From Chaos to Organized: Whip Those Physician Contracts into Shape

Why Should You Attend:

Financial arrangements that exist between physicians and healthcare providers (e.g., hospitals) to which they refer patients have been the focus of Office of Inspector General and other regulatory agencies for quite some time. The extent of such arrangements between physicians and healthcare providers impact utilization of services, quality of care, medical necessity, cost and pricing and competitiveness. As organizations continue to negotiate financial relationships with physicians, organizing and streamlining the executed contracts should be a priority to demonstrate the organization’s commitment to mitigating risk and complying with Stark Law, the Anti-kickback statute, the False Claims Act (FCA), and IRS tax-exemption code.

This webinar has a legal and regulatory focus and will assist the attendees in understanding effortless ways to bring all the physician financial arrangements (e.g., medical director and professional services/on-call agreements, space and equipment leases, employment agreements, management agreements, physician practice acquisitions, and other arrangements) together into a centralized location. Simple examples will be shared as guidance for attendees to maintain supporting documentation such as fair market value (FMV) and commercial reasonableness with the executed agreements as well as how to validate key terms are documented within the executed arrangement.

Areas Covered in the Webinar:

• Present a framework of designing a contract management system
• Defining the regulatory requirements (e.g., Stark, Anti-Kickback and False Claims Act) related to physician arrangements
• Discuss compliance scenarios on how to organize physician financial arrangements
• Learn how to develop guidelines for educating and training staff regarding contract process
• Overview of applicable terminology to meet FMV and commercial reasonableness
• Review a sample checklist to assist with auditing and monitoring contract files
• Present sample internal reporting to management or the governing board
• Review the criteria to manage various physician financial arrangements (e.g., employed and medical directorship) and supporting documentation such as FMV and commercial reasonableness into a central location
• Learn how to determine if key agreement terms are included in the contracts to meet regulatory expectations

Who Will Benefit:

This webinar will provide valuable assistance to all personnel in medical offices, practice groups, hospitals, academic medical centers, critical access facilities whose titles include but are not limited to:

• CEO
• CFO
• COO
• Chief Medical Officer/Director
• Compliance Professionals
• Healthcare Counsel/Lawyer
• Internal Audit
• Physician Office Manager
• Physicians
• Planning and Business Development

Instructor Profile:

Dr. Nicole Huff is the chief compliance and privacy officer for St. Luke’s University Health Network located in Bethlehem, PA. She has almost 20 years of healthcare history driving achievement in the areas of corporate compliance programs, financial accounting, corporate governance, financial statement analysis, and mergers and acquisitions due diligence. Her experience includes but is not limited to managed care, a multi-health system, community hospital, behavioral health, and physician practice management.

She earned a doctor of health administration degree from Central Michigan University. An alumnus of Loyola University of Chicago and University of Dallas, she obtained a BBA in accounting and MBA in healthcare administration, respectively. She is a certified Green Belt Six Sigma, Healthcare Compliance, and Health Safety Professional.

Follow us :