Compliance in Healthcare

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

Stacks of coins arranged in ascending order with small green plants growing from soil atop each stack evoke concepts of growth and prosperity, much like the innovative strides made in healthcare automation. The blurred green background enhances this sense of advancement.

Mastering Provider Compensation: Pathways to Financial Success

In today’s healthcare landscape, managing provider compensation is more than just setting pay rates; it’s about aligning financial strategies with regulatory compliance and operational efficiency. In a recent HFMA webinar I hosted with our clients Scott Steiner (CEO) and Jonathan McGuire (Chief Compliance Officer) of Phoebe Putney Health System, we discussed trends and strategies for […]

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Cityscape of the Chicago skyline with tall, illuminated buildings reflecting on a calm river at dusk, featuring a prominent central skyscraper and boats moored along the waterfront

6 Trends Top of Mind for Health Systems: Insights from Becker’s CEO + CFO Roundtable

What a whirlwind experience at the Becker’s Healthcare CEO + CFO Roundtable in Chicago! It was a fantastic opportunity to connect with clients, future partners, and fellow healthcare leaders. I also had the privilege of speaking on a panel moderated by Scott Becker, where we explored CEO + CFO hospital strategies – and I’m excited

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A laptop on a blue surface with a stethoscope draped over it, hinting at the future of healthcare automation. Next to the laptop is an open spiral notebook and a pair of round, gold-framed glasses.

Navigating Compliance Risk in Physician Compensation: 3 Takeaways from Recent Cases

Navigating Compliance Risk in Physician Compensation: 3 Takeaways from Recent Cases An uptick in False Claims Act (FCA) settlements and judgments this past year serves as a stark reminder of the critical importance of maintaining accurate compensation practices in healthcare. Share As healthcare organizations navigate the complexities of physician compensation, it is essential to adhere

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Image of a physician or healthcare administrator typing into a laptop device with overlays that indicate provider compensation

Transforming Provider Compensation with AI: Opportunities, Risks, and the Path Forward

In an era of rapid technological advancement, the integration of artificial intelligence (AI) into healthcare is transforming many facets of the industry, including provider compensation. Recently, I conducted a webinar with Greg Endicott from Strategic Value Group, that delved into this topic. The session explored the evolving role of AI, particularly generative AI, in reshaping

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Abstract concept of a physician using artificial intelligence as depicted by the glowing mind

The Transformative Potential of AI in Provider Compensation

The Transformative Potential of AI in Provider Compensation: Emerging Trends & Implications The healthcare sector is currently undergoing a paradigm shift in its approach to provider compensation, driven by the rapid advancements in Artificial Intelligence (AI) technologies. It’s easy to understand why.  According to a recent report from McKinsey & Company, effectively deploying automation and

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Las Vegas Skyline

Exploring the ‘Next Frontier in Health’: 4 Takeaways from HFMA’s Annual Conference

Lady Gaga and The Dead may be headlining shows in Vegas these days, but that’s not why my colleagues and I were there last week. As a sponsor and exhibitor at the Healthcare Financial Management Association (HFMA) Annual Conference, the Ludi Team experienced the city’s glitz and glamour in a different light. We were excited

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Introducing DocTime Productivity 2.0

Transforming Provider Compensation Management for Healthcare Sustainability We are operating in an era of unprecedented financial and operational challenges for healthcare: Hospital labor costs have surged 24.8% since 2019¹ Contract labor expenses have skyrocketed by 257.9%¹ A projected physician shortage of up to 124,000 by 2034 threatens care quality² With over 77% of physicians now

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Healthcare analytics concept with a physician holding a pencil, typing on a laptop, with charts and a stethoscope in view

5 Misconceptions About Physician Payment Automation

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

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New OIG Compliance Program Guidance: 4 Key Takeaways and the Impact on Hospital-Physician Relationships

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

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Medical concept featuring a stethoscope and placed on a calendar against an aqua blue background

5 Key Steps to Successfully Managing a Physician On-Call Strategy 

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

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Downtown Chicago Skyline

10 Key Themes I Heard at This Year’s Becker’s Hospital Annual Conference

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,

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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

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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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Discover our key insights from the recent Becker's CEO + CFO Roundtable in our latest blog post.