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Compliance

From AHLA’s 2015 Annual Meeting: Complex Fair Market Value/Commercial Reasonableness Compensation Issues

There are always cases that are in the grey areas or are just downright complicated.
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Do My Peer Hospitals Pay for Call Coverage?

Stark Law not only requires that physicians be paid fair market value, but that the payment be commercially reasonable.
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MD Ranger’s 2015 Reports: How Many Physician Administrative Positions Do You Pay?

Before deciding to pay a physician for a service, it is important to determine if it commercially reasonable to pay for the position.
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Stark Law: What You Need to Know

You don’t have to be a lawyer to understand what Stark Law means and how it could affect you and your organization.
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HCCA 2015: Effective Monitoring and Auditing Programs

Auditing and monitoring programs protect organizations by identifying issues early and demonstrate a commitment to compliance program effectiveness.
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HCCA 2015: General Session with Dan Levinson

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HCCA 2015: Physician Relationship Audit Workshop: A Practical Guide to Auditing Physician Relationships

Physician contracts are often overlooked or thought to be a small part of compliance’s role however, with Stark law, the Anti-Kickback Statute, and the False Claims Act, the stakes are too high not to pay attention.
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HCCA 2015: Physician Relationship Audit Workshop: Addressing Identified Issues

Once you have analyzed your physician contracts, it is likely that you will find some issues that need to be resolved.
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HCCA 2015: False Claims Act Developments

As you’d suspect, the vast majority are settled and never see a courtroom; however, it might be resolved after quite a lengthy investigation.
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HCCA 2015: Physician Payments Sunshine Act

This is an element of ACA and is in it’s first years of publication and use.
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HCCA 2015: Compliance Program Start Up: What Are the Basics Needed for Your Infrastructure

There are seven elements of an effective compliance program.
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5 Nuanced Factors That Affect Physician Contract Rates

While it is straightforward to identify whether your facility is a trauma center or how many beds it has, there are other factors that influence physician rates that will need to be considered on a contract-by-contract basis.
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Approaches to Internal Audits

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This Year, Make A Resolution to Audit

Your physician contracting program may be a prime candidate for review.
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Paying for Call Coverage Using Combination Payments

It is not uncommon for hospitals to experience a cascade effect once they start compensating for call coverage.
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Dealing with Changing Benchmarks

Market data is an efficient and cost effective way to structure a physician contracting compliance program, and is used by hundreds of hospitals across the country.
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Avoiding Anti-Kickback Violations: Tips for Physicians

It is nonetheless important for physicians to be aware of federal fraud and abuse laws.
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How the ACA Will Affect Physician Financial Relationships with Hospitals

The Affordable Care Act, though still new, has already amassed both foreseeable and unforeseeable consequences to the health care industry.
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Document Your Process for Physician Contracting Compliance

Discussing compensation, no matter how positive the business relationship may be, can present challenges.
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