An archive of all posts categorized under “Compliance in Healthcare” in the Ludi blog.
Automation can be a boon to your hospital’s administration, as well as a major time saver. We all want technology to help us do our jobs better and faster. Yet, there are some misconceptions when it comes to automation, and, in particular, physician payment automation. At Ludi, we have found that the implementation process is […]
5 Misconceptions About Physician Payment Automation Read More »
On November 6, 2023, the Office of Inspector General (OIG) overhauled its General Compliance Program Guidance (GCPG) after many years. This long-awaited resource is already making a big splash in the health care compliance community. There are two ways to think about the GCPG. On one hand, it represents a comprehensive reference guide for health
Managing on-call physicians poses challenges for hospitals. Staffing certain specialties 100% of the time is not necessary, which is why on-call services are essential. In addition, hospitals negotiate separate payment terms for on-call physicians. All of this makes managing on-call complex and time-consuming, increasing administrative burden on hospital teams. Here are 5 key steps to
5 Key Steps to Successfully Managing a Physician On-Call Strategy Read More »
Earlier this month, some of my colleagues and I attended the Becker’s 13th Annual Meeting in Chicago. As always, Becker’s puts on a top-notch conference, and this year was no different. In fact, the show was filled with substantive panels of hospital and payer executives, inspiring keynotes (including celebrities like Magic Johnson and Mark Cuban,
10 Key Themes I Heard at This Year’s Becker’s Hospital Annual Conference Read More »
Hospitals need physician partnerships in administrative leadership, so many provider organizations often choose arrangements known as “medical directorships” to help fulfill this work. These arrangements designate a physician leader to be responsible for a number of activities related to the delivery of medical care and clinical services. The “activities” typically include: Cost management Utilization review Quality assurance
How to Create the Optimal Medical Directorship Contract for Your Physicians Read More »
Do you remember the scene in the movie “The Wizard of Oz,” when Dorothy, the Scarecrow, the Tin Man, and the Lion lock arms for the first time and set down the yellow brick road to find the Wizard? So much opportunity and wonder lay ahead for them. Well, as odd as it may sound,
Lawyers and Health Care and Compliance, Oh, My! Read More »
If you’re like me and track email updates from the Office of Inspector General – better known as the OIG – then you probably know about the weekly financial settlements many health care organizations face. But now that the new year is upon us, what can we expect from the OIG in 2019 – specifically,
It’s that time of year for reflections: what we’ve learned in 2018 and how to pay this knowledge forward as we navigate what could be another challenging time for American hospitals and health systems in 2019. In fact, a recent industry report from Fitch showed “declining operating margins across the hospitals rating spectrum.” Said another
Physicians in the Spotlight: 3 Predictions for Hospitals in 2019 Read More »
“You can’t manage what you don’t measure.” This is not a new business axiom. And, it rings particularly true for hospitals when it comes to physician administrative contracts. Getting the data you need to manage these contracts can be a cumbersome task, one many people simply want to avoid, especially if the contracts are still
Once a Year, Twice a Year, Never… How Often Should You Audit Your Physician Contracts? Read More »
I worked for a large non-for-profit system “papering” physician employment, loans, and other physician alignment strategies. I regarded compliance as a necessary evil. It’s actually smart to conduct your organization’s business within in the bounds of federal regulations. The Department of Justice (DOJ) hasn’t taken 2018 off and when they hit an organization, the fine
Orange is Not Your Color: Recent Uptick of Stark Law Violations Read More »
The four top areas for regulatory risk for hospitals include: Patient privacy, coding, quality, and physician agreements. Physician agreements tend to have the most opportunity for points of failure due to the process, structure, and people involved in making sure agreements are appropriately written and managed over time. Read through the following five tips and
5 Steps to Lower Your Physician Agreements’ Compliance Risk Read More »
Assess your medical directorship strategy's strength & identify compliance risks with a 5-min self quiz.
