Published December 1999
by Aspen Publishers .
Written in English
|The Physical Object|
|Number of Pages||228|
Physician Compensation Physician Compensation by Kenneth M. Hekman. Download it Physician Compensation books also available in PDF, EPUB, and Mobi Format for read it on your Kindle device, PC, phones or tablets. A New Paradigm in Academic Health Centers Productivity - Based Physician Compensation MARGIE C. ANDREAE, MD, AND GARY L. FREED, MD, MPH Now more than . associated with physician compensation arrangements 2. Discussion of the regulatory framework and trends for structuring physician compensation arrangements, including applicable Stark and AKS requirements 3. Practical advice related to establishing and maintaining fair market value and commercial reasonableness Size: KB. The spotlight today in the sphere of physician compensation is on the more exciting things surrounding the intersection of compensation and value-based reimbursement. This emphasis is a positive one and makes sense given where we are headed. However, the reality is that many/most physician compensation arrangements still primarily focus on volume-based models. Thus, while we. physician compensation arrangements fall within fair market value (FMV).4 If the arrangement occurs between physicians and a not-for-profit organization, the organization must also ensure that the compensation provided for call coverage falls within FMV in accordance with IRS tax exempt laws. In addition to FMV, organizations should review the.
The HHS OIG and CMS recognize the practices and needs of hospitals to enter into compensation arrangements with physicians in order to secure medical director and physician clinical/administrative services. However, when aggregate physician compensation exceeds Fair Market Value (FMV) and is not “commercially reasonable,” then any excess. As physician compensation arrangements are under increasing regulatory scrutiny, organizations must make systematic efforts to understand individual components of physician contracts, determine whether overlapping services or duties exist, and review the stacked compensation to avoid overpayment and ensure regulatory compliance. In addition, compensation structures that result in unexplained excessive practice losses, the provision of non-cash compensation that would otherwise be incurred by the physician, referral consideration, and material raises over the providers’ historical payments are all potential compliance issues for these arrangements. • “[E]nsurethat arrangements reflect fair market value for bona fide services the physicians actually provide.” (OIG, Fraud Alert: Physician Compensation Arrangements May Result in Significant Liability (6/9/15)) • FMVstandards differ: –IRS: agreed value of transaction between willing .
Designing and implementing physician compensation and incentive systems for managed care is growing in importance. Proper alignment of physician compensation and incentives is key to achieving the cost of care goals required under managed care arrangements. Permitted Compensation Arrangements: Charitable Donations by Physician Non-monetary Compensation (Benefits) up to $ Per Year Fair Market Value Compensation Medical Staff Incidental Benefits Risk-sharing Arrangements (i.e., withholds, bonuses, risk pools) Compliance Training Indirect Compensation Arrangements Referral Services. The new BVR/AHLA Guide to Valuing Physician Compensation and Healthcare Service Arrangements, Second Edition challenges and deconstructs the industry’s current standard for the fair market value (FMV) of physician clinical compensation based on the exclusive use of survey data and certain percentile-based valuation methods. It debunks the current “survey says” paradigm and . The basic form of compensation for these physicians is salary, although the details of compensation arrangements vary depending on where the physician is employed. In the military and the Commissioned Corps, the base salary is augmented with non-taxable housing and subsistence allowances, dependents allowances, and bonus pay for board.