Increased government investigations into fair market value and commercial reasonableness have significant implications for cardiologist compensation.
Quantifying the true value of call coverage demands careful and comprehensive analysis. Published benchmarks and surveys provide limited insight into the national market, but hospitals must plan for the future as they address the coverage demands of today.
Determining the right call coverage arrangement for a system requires a reliance on more than just median payments or national surveys and should account for a variety of factors.
Healthcare administrators must proactively seek call arrangements that protect their organizations both legally and financially. In our last post, we discussed the risks of relying on median payments during fair market value (FMV) analysis. Here we'll take a closer look.
This post will take a critical look at national benchmarks and median values.
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.
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.
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.
This article explores several considerations hospitals should use in determining whether a particular physician’s compensation meets FMV and provides a two-step process hospitals can utilize to efficiently evaluate the compensation of newly acquired physicians.
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