Compliance

Lawyers and Health Care and Compliance, Oh, My!

If you’re not familiar with the American Health Lawyers Association (AHLA) Annual Meeting, it focuses on the various legal aspects of hospital and physician relationships. This year I attended and learned so much. Here is my (somewhat over-simplified) list of key takeaways from the AHLA show.  Do you remember the scene in the movie “The …

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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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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 howto pay this knowledge forward as we navigate what could be anotherchallenging time for American hospitals and health systems in 2019. Infact, a recent industry report from Fitch showed “declining operating margins across the hospitals rating spectrum.” Said another way: hospital margins …

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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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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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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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