Physician-hospital compensation agreements are effective vehicles for health systems, hospitals, practices, and providers to engage in partnerships that sustain quality of care, recognize the value of physician and organization performance, and enable services to be provided in a consistent, operationally sound manner. A crucial aspect of these types of contracts is ensuring that compensation models are compliant, fair, consistently applied, and sustainable in an increasingly complex regulatory environment. A critical and often misunderstood connection is the relationship among finance, operations, and compliance in the contracting process. The integration of these disciplines is vitally important in ensuring compliance and effective oversight of the contracting process.
This 60-minute power packed event presented by expert speakers Charlotte Kohler, [RN], CPA1, CVA, CPAM, CPC, CHBC and Linda Pilla, Esquire, who will provide key “takeaways” including operational best practices in contracting, specific considerations for Boards and leadership when evaluating physician transactions, and questions that hospitals and providers should ask regarding their compensation contracting processes.
Physicians who are considering entering into a contract with a hospital or other health care entity often do not realize that many of the regulations must be met by the physicians as well as the hospital. The goal of this webinar is to create a level of understanding so that each party considering an arrangement will have a clearer idea of what exists in the government regulations – from a common sense and practical point of view.
Highlights Of The Session:
• Compensation Objectives and Realities for Physician Compensation.
• Compensation Models
• Market Trends : Incentive Measures, Facility Reimbursement, Emerging.
• Advantages & Pitfalls of Employed Alignment with Physician & Hospital perspective
• Illustrate recent Government enforcement actions related to contracting
• Case studies on FMV Enforcement
• Facts on Hypothetical Employment and Compliance Concerns to it
• Red Flags and Early Warning Signs
• Synergy and Oversight
• Oversight Obligations : Where to begin?, Specific Considerations, The Future
• Impact on strategic focus
• Highlight key “takeaways” to ensure a more compliant contracting process
• Insights on Regulatory Landscape and Contracting Challenges :
1. Stark & FMV
2. AKS & FMV
3. IRS & FMV
4. Commercial Reasonableness
• Emerging Contracting Risks :
1. Payments for Quality - Independent Contractor
2. Payments for Quality – Employee
3. Payments for Supervision of Mid-Level Providers
4. On-Call Coverage Payments
5. Medical / Administrative Directorships
• Non-Compliance and its impact on Operational Costs:
1. Costs incurred with government investigation, settlement and monitoring (CIA)
– Legal Fees
– Consultant Fees
– Executive and Administrative time
– Corporate Resources
– Investigation/remediation expenses
– On-going costs of CIA or other monitoring programs
– Loss of service lines/revenue
2. Strained Stakeholder Relations
3. Erroneous Newspaper Articles
4. Suspicion and Distrust
5. Low Employee Morale
6. Organizational Reputation
• And Much More….
Who should attend? This program is geared towards Hospital and Practice Compliance Officers, Board members, Chief Executive and Financial Officers, Physicians and Operational Leaders. Our presentation assumes that the attendees have a basic understanding of the elements of a compliant physician-hospital relationship.
Charlotte Kohler, RN, CPA, CVA, CPAM, CPC, CHBC is the president of Kohler HealthCare Consulting with over 30 years of healthcare. She has served as the Chief Operating Officer of a hospital based emergency department and multi-specialty primary care medical practice, as a compliance officer of a five hospital integrated delivery system, and as the CFO for ancillary services in a multi hospital system. Ms. Kohler has developed ambulatory care...
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