Even with the complexity of physician contracting, there are steps you can take to lower overall spending at your organization.
Market data can be a powerful tool to use as the foundation of your FMV process. Establishing simple, yet compliant, guidelines and policies is key. Download our guide for using market data for FMV documentation.
Commercial reasonableness has been the focus of a number of recent settlements for Stark, Anti-Kickback, and False Claims Act violations.
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.
In this presentation, we cover coming changes to Stark Law, turning your hospital's board of directors into compliance advocates, tracking time for medical directors and more!
Choosing a valuation firm is an important decision for your organization's physician contracting program. Selecting a firm that understands your organization and produces work to your standards takes careful evaluation. Watch this short 5-minute video, and learn the following
Our Improving Physician Contract Compliance white paper discusses steps your organization can take to reduce the risk of violating regulations regarding physician contracts.
Both Stark and AKS require that physician contracting rates be negotiated at fair market value.
Recent actions by the OIG make it clear that they are investigating physicians as well as hospitals when they suspect a physician contract violates Stark, Anti-Kickback, or False Claims Act regulations.
Our Key Considerations for Community Hospitals when Contracting for Pediatric Physician Services white paper considers the practice of contracting pediatric specialists at community hospitals and when it is logical to enter into such arrangements.
Small hospitals have tighter budgets but still must maintain proper physician coverage.
In September 2015, the DOJ signaled in the Yates memo a dedication to enforcing individual accountability for corporate wrongdoing.
Our Market Conditions Contributing to Commercial Reasonableness white paper discusses factors that play into commercial reasonableness which are beyond your organization's control.
We are pleased to share with you the second webinar of the series, The Definitive Guide to Medical Directorships. This report will describe how contracting rates have changed and the factors that do and don’t impact payment rates for medical directorships.
Our 5 Signs an Organization Needs MD Ranger: A Guide for In House and External Counsel white paper discusses how to identify potential physician contracting complaince problems.
This educational video discusses key elements of AKS and shares best practices for integrating compliance into hospital physician contracting programs.
In this webinar, learn how to navigate your way through physician contracts, including the following
Our Stacking Physician Agreements: Identifying and Preventing Risks white paper will help you understand how the subtle but significant compliance risk of stacking physician agreements can occur.
Our Calculating Opportunity Cost in Physician Contracts provides ideas for compliance action that can be started today.
Rural Hospitals often pay a premium to get the physician coverage they need.
The Preparing for Physician Contract Negotiations Bullseye covers how to best prepare for your next physician contract negotiation and will outline best practices
Whether it’s compensating above fair market value, or paying for too much or for too many hours in an administrative position, compliance risks are clear and can be easy to identify.
Our Using Market Data for FMV: Our Six-Step Guide white paper provides an easy step-by-step guide to using market data.
While every hospital is different, some hospitals face unique challenges including on the physician contracting front.
Before compensating a physician to take emergency call or provide an administrative service, it's crucial to consider whether paying is commercially reasonable or not.
The Physician Engagement Tips for Legal and Compliance Executives Bullseye details the best ways for legal and compliance executives to engage with physicians.
Over the last several decades, the number of hospital-based arrangements has been increasing.
Our Multi-Campus Physician Call and Administrative Contracts: Impact on Payment Rates and Time Requirements white paper highlights how hospitals and health systems are utilizing multi-campus arrangements.
Physician contracting compliance is a serious concern for healthcare executives, attorneys, and compliance professionals.
The cost of emergency call coverage is creeping up in many hospitals.
The OIG Fraud Alert warns providers against overpaying physician in medical director positions.
Our Why Benchmarks Can Change from Year to Year white paper discusses some reasons benchmarks can change from year to year and solutions for handling these shifts.
The What are Hospitals Spending on Physician Contracts Bullseye uses MD Ranger's Total Facility Benchmarks report to examine how much hospitals spend on physician contracts at the facility level, covering topics including the following
Improving internal communications surrounding physician contracting can help the process run more smoothly and reduce the risk of details falling through the cracks.
Do you know the key elements of Stark Law? Learn best practices for integrating Stark compliance into hospital physician contracting programs.
The Dealing with Government Regulatory Intervention Bullseye discusses how to prepare for a CIA, including the following
Healthcare organizations often struggle with developing processes and best practices for both the creation and the execution of physician agreements. By knowing the risks, you can avoid or correct issues before they become potential violations with serious consequences.
In this webinar, we will talk about paying physicians in leadership positions reasonably and fairly. Join MD Ranger for this 30-minute webinar as we discuss the following
MD Ranger's robust database combines verified hospital and facility data with proprietary data drawn from the founders' thousands of fair market value opinions written over the past decade.
Our When Specialty Doesn't Matter, How Much Should You Pay? Bullseye describes considerations when paying for non-director administration positions.
The Commercial Reasonableness for Physician Contracts: A Checklist Bullseye covers how to ensure your physician contracts conform to commercial reasonableness standards
Health systems face the challenge of standardizing procedures across multiple facilities that may have different characteristics and needs. While creating a coherent, effective physician contracting process is necessary, it is also difficult.
Both Stark and AKS require that physician contracting rates be negotiated at fair market value. What the regulations don't include is explicit tactical advice for how to determine and document FMV for medical directorships.
Most economists, as well as the OIG, believe that an exclusivity clause has economic value that should be considered in a valuation.
Market data is an efficient way to build a physician contracting compliance program, and is used by hundreds of hospitals across the country.
The average hospital spends 3-5% of its total operating budget on physician contracts for emergency coverage, administrative positions, and hospital-based service agreements.
We are frequently asked by our subscribers and clients on how to best engage physicians in the compliance process.
Organizations routinely audit physician contracts to comply with federal regulations, practice good financial management, and maintain relationships with key physicians.
The Read This Before Your Next Physician Contract Negotiation Bullseye covers how to prepare for physician contract negotiations
In this presentation, we discuss how to identify and mitigate risks from stacking physician agreements
Even though many providers adopt a single benchmark quantile as the standard for payments, there are times when a higher rate is justified.
Physician contract negotiations are a part of everyday life at hospitals and health systems. By thinking critically about arrangements and preparing for negotiations, hospitals executives can expect better outcomes and better physician relationships.
Our Finding the Best Market Range for FMV Bullseye discusses strategies for determining FMV in your situation, including the following
In order to have a well-run physician contracting program, healthcare organizations must stay one step ahead.
Determining if a health care organization’s payment to a physician is commercially reasonable can be a challenge.
This webinar will cover all elements of our checklist, and integrate best practices from other healthcare organizations.
Our 9 Factors That Influence Physician Contract Rates white paper discusses both factors that are discrete hospital or contract characteristics that influence physician payment rates and those factors which are more nuanced and involve evaluating the market.
Our Stark Law: What You Need to Know infographic breaks down the legal language of Stark Law.
We will consider the most common compliance issues in hospital-based agreements.
Our Compliance Risk Checklist outlines steps to transform your compliance department and contracting procedures.
In this webinar, we will explore how to ensure you are documenting FMV thoroughly. Key topics to be discussed include the following
Payment for medical staff officers varies by facility and position. Although historically positions were funded by medical staff dues, a growing number of hospitals are paying, or splitting the cost of stipends with the medical staff, at least for Chief of Staff positions--an acknowledgement of the time commitment required.
Our Steering Clear of the Anti-Kickback Statute Bullseye discusses the key facts you need to know about AKS, including the following
Watch this video and explore our key findings from the 2017 Total Facility Benchmarks, as well as compare them to the past seven years' reports to uncover trends, including the following
Didn’t have a chance to attend the conference, or didn’t make the presentations you wanted to see? Don’t worry: we’ve summarized our key take-aways so that you can catch up in seven minutes or less.
Hospital administrators know that the physician contracting process involves many steps in order to get it right and maintain the best possible relationships with physicians.
MD Ranger prepared a quick list of compliance tips for hospital and health system executives dealing with physician contracts for administrative, leadership, on-call, and hospital-based services.
Positive relationships with physicians are important to the clinical and financial success of a healthcare organization.
Our How Does Geography Influence Physician Contract Rates? white paper discusses factors which impact physician contract rates.
No compliance professional wants to be blindsided by Stark, Anti-Kickback (AKS), or False Claims Act violations. However, getting a handle on your physician contracting compliance program is a daunting task.
The Key Takeaways from HCCA's 2017 Compliance Institute Bullseye summarizes some of the hot topics from this year's HCCA Compliance Institute.
Our Making Physician Contracting More Efficient white paper outlines how construct a complete and efficient contracting compliance program.
Our Medical Director Contracts: Challenges and Opportunities white paper discusses creating and monitoring a medical directorship contract.
This webinar will cover best practices for utilizing market data to evaluate physician contracts
Join MD Ranger for this 30-minute webinar as we discuss the following
This webinar will address common physician contracting challenges and how to avoid them.
Hospital administrators know that the physician contracting process involves many steps in order to get it right and to maintain the best possible relationships with physicians. Wouldn't it be great to have a checklist to standardize the process?
Our Key Elements of Physician Contracting Compliance Programs white paper outlines how construct a complete and efficient contracting compliance program.
MD Ranger’s robust database combines verified hospital and facility data with proprietary data drawn from the founders’ thousands of fair market value opinions written over the past decade.
Preparing for a physician contract negotiation? As you've likely discovered, these conversations take time and effort, and often go differently than anticipated. Discussing compensation, no matter how positive the business relationship may be, can present challenges.
Our 6 Compliance Pitfalls in Hospital-Based Physician Contracts Bullseye discusses the key compliance issues with hospital-based contracts, including the following
Healthcare organizations often struggle with developing processes and best practices for both the creation and the execution of physician agreements. By knowing the risks, you can squash problems before they pop up as potential violations with serious consequences.
The Physician Contracting, the OIG, and the DOJ: 2017 Year in Review Bullseye recaps what the OIG and DOJ did surrounding physician contracting in 2017, including the following
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.
Our What Everyone Should Know About Hospital-Based Physician Contracts white paper explains the details and key concepts to know about these complicated arrangements.
This webinar will explore the cost and market method of physician contract valuations and establishing FMV, including the following
This video discusses key signs that suggest an organization might have physician contracts that have Stark risk and solutions for reducing the risk.
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