Current Trends in Government Investigations and Enforcement Actions Concerning Medical Device Pricing and Reimbursement
16 June 2010
Presentation details:
- Identifying fraud and abuse concerns in device coverage, pricing and reimbursement
- Avoiding anti-kickback violations for physicians and hospitals
- Stark Law implications
- Pinpointing scenarios where hospitals, physicians, and ASCs have been implicated for device reimbursement fraud by the government
- What are device manufacturers doing to prepare the sales force to speak to the government and private payors?
- Assessing the impact of the AdvaMed Code of Conduct on reimbursement and pricing protocols
- Exploring gain sharing concerns relative to pricing and reimbursement
- common triggers for gain sharing investigations
- adopting a preference for one medical device over another in order to get a larger volume discount when ordering the device
- sharing savings between hospitals and doctors reviewing gain sharing program by the Inspector General’s Office at HHS
- common triggers for gain sharing investigations
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