While the federal government does provide baseline guidance, it is ultimately up to the organization itself as to where on the market ranges they choose to pay.
If you walk into a negotiation without knowing what the market rates look like for your specialty, you’re missing a huge opportunity.
Benchmarks can change from year to year, significant shifts are uncommon.
MD Ranger analyzes the impact of geography on rates across the entire database...
When it comes to market conditions contributing to commercial reasonableness, some contributing factors are organization-specific, but others are influenced externally.
Using market data to document fair market value for physician contracts can be a cost effective way to standardize compliance efforts.
If you're already using compensation benchmarks, check out this resource to ensure it is being used correctly.
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.
Understanding and properly applying market data isn’t always straightforward
Most physician payment rates fall within a reasonable market range. But in some cases, a payment rate may be well beyond the norm. These unusual payment rates, which can sometimes impact benchmark calculations, are outliers.
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.
MD Ranger analyzes the impact of geography on rates across the entire database each year and runs custom reports for various subscribers several times a year to evaluate the issue.