Compliance in Healthcare

An archive of all posts categorized under “Compliance in Healthcare” in the Ludi blog.

Young physician looking at mobile device representing medical directorship contracts

How to Create the Optimal Medical Directorship Contract for Your Physicians

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 and medical …

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Scales of justice symbolizing healthcare settlements

Does Crime Pay? 3 Implications for Physician-Hospital Arrangements from the OIG Semiannual Report

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, …

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Confident, smiling female physician

Physicians in the Spotlight: 3 Predictions for Hospitals in 2019

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 …

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Physician signing a contract

Once a Year, Twice a Year, Never… How Often Should You Audit Your Physician Contracts?

“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 …

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Prisoner in an orange suit illustrating Stark Law Violations

Orange is Not Your Color: Recent Uptick of Stark Law Violations

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 …

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Desktop items illustrating Hospital Compliance

5 Steps to Lower Your Physician Agreements’ Compliance Risk

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 …

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