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The purpose of a CIA is to strengthen an organization’s compliance program with policies and procedures approved by the government. The OIG must have confidence that the organization is taking steps to prevent new violations.
Conversations about compensation take time and effort to plan and do not always go as anticipated. By preparing carefully for these discussions, you can take strides to achieve the best possible outcome for all parties.
Many recent settlements for Stark and Anti-Kickback violations stem from failure to meet commercial reasonableness standards or from lack of documentation of an agreement’s commercial reasonableness.
Despite the advantages of per diem rates, nearly 30% of call coverage contracts include multiple payment methods.
According to MD Ranger's database of more than 33,000 physician contracts, more than 70% of call coverage contracts are paid by a per diem rate.
When it comes to physician contracting expenses at hospitals and health systems, call coverage contracts often make up a significant percent of the total spending. As common sense would suggest, larger facilities pay more for call coverage than smaller facilities.
Pediatric facilities understandably have a specific set of patients and, as a result, they have different physician contracting needs than most hospitals.
While cases where physician compensation benchmarks change rapidly from year to year certainly garner more attention, it can be insightful to examine when the opposite is true as well.
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