Doctor Pay: Avoid Formulas That Violate The Law

Event Information
Product Format
Prerecorded Event
Conference Date
Thu, Oct 18, 2012
60 Minutes
Product Description

Understand Physician Compensation Terms Completely. Comply to Stark, Anti-Kickback, and State Laws!

As some physicians give up independent practice and accept employment by hospitals and groups, they may find that doctor compensation formulas are no longer static but are increasingly tied to performance, quality and other factors. Such formulas, however, can be problematic under legal standards, in particular anti kickback and Stark law requirements or contrary to state law. Focus on pay formulas has intensified following recent enforcement actions and cases that have struck down legally deficient arrangements. Further, compensation terms often take center stage as doctors start participating in new Medicare payment initiatives such as EMR and ACOs.

Join this power packed event presented by expert speaker Wayne J. Miller, Esq., who will discuss the basic legal requirements that must be met for physician compensation terms. Wayne will also discuss how to avoid violations when basing pay on personal performance or care quality, and when a group wants to incentivize efficiency or less costly care. The audio session will in addition review how to properly allocate ancillary service revenues as well as bonuses received from Medicare payment initiatives.

Take a look at what's covered:

  • Must MD pay be set at fair market value, and how is FMV established?
  • What types of pay-for-performance or care quality criteria meet legal standards?
  • Can you pay for providing less care?
  • Best practices for sharing imaging, PT and other ancillary dollars.
  • Allocation options for accountable care and electronic record bonuses.
  • Lessons from recent cases and settlements.

Who should attend? The presentation is intended for physicians, medical groups, medical group administrators or managers, hospitals, long term care facilities and health care consultants


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About Our Speaker

Wayne J. Miller - Healthcare Compliance Expert

Wayne J. Miller, Esq., is a founding partner of the Compliance Law Group, Los Angeles, a law firm focused on health care industry legal compliance for clients nationwide. Wayne has practiced healthcare business and regulatory law throughout his 30-year career. His firm represents a wide range of healthcare industry clients throughout the nation. He is a frequent speaker for The Coding Institute national teleconferences on healthcare reimbursement, transactional and regulatory...   More Info
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