making.
Identify distinctions between federal anti-kickback and the federal Stark legislation.
Critique state anti-kickback laws.
Recognize the role the FTC played, and continues to play, in discouraging the fraudulent marketing of discount health care programs.
Draw associations between co-pay requirements, consumer habits and federal healthcare expenditures.
Assess how "professional courtesy" discounts may raise enforcers' concerns under the federal anti-kickback statute.
Diagram how prepaid fee arrangements often resemble health insurance to unwitting patients.
Illustrate pitfalls that advertising discounts visit on the practitioner.

Approved States/Territories

ALAlabama
AKAlaska
ABAlberta
ASAmerican Samoa
AZArizona
ARArkansas
AEArmed Forces all AE
AAArmed Forces Americas
APArmed Forces Pacific
BCBritish Columbia
CACalifornia
COColorado
CTConnecticut
DEDelaware
DCDistrict of Columbia
FMFederated States of Micronesia
FLFlorida
GAGeorgia
GUGuam
HIHawaii
IDIdaho
ILIllinois
INIndiana
IAIowa
KSKansas
KYKentucky
LALouisiana
MEMaine
MBManitoba
MHMarshall Islands
MDMaryland
MAMassachusetts
MIMichigan
MNMinnesota
MSMississippi
MOMissouri
MTMontana
NENebraska
NVNevada
NBNew Brunswick
NHNew Hampshire
NJNew Jersey
NMNew Mexico
NYNew York
NLNewfoundland and Labrador
NCNorth Carolina
NDNorth Dakota
MPNorthern Mariana Islands
NTNorthwest Territories
NSNova Scotia
NUNunavut
OHOhio
OKOklahoma
ONOntario
OROregon
PWPalau
PAPennsylvania
PEPrince Edward Island
PRPuerto Rico
QCQuebec
RIRhode Island
SKSaskatchewan
SCSouth Carolina
SDSouth Dakota
TNTennessee
TXTexas
UTUtah
VTVermont
VIVirgin Islands
VAVirginia
WAWashington
WVWest Virginia
WIWisconsin
WYWyoming
YTYukon

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