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Beyond the Benchmarks – Data is the Best Defense

Hospitals across the nation are increasingly turning to call coverage compensation arrangements as a means of providing vital medical services and remaining compliant with federal law. While the number and complexity of these agreements have grown, many healthcare organizations are entering into such contracts despite uncertainty that the terms are both legally defensible and financially prudent.

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Beyond the Benchmarks: Quantifying the True Value of Call Coverage Services

Hospitals are increasingly turning to call coverage compensation arrangements as a means of providing care and remaining compliant with federal law. This article addresses some of the most pressing and frequently asked questions about call coverage arrangements and suggests a robust, thoroughly vetted methodology for arriving at payments that are tailored to a given arrangement and within the appropriate market range.

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Emergency Department Call Coverage Payment Solutions

The U.S. Department of Health & Human Services’ Office of Inspector General recently issued Advisory Opinion 12-15, addressing an existing arrangement under which a hospital pays a per diem fee to physicians for on-call coverage at the hospital’s emergency department. This article summarizes our thoughts on the key takeaways from the advisory opinions and implications for payments under these arrangements.