This presentation provides valuable insight for healthcare administration, healthcare attorneys, and consultants alike. Call coverage and medical directorship arrangements have been a focus of many enforcement actions that have changed organizational practices and set lasting healthcare precedents. Regulations govern all facets of the healthcare industry, and implications for violating those regulations may cause financial and reputational ruin. That said, having a sincere understanding for how to value these arrangements appropriately is crucial for all healthcare industry stakeholders.
Program Agenda
Introduction;
Context of presentation and agenda overview;
Regulatory environment: Fraud and abuse laws (e.g., Stark law, Anti-Kickback Statute, False Claims Act); enforcement actions related to call coverage and medical directorship arrangements;
Considerations to valuing provider compensation: standard valuation approaches; frequently used surveys; call and administrative considerations; discouraged compensation practices and standards; compensation philosophy;
Call coverage case study; and
Medical directorship case study.
Learning Objectives
Describe considerations and nuances of call coverage and medical directorship arrangements, including the factors that impact value;
Apply the generally accepted valuation approaches to the valuation of provider compensation; and
Provide details specific to recent enforcement actions related to call coverage and medical directorship arrangements.
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