Our 2019 report highlights the growing significance of physician contracts as a major component of hospital spending, with particular growth in payment for hospital-based physician services such as hospitalists, intensivists and laborists.
Choosing the best physician for the job is important for both the hospital and the program.
Preparing for a physician contract negotiation? As you've likely discovered, these conversations take time and effort, and often go differently than anticipated.
Most economists, as well as the OIG, believe that an exclusivity clause has economic value that should be considered in a valuation.
To be compliant, it is first necessary to determine the need to pay, then to determine how much.
Understanding how outliers affect market data and what to do if your contract falls outside market ranges is an important aspect of a physician contracting compliance program.
Negotiating a new physician contract payment rate or even renewing an existing contract can be challenging. While there are benchmarks available to help you determine FMV, it can be difficult to decide what market range is most appropriate for a particular service and facility
Physician contracting is a complex process and it is challenging to engage physicians to assist in administrative and quality initiatives that benefit health care facilities. From properly leveraging market data to composing legal agreements, it is resource-intensive.
Physicians can become suspicious when hospitals talk about FMV and think it’s an excuse for hospitals to pay them less.
If you’re a compliance officer or work in compliance or legal at your organization, ask yourself if you know any physicians who work at your hospital.
If you are overwhelmed by physician contracting compliance, or are unsure what elements are essential in a good compliance process, a great way to create structure is to review requirements outlined in recent corporate integrity agreements (CIAs).
A single page report is automatically created for each physician contract which summarizes the contract rates and terms.
This is an element of ACA and is in it's first years of publication and use.
Anesthesiology agreements typically cover all sites within a facility that require anesthesia.