Professional Services Arrangements

Size: px
Start display at page:

Download "Professional Services Arrangements"

Transcription

1 Tuesday, May 13, a.m. Central time Professional Services Arrangements Randy Biernat, CPA, ABV Director BKD, LLP To Receive CPE Credit Participate in entire webinar Answer polls when they are provided If you are viewing this webinar in a group o Complete group attendance form with Title & date of live webinar Your company name Your printed name, signature & address o All group attendance sheets must be submitted to training@bkd.com within 24 hours of live webinar o Answer polls when they are provided If all eligibility requirements are met, each participant will be ed their CPE certificates within 15 business days of live webinar 2 // experience access 1

2 OVERVIEW OF PROFESSIONAL SERVICES ARRANGEMENTS 3 // 3 experience // access ideas Professional Services Arrangement Disclaimer Professional services arrangements are not a one-size fits all contractual relationship. Legal representation in the process of establishing a professional services arrangement is essential to compliance related to Stark, AKS, IRS excess benefit rules, and anti-trust regulations. BKD, LLP is not qualified to provide legal advice and none should be considered rendered on this topic. All data & language in this presentation is illustrative in nature only and is only for discussion purposes. 4 // 4 experience // access ideas 2

3 Professional Services Arrangement Overview Hospital contracts to purchase clinical services from Physician Group at a fixed price per unit Physician Group assigns billing rights for services to Hospital Hospital bills clinical services under its payor contracts 5 // 5 experience // access ideas Professional Services Arrangement Key Terms Compensation Typically per wrvu, supported by a fair market value analysis for Stark compliance purposes Term of Contract Typically one to three years with annual or biannual negotiation of the wrvu rate Restrictive Covenants Noncompete language may or may not be included but should be considered. Nondisclosure & confidentiality terms are also fairly typical 6 // 6 experience // access ideas 3

4 Benefits to Hospital Potential for increased market share/market presence resulting in the potential for stronger payor contracting position Assist in the coordination of care in the community Allows for period of familiarization before a potential practice acquisition Potential to generate/maintain referral relationships Opportunity for noncompetition terms 7// 7 experience // access ideas Benefits to Physician Group Provides stability with respect to income Potentially allows for continued control over practice in terms of management, personnel, systems, etc. Allows for period of familiarization before a potential practice sale Opportunity for escape clause in agreement 8 // 8 experience // access ideas 4

5 Risks to Hospital Creating a clinical relationship will potentially tie the Hospital s quality data to the Physician Group s As the billing entity, Hospital will have oversight responsibility for correct coding & documentation Physician Group s actions may negatively affect the reputation of the lessor Fair market value compliance 9 // 9 experience // access ideas Risks to Physician Group The perception of a professional services arrangement to the community may be that the Physician Group is struggling or no longer independent The legal & operational requirements of a professional services arrangement may potentially increase overhead &, therefore, decrease compensation The contract terms may prohibit the lessee from pursuing other opportunities in the marketplace Physician Group may have difficulty making long-term business plans & other key business decisions 10 // 10 experience // access ideas 5

6 Comparison to Employment Model Factors Professional Services Arrangement Employment Migration to New EHR Not Required Strongly Encouraged Change in Control of Entity No Yes Ancillary Business Interests Unaffected May require buy-out Length of Commitment Short-term Long-term Economies of Scale Limited More significant Alignment Opportunity Partial More complete 11 // 11 experience // access ideas CASE STUDY 12 // experience ideas 6

7 Case Study Overview of Facts o Medical oncology group desires to partner with Hospital for strategic & financial purposes o Parties agree to utilize a wrvu rate for services provided o Parties agree that the Hospital will provide space & nursing support o Parties agree that medical oncology group provides physician services, nurse practitioner services, an administrator, a biller/coder & cover its own overhead (including malpractice). 13 // experience ideas Case Study Total Payment Calculation Service Fee Basis Unit of Measure Units FMV Rate FMV Amount Physician Compensation Performed wrvus 15,000 $ 90 $ 1,350,000 Physician Benefit FTE Physicians 3 50, ,000 Physician Malpractice FTE Physicians 3 25,000 75,000 NP Salary & Benefits FTE NP's 4 150, ,000 Biller / Coder FTE Biller / Coder 1 50,000 50,000 Administrator FTE Administator ,000 75,000 Total $ 2,300,000 14// experience ideas 7

8 Case Study wrvu Payment Calculation Total Compensation: $ 2,300,000 Total Corporate wrvus: $ 20,000 * Compensation per wrvus: $ 115 * Total corporate wrvus include Nurse Practitioner productivity 15// experience ideas Case Study Medical Oncology Practice Financial Analysis Factor Old Revenue Old Expenses Before Physician Compensation (1) Old Physician Compensation New Physician Compensation Medical Oncology Increased Physician Compensation Increased Compensation per Physician Amount $ 2,500,000 $ (1,325,000) 1,175,000 1,350, ,000 58,333 (1) Amount of old expenses do not match due to differences in actual costs of Hospital & certain fair market value estimates being different than actual costs. 16 // experience ideas 8

9 Case Study Hospital Financial Analysis Factor Amount Billable wrvus 20,000 Weighted Average Reimbursement per wrvu $ 125 Total Oncology Professional Fee Revenue $ 2,500,000 Less: Fees to Medical Oncology Group (2,300,000) Less: Billing Fees (5%) (125,000) Less: Support Staff (250,000) Less: Rent (100,000) Subtotal $ (275,000) 17 // experience ideas Case Study Hospital Clinic Financial Analysis Factor Amount Net Loss (Direct) $ (275,000) Add: Profit from increased referrals to clinic owned ancillaries 900,000 Add: Profit from increased relationship benefits, such as quality 150,000 Net Impact of Lease Arrangement to Hospital $ 775, // experience ideas 9

10 DEVELOPMENT PROCESS 19 // experience ideas Typical Lease Arrangement Process 1. Kick-off meeting between Hospital & potential Physician Group that establishes a timeline, expected process, points of communication, etc. Present on lease alignment pros & cons in order to promote a common understanding 2. The second meeting goes into more detail on process, mutual commitments of resources, etc. A master information request list is distributed The parties sign exclusivity & confidentiality agreements Sign physician authorization of representation form to allow physician group to negotiate via one or two representatives 20 // experience ideas 10

11 Typical Lease Arrangement Process 3. The Hospital & Physician Group establish a transaction team & establish meeting schedules & timelines. The transaction team tackles issues ranging from governance to negotiating the terms 4. The Hospital engages in an internal, formal due diligence exercise, to include strategic, financial & other elements 5. A fair market value analysis is prepared according to the actual deal terms in support of the proposed compensation 21 // experience ideas Typical Lease Arrangement Process 7. Final contract terms are finalized & the arrangement commences 8. Follow-up meetings are scheduled to monitor performance & create an avenue for regular communication of issues 22 // experience ideas 11

12 CONCLUSION 23 // experience ideas Additional Points to Consider Hospital may have leveraging opportunities to provide management services, staffing services, etc. Opportunities may also exist for Physician Group to leverage Hospital s clinical technology A third party may be required to prepare analysis of rate differentials due to antitrust rules Issues may arise from the Physician Group s participation in ancillary businesses not affiliated (or competing with) Hospital s ancillary business interests 24 // experience ideas 12

13 Conclusion Utilization of arrangements is a less intense alignment strategy than a traditional employment relationship Both parties can realize strategic & financial benefits through an arrangement Risks & regulatory concerns will require a fair amount of due diligence 25 // experience ideas Questions? 13

14 Thank You! Randy Biernat Continuing Professional Education (CPE) Credits BKD, LLP is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: The information in BKD webinars is presented by BKD professionals, but applying specific information to your situation requires careful consideration of facts & circumstances. Consult your BKD advisor before acting on any matters covered in these webinars. 28// experience access 14

15 CPE Credit Up to 1 CPE credit will be awarded upon verification of participant attendance For questions, concerns or comments regarding CPE credit, please the BKD Learning & Development Department at training@bkd.com 29 // experience access 15

THE HEALTH CARE PLAYBOOK

THE HEALTH CARE PLAYBOOK THE HEALTH CARE PLAYBOOK Strategies for the 2018 Season March 28, 2018 Michael J. Engle Partner mengle@bkd.com Joseph M. Watt Partner jwatt@bkd.com 1 TO RECEIVE CPE CREDIT Participate in entire webinar

More information

HOSPITALS & HEALTH SYSTEMS: DATA-DRIVEN STRATEGY FOR BUNDLED PAYMENT SUCCESS 4/19/2016. April 20, 2016

HOSPITALS & HEALTH SYSTEMS: DATA-DRIVEN STRATEGY FOR BUNDLED PAYMENT SUCCESS 4/19/2016. April 20, 2016 HOSPITALS & HEALTH SYSTEMS: DATA-DRIVEN STRATEGY FOR BUNDLED PAYMENT SUCCESS April 20, 2016 Eddie Marmouget National Industry Partner emarmouget@bkd.com Eric Rogers Managing Consultant erogers@bkd.com

More information

MEDICARE COMPREHENSIVE CARE FOR JOINT REPLACEMENT MODEL (CCJR) Preparing for Risk-Based Outcomes of Bundled Care 8/12/2015.

MEDICARE COMPREHENSIVE CARE FOR JOINT REPLACEMENT MODEL (CCJR) Preparing for Risk-Based Outcomes of Bundled Care 8/12/2015. MEDICARE COMPREHENSIVE CARE FOR JOINT REPLACEMENT MODEL (CCJR) Preparing for Risk-Based Outcomes of Bundled Care August 13, 2015 Eric M. Rogers MEd RT(R) Managing Consultant erogers@bkd.com Jeff Bond President

More information

Successful Physician-Hospital Integration A Case Study. Nick Fabrizio, PhD, FACMPE, FACHE Principal MGMA Health Care Consulting Group

Successful Physician-Hospital Integration A Case Study. Nick Fabrizio, PhD, FACMPE, FACHE Principal MGMA Health Care Consulting Group Successful Physician-Hospital Integration A Case Study Nick Fabrizio, PhD, FACMPE, FACHE Principal MGMA Health Care Consulting Group February 7, 2013 Speaker bio Nick Fabrizio, PhD, FACMPE, FACHE is a

More information

IMPACT OF CHANGES TO PROVIDER-BASED HOSPICE MEDICARE COST REPORT SCHEDULES 12/13/2016. Jessica K. Dillard, CPA Consultant

IMPACT OF CHANGES TO PROVIDER-BASED HOSPICE MEDICARE COST REPORT SCHEDULES 12/13/2016. Jessica K. Dillard, CPA Consultant IMPACT OF CHANGES TO PROVIDER-BASED HOSPICE MEDICARE COST REPORT SCHEDULES December 14, 2016 Mark P. Sharp, CPA Partner msharp@bkd.com Jessica K. Dillard, CPA Consultant jdillard@bkd.com 1 TO RECEIVE CPE

More information

physician-hospital integration without hospital employment

physician-hospital integration without hospital employment MAY 2010 healthcare financial management FEATURE STORY Cordell Mack Craig D. Pederson physician-hospital integration without hospital employment A full-service professional services agreement can ensure

More information

Partnering with hospitals to create an accountable care organization Elias N. Matsakis, Esq.

Partnering with hospitals to create an accountable care organization Elias N. Matsakis, Esq. Partnering with hospitals to create an accountable care organization Elias N. Matsakis, Esq. There are many opportunities for physicians and hospitals to affiliate and clinically integrate so as to enable

More information

The Society for Radiation Oncology Administrators 28 th Annual Meeting. Physician/Hospital Arrangements During a Period of Uncertain Healthcare Reform

The Society for Radiation Oncology Administrators 28 th Annual Meeting. Physician/Hospital Arrangements During a Period of Uncertain Healthcare Reform The Society for Radiation Oncology Administrators 28 th Annual Meeting Physician/Hospital Arrangements During a Period of Uncertain Healthcare Reform Miami, Florida October 4, 2011 3025 Boardwalk Drive,

More information

Association of Cancer Executives

Association of Cancer Executives Association of Cancer Executives 340B Drug Pricing Program How to Get It and Make the Most of It January 31, 2014 ECG Management Consultants, Inc. Our mission is to provide exceptional management consulting

More information

2013 AHLA Physicians and Physicians Organization Law Institute. Presented by Judd Harwood & Lori Foley. Agenda

2013 AHLA Physicians and Physicians Organization Law Institute. Presented by Judd Harwood & Lori Foley. Agenda BUYER BEWARE! THE VALUE OF DUE DILIGENCE IN HOSPITAL-PHYSICIAN TRANSACTIONS 2013 AHLA Physicians and Physicians Organization Law Institute Presented by Judd Harwood & Lori Foley Agenda I. Opening Remarks

More information

Rationale for Acquisition of St. Paul and Zale Lipshy University Hospitals. History of the UTSW- University Hospital Relationship

Rationale for Acquisition of St. Paul and Zale Lipshy University Hospitals. History of the UTSW- University Hospital Relationship Rationale for Acquisition of St. Paul and Zale Lipshy University Hospitals UT Southwestern Medical Center Presentation to Regents May 12, 2004 History of the UTSW- University Hospital Relationship Growth

More information

Statement of Guidance: Outsourcing Regulated Entities

Statement of Guidance: Outsourcing Regulated Entities Statement of Guidance: Outsourcing Regulated Entities 1. STATEMENT OF OBJECTIVES 1.1 This Statement of Guidance ( Guidance ) is intended to provide guidance to regulated entities on the establishment of

More information

Negotiating Nurse Practitioner Employment Agreements. General Considerations. General Considerations

Negotiating Nurse Practitioner Employment Agreements. General Considerations. General Considerations Negotiating Nurse Practitioner Employment Agreements The Nurse Practitioner Association New York State 32 nd Annual Conference Niagara Falls October 1, 2016 Glenn P. Prives, Esq. McElroy, Deutsch, Mulvaney

More information

Hospital/Physician Affiliation Trends. December 6, 2011

Hospital/Physician Affiliation Trends. December 6, 2011 Hospital/Physician Affiliation Trends December 6, 2011 Hospital Strategies in 2011 I. Introduction VMG Health ( VMG ) Jim Rolfe Biography Jen Johnson, CFA Biography II. Hospital Market III. Hospital Acquisitions

More information

Medicare Quality Payment Program: Deep Dive FAQs for 2017 Performance Year Hospital-Employed Physicians

Medicare Quality Payment Program: Deep Dive FAQs for 2017 Performance Year Hospital-Employed Physicians Medicare Quality Payment Program: Deep Dive FAQs for 2017 Performance Year Hospital-Employed Physicians This document supplements the AMA s MIPS Action Plan 10 Key Steps for 2017 and provides additional

More information

Compliance Issues For Multi-Provider Collaborations: How To Spot & Avoid Potential Pitfalls

Compliance Issues For Multi-Provider Collaborations: How To Spot & Avoid Potential Pitfalls Compliance Issues For Multi-Provider Collaborations: How To Spot & Avoid Potential Pitfalls LeadingAge New York s Financial Managers Annual Conference Wednesday, August 31, 2016 Saratoga Hilton, Saratoga

More information

Measuring the Cost of Patient Care in a Massachusetts Health Center Environment 2012 Financial Data

Measuring the Cost of Patient Care in a Massachusetts Health Center Environment 2012 Financial Data Primary Care Provider Costs Measuring the Cost of Patient Care in a Massachusetts Health Center Environment 0 Financial Data Massachusetts Respondents Alexander, Aronson, Finning & Co., P.C. (AAF) was

More information

Alternative Employment and Compensation Structures for Advanced Practice Clinicians

Alternative Employment and Compensation Structures for Advanced Practice Clinicians Alternative Employment and Compensation Structures for Advanced Practice Clinicians Focus Paper Glenn W. Chong, FACHE, FACMPE April 17, 2017 This paper is being submitted in partial fulfillment of the

More information

2018 MGMA Practice Operations Survey Guide

2018 MGMA Practice Operations Survey Guide 2018 MGMA Practice Operations Survey Guide Due Date: April 13, 2018 This document is intended to serve as a guide for completing the 2018 MGMA Practice Operations Survey. An explanation of each survey

More information

AOA Evaluation Worksheet FY 2012 Renewal

AOA Evaluation Worksheet FY 2012 Renewal INTRODUCTION The University of Miami is a very important partner of Jackson Memorial Hospital and the two organizations together have created an award winning clinical enterprise. The relationship between

More information

Hospital Outpatient 1206(d) Clinics Legal Considerations Impacting Physicians

Hospital Outpatient 1206(d) Clinics Legal Considerations Impacting Physicians Document #5401 Hospital Outpatient 1206(d) Clinics Legal Considerations Impacting Physicians CMA Legal Counsel, January 2015 California hospitals are increasingly operating outpatient clinics as a vehicle

More information

Compliance Program Updated August 2017

Compliance Program Updated August 2017 Compliance Program Updated August 2017 Table of Contents Section I. Purpose of the Compliance Program... 3 Section II. Elements of an Effective Compliance Program... 4 A. Written Policies and Procedures...

More information

Skagit County 0.1% Behavioral Health Sales Tax Permanent Supportive Housing Program - Services Request for Proposals (RFP)

Skagit County 0.1% Behavioral Health Sales Tax Permanent Supportive Housing Program - Services Request for Proposals (RFP) Skagit County 0.1% Behavioral Health Sales Tax Permanent Supportive Housing Program - Services Request for Proposals (RFP) RELEASE DATE: OCTOBER 20, 2016 LETTER OF INTEREST DUE DATE: DECEMBER 19, 2017

More information

Minnesota health care price transparency laws and rules

Minnesota health care price transparency laws and rules Minnesota health care price transparency laws and rules Minnesota Statutes 2013 62J.81 DISCLOSURE OF PAYMENTS FOR HEALTH CARE SERVICES. Subdivision 1.Required disclosure of estimated payment. (a) A health

More information

PHYSICIAN COMPENSATION MODELS IN A CHANGING ENVIRONMENT

PHYSICIAN COMPENSATION MODELS IN A CHANGING ENVIRONMENT PHYSICIAN COMPENSATION MODELS IN A CHANGING ENVIRONMENT Ralph Llewellyn, CPA, CHFP Partner rllewellyn@eidebailly.com 701-239-8594 Michele Olivier, CPC, CPMA, Consultant molivier@eidebailly.com 303-586-8529

More information

Hospital On-Call Responsibilities: A Urology Group Practice Analysis

Hospital On-Call Responsibilities: A Urology Group Practice Analysis Hospital On-Call Responsibilities: A Urology Group Practice Analysis Case Study This case study manuscript is being submitted in partial fulfillment of the requirement for ACMPE Fellowship Hospital On-Call

More information

Midway City Council 11 July 2018 Regular Meeting. Financial Advisory Services / Award Contract

Midway City Council 11 July 2018 Regular Meeting. Financial Advisory Services / Award Contract Midway City Council 11 July 2018 Regular Meeting Financial Advisory Services / Award Contract REQUEST FOR PROPOSALS FINANCIAL ADVISORY SERVICES NOTICE IS HEREBY GIVEN, that Midway City is requesting proposals

More information

Addressing Physician Compensation within Rural Healthcare

Addressing Physician Compensation within Rural Healthcare Addressing Physician Compensation within Rural Healthcare Speaker Panel Fatema Zanzi Jennifer Junis Karen Kole Kevin Marx Attorney Drinker Biddle & Reath LLP Chief Nursing Officer OSF Saint Luke Medical

More information

Webinar: CPC+ Implications, Strategies and Stakeholder Issues

Webinar: CPC+ Implications, Strategies and Stakeholder Issues Webinar: CPC+ Implications, Strategies and Stakeholder Issues a HealthcareWebSummit Event, 2PM Eastern, Wednesday, May 11th, 2016 Individual Registration Fee: $95. Post-Event Materials: $45 for attendees;

More information

Home Health Market Overview

Home Health Market Overview Home Health Market Overview December 2013 Investment banking services are provided by Harris Williams LLC, a registered broker-dealer and member of FINRA and SIPC, and Harris Williams & Co. Ltd, which

More information

PacifiCorp 2017S SOLAR Request for Proposals. Bidder s Conference Portland November 21, 2017

PacifiCorp 2017S SOLAR Request for Proposals. Bidder s Conference Portland November 21, 2017 PacifiCorp 2017S SOLAR Request for Proposals Bidder s Conference Portland November 21, 2017 Workshop Date/Time November 21, 2017 Location Portland, Oregon 10:00 AM 12:00 PM Logistics PacifiCorp s Lloyd

More information

February 9, 2012 Orlando, Florida

February 9, 2012 Orlando, Florida American Health Lawyers Association Physician and Physician Organizations Law Institute Regulatory & Payment Issues and the Patient Centered Medical Home February 9, 2012 Orlando, Florida John E. Wyand,

More information

Value-Based Health Care for AMCs and Health Systems

Value-Based Health Care for AMCs and Health Systems Value-Based Health Care for AMCs and Health Systems Part I: Network Development Michael B. Lampert +1 (617) 951-7095 Michael.Lampert@ropesgray.com Benjamin A. T. Wilson +1 (617) 951-7336 Benjamin.Wilson@ropesgray.com

More information

ABC s of Private Practice and Academics: Your First Job

ABC s of Private Practice and Academics: Your First Job ABC s of Private Practice and Academics: Your First Job Shamina Dhillon MD, FACG Partner, Shore Gastroenterology Associates NJ Clinical Assistant Professor of Medicine, Robert Wood Johnson Medical School

More information

Preparing for DSRIP: Legal and Strategic Issues for Long-Term Care Providers. LeadingAge New York Webinar

Preparing for DSRIP: Legal and Strategic Issues for Long-Term Care Providers. LeadingAge New York Webinar Preparing for DSRIP: Legal and Strategic Issues for Long-Term Care Providers LeadingAge New York Webinar November 10, 2014 Tracy E. Miller, Esq. Health Care Group Bond, Schoeneck & King, PLLC Delivery

More information

REQUEST FOR PROPOSALS (RFP) State, Tribal and Community Partnerships to Identify and Control Hypertension

REQUEST FOR PROPOSALS (RFP) State, Tribal and Community Partnerships to Identify and Control Hypertension REQUEST FOR PROPOSALS (RFP) State, Tribal and Community Partnerships to Identify and Control Hypertension I. Summary Information Purpose: The Association of State and Territorial Health Officials (ASTHO),

More information

STANDARDS OF CONDUCT A MESSAGE FROM THE CHANCELLOR INTRODUCTION COMPLIANCE WITH THE LAW RESEARCH AND SCIENTIFIC INTEGRITY CONFLICTS OF INTEREST

STANDARDS OF CONDUCT A MESSAGE FROM THE CHANCELLOR INTRODUCTION COMPLIANCE WITH THE LAW RESEARCH AND SCIENTIFIC INTEGRITY CONFLICTS OF INTEREST STANDARDS OF CONDUCT A MESSAGE FROM THE CHANCELLOR Dear Faculty and Staff: At Vanderbilt University, patients, students, parents and society at-large have placed their faith and trust in the faculty and

More information

ACO Practice Transformation Program

ACO Practice Transformation Program ACO Overview ACO Practice Transformation Program PROGRAM OVERVIEW As healthcare rapidly transforms to new value-based payment systems, your level of success will dramatically improve by participation in

More information

Indirect Cost Policy

Indirect Cost Policy Indirect Cost Policy Effective 2/1/2017 Philosophy Indirect Cost Guidance The Bill & Melinda Gates Foundation tackles critical problems primarily affecting the world s poor and disadvantaged, and supports

More information

AHLA. O. Stark and Reimbursement: A Deeper Dive to Debunk the Myths. Alice G. Gosfield Alice G. Gosfield & Associates PC Philadelphia, PA

AHLA. O. Stark and Reimbursement: A Deeper Dive to Debunk the Myths. Alice G. Gosfield Alice G. Gosfield & Associates PC Philadelphia, PA AHLA O. Stark and Reimbursement: A Deeper Dive to Debunk the Myths Alice G. Gosfield Alice G. Gosfield & Associates PC Philadelphia, PA Fraud and Compliance Forum October 6-7, 2014 Alice G. Gosfield American

More information

PROGRAM GUIDE: THE ALBERTA SMALL BUSINESS INNOVATION AND RESEARCH INITIATIVE (ASBIRI)

PROGRAM GUIDE: THE ALBERTA SMALL BUSINESS INNOVATION AND RESEARCH INITIATIVE (ASBIRI) PROGRAM GUIDE: THE ALBERTA SMALL BUSINESS INNOVATION AND RESEARCH INITIATIVE (ASBIRI) PROGRAM OVERVIEW Background Innovation both the creation of new products and the leveraging of innovation into the

More information

Physician Compensation in an Era of New Reimbursement Models

Physician Compensation in an Era of New Reimbursement Models 2014 IHA Annual Membership Meeting Physician Compensation in an Era of New Reimbursement Models Taryn E. Stone Ice Miller LLP (317) 236-5872 taryn.stone@ Agenda Background New Reimbursement Models Trends

More information

OVERVIEW OF UNSOLICITED PROPOSALS

OVERVIEW OF UNSOLICITED PROPOSALS OVERVIEW OF UNSOLICITED PROPOSALS APPLICABILITY This policy and procedure applies to unsolicited proposals received by the KCATA. The KCATA welcomes proposals from any interested vendor meeting the following

More information

Compliance Program And Code of Conduct. United Regional Health Care System

Compliance Program And Code of Conduct. United Regional Health Care System Compliance Program And Code of Conduct United Regional Health Care System TABLE OF CONTENTS Page MESSAGE FROM OUR PRESIDENT... 1 COMPLIANCE PROGRAM... 2 Program Structure...2 Management s Responsibilities

More information

Holly Jo Bohannan, Esq., Associate General Counsel - East Region, LifeCare Health Partners, Plano, Texas

Holly Jo Bohannan, Esq., Associate General Counsel - East Region, LifeCare Health Partners, Plano, Texas Presenting a live 90-minute webinar with interactive Q&A Navigating Hospital in Hospital Leasing Arrangements: LTACH, Skilled Nursing, Rehab, Behavioral Health, and Hospice Ensuring Stark and Anti-Kickback

More information

White Coat Many Hats

White Coat Many Hats White Coat Many Hats Reggie D. Lyell, MD Medical Information Officer, Floyd Memorial Medical Group Laurie Drennan Director, EMR Services, Quatris Health Agenda Strategies for gaining provider and staff

More information

Corporation for Supportive Housing. Request for Proposals for. Service Provider Capacity Building: Advancing Pay for Success,

Corporation for Supportive Housing. Request for Proposals for. Service Provider Capacity Building: Advancing Pay for Success, Corporation for Supportive Housing Social Innovation Fund Pay for Success Request for Proposals for Service Provider Capacity Building: Advancing Pay for Success, Systems Change, and Supportive Housing

More information

PHYSICIAN-HOSPITAL RECRUITING: OVERVIEW OF REGULATORY REQUIREMENTS. Charlene L. McGinty Marc D. Goldstone Hal McCard

PHYSICIAN-HOSPITAL RECRUITING: OVERVIEW OF REGULATORY REQUIREMENTS. Charlene L. McGinty Marc D. Goldstone Hal McCard PHYSICIAN-HOSPITAL RECRUITING: OVERVIEW OF REGULATORY REQUIREMENTS Charlene L. McGinty Marc D. Goldstone Hal McCard Physician recruitment activities have been the subject of intense scrutiny by federal

More information

D. ORIENTATION. Developed 2002, March 2012 Update Grant Programs Implementation Manual, Page D-1

D. ORIENTATION. Developed 2002, March 2012 Update Grant Programs Implementation Manual, Page D-1 D. ORIENTATION Developed 2002, March 2012 Update Grant Programs Implementation Manual, Page D-1 Developed 2002, March 2012 Update Grant Programs Implementation Manual, Page D-2 INITIAL ORIENTATION Overview

More information

COMMUNITY DEVELOPMENT BLOCK GRANT PUBLIC SERVICE GRANTS MOUNT VERNON URBAN RENEWAL AGENCY

COMMUNITY DEVELOPMENT BLOCK GRANT PUBLIC SERVICE GRANTS MOUNT VERNON URBAN RENEWAL AGENCY COMMUNITY DEVELOPMENT BLOCK GRANT PUBLIC SERVICE GRANTS MOUNT VERNON URBAN RENEWAL AGENCY FISCAL YEAR 2018-2019 APPLICATION DEADLINE: Friday, May 25, 2018 at 4:00pm Submit to: Deputy Commissioner Sylvia

More information

Request for Proposal for: Financial Audit Services

Request for Proposal for: Financial Audit Services Eastern Sierra Transit Authority (ESTA) Request for Proposal for: Financial Audit Services Due Date: June 23, 2015 at 4:00 pm to the attention of: Jill Batchelder Transit Analyst Eastern Sierra Transit

More information

Uniform Guidance Overview. Why did the federal government implement the Uniform Guidance?

Uniform Guidance Overview. Why did the federal government implement the Uniform Guidance? Uniform Guidance Overview Why did the federal government implement the Uniform Guidance? To harmonize (align) procurement rules and simplify the grant management process previously codified in 8 different

More information

PHCA Webinar January 30, Latsha Davis & McKenna, P.C. Kimber L. Latsha, Esq.

PHCA Webinar January 30, Latsha Davis & McKenna, P.C. Kimber L. Latsha, Esq. PHCA Webinar January 30, 2014 Latsha Davis & McKenna, P.C. Kimber L. Latsha, Esq. 1 2 Intended to: Encourage the development of ACOs in Medicare Promotes accountability for a patient population and coordinates

More information

Advancing Accountability

Advancing Accountability Advancing Accountability BEST PRACTICES IN CONTRACT AND GRANT MANAGEMENT FLORIDA DEPARTMENT OF FINANCIAL SERVICES 1 Intro & Housekeeping Introduction of instructors Housekeeping Class history Class material

More information

Invitation to CDCs to apply for: Advancing Equitable Development in Milwaukee HUD Section 4 Capacity Building Grants

Invitation to CDCs to apply for: Advancing Equitable Development in Milwaukee HUD Section 4 Capacity Building Grants Invitation to CDCs to apply for: Advancing Equitable Development in Milwaukee HUD Section 4 Capacity Building Grants Background With residents and partners we forge resilient and inclusive communities

More information

I 2 Program Frequently Asked Questions

I 2 Program Frequently Asked Questions I 2 Program Frequently Asked Questions What is the Genome BC Industry Innovation (I 2 ) Program? The I 2 Program offers repayable growth capital to businesses (with less than 500 employees), commercializing

More information

FIRST 5 LA GRAPHIC DESIGN VENDOR REQUEST FOR QUALIFICATIONS (RFQ)

FIRST 5 LA GRAPHIC DESIGN VENDOR REQUEST FOR QUALIFICATIONS (RFQ) FIRST 5 LA GRAPHIC DESIGN VENDOR REQUEST FOR QUALIFICATIONS (RFQ) Los Angeles County Children and Families First Proposition 10 Commission (aka First 5 LA) RELEASE DATE: November 2, 2009 TABLE OF CONTENTS

More information

Building a Successful Telemedicine Program

Building a Successful Telemedicine Program Building a Successful Telemedicine Program Part 1 Ronald S. Weinstein, MD Founding Director, Arizona Telemedicine Program First Telemedicine Case Massachusetts General Hospital April, 1968 Warren Street

More information

CHUGtt=::---

CHUGtt=::--- --------CHUGtt=::---,oWERJG AWKA'S FUTURE March 1, 2018 ELECTROICALLY FILED WITH RCA Regulatory Commission of Alaska 701 W. 8 th Avenue, Suite 300 Anchorage, AK 99501 Subject: Tariff Advice o. 453-8 Commissioners:

More information

Agenda Information Item Memo

Agenda Information Item Memo Agenda Information Item Memo April 20, 2018 TO: FROM: Board of Trustees Ishwari Venkataraman/ VP Strategy and Business Planning Donna Carey/ Interim Chair, Department of Pediatrics SUBJECT: Agenda Item:

More information

10/12/2017 COST REPORTING 201. October 18, Michael K. Westerfield, CPA, FHFMA Senior Manager

10/12/2017 COST REPORTING 201. October 18, Michael K. Westerfield, CPA, FHFMA Senior Manager COST REPORTING 201 October 18, 2017 Michael K. Westerfield, CPA, FHFMA Senior Manager 1 AGENDA Cost Report 101 Review Wage Index Disproportionate Share S-10 Indirect Medical Education (IME) Graduate Medical

More information

Tax Issues in Joint Ventures and Acquisition for Hospitals and Academic Medical Centers

Tax Issues in Joint Ventures and Acquisition for Hospitals and Academic Medical Centers Tax Issues in Joint Ventures and Acquisition for Hospitals and Academic Medical Centers 2013 Southeast Healthcare Provider Conference September 24, 2013 Grant Thornton, LLP Frank D. Giardini, Tax Principal,

More information

Request for Proposal for: Financial Audit Services

Request for Proposal for: Financial Audit Services Eastern Sierra Transit Authority (ESTA) Request for Proposal for: Financial Audit Services Due Date: March 21, 2018 at 4:00 pm to the attention of: Karie Bentley Administrative Analyst Eastern Sierra Transit

More information

205 CMR: MASSACHUSETTS GAMING COMMISSION

205 CMR: MASSACHUSETTS GAMING COMMISSION 205 CMR 119.00: PHASE 2 APPLICATION Section 119.01: Contents of the Application 119.02: Completing the Application 119.03: Evaluation of the Application by the Commission 119.01: Contents of the Application

More information

The Cost of a Physician Vacancy

The Cost of a Physician Vacancy The Cost of a Physician Vacancy A resource provided by Merritt Hawkins, the nation s leading physician search and consulting firm and a company of AMN Healthcare (NYSE: AHS), the largest healthcare workforce

More information

Roll Out of the HIT Meaningful Use Standards and Certification Criteria

Roll Out of the HIT Meaningful Use Standards and Certification Criteria Roll Out of the HIT Meaningful Use Standards and Certification Criteria Chuck Ingoglia, Vice President, Public Policy National Council for Community Behavioral Healthcare February 19, 2010 Purpose of Today

More information

Big Savings, Big Impacts, Big Opportunities. Incentives can save you up to 10% on your capital costs

Big Savings, Big Impacts, Big Opportunities. Incentives can save you up to 10% on your capital costs Big Savings, Big Impacts, Big Opportunities Incentives can save you up to 10% on your capital costs Housekeeping This is one of a number of complimentary webinars that ADP offers to Finance and HR professionals

More information

The School Board of Polk County, Florida. Selection Process for Architectural & Engineering Services

The School Board of Polk County, Florida. Selection Process for Architectural & Engineering Services Selection Process for Architectural & Engineering Services TABLE OF CONTENTS PROJECT DESCRIPTION... 1 POLICY-COMPETITIVE SELECTION PROCESS... 1 REQUIREMENTS OF DESIGN PROFESSIONAL (DP)... 3 STATEMENT OF

More information

ACG GI Practice Toolbox

ACG GI Practice Toolbox ACG GI Practice Toolbox Setting Up an Ambulatory Infusion Center in Your Practice AUTHOR: David L. Limauro, MD, University of Pittsburgh Medical Center, Pittsburgh, PA INTRODUCTION: Private practices in

More information

Request for Proposals

Request for Proposals Request for Proposals One-Stop Operator PA CareerLink Pittsburgh/Allegheny County Proposals Due: May 5, 2017 Partner4Work 650 Smithfield Street, Suite 2600 Pittsburgh, PA 15222 Operator@partner4work.org

More information

THE INTERNET INCUBATOR: STRUCTURES AND ISSUES

THE INTERNET INCUBATOR: STRUCTURES AND ISSUES P A U L, W E I S S, R I F K I N D, W H A R T O N & G A R R I S O N THE INTERNET INCUBATOR: STRUCTURES AND ISSUES DOUGLAS A. CIFU - MARCO V. MASOTTI MAY 2000 I. WHAT ARE INCUBATORS? 1/ In recent years,

More information

Overview: Midlevels for the Medically Underserved. -Employer Information-

Overview: Midlevels for the Medically Underserved. -Employer Information- Overview: Midlevels for the Medically Underserved -Employer Information- 1 In this Packet You ll Find What is Midlevels for the Medically Underserved?... 3 Why Midlevels for the Medically Underserved?....

More information

APPLICATION. St. Louis-Jefferson Solid Waste Management District. Waste Reduction and Recycling Grant Program

APPLICATION. St. Louis-Jefferson Solid Waste Management District. Waste Reduction and Recycling Grant Program St. Louis-Jefferson Solid Waste Management District Waste Reduction and Recycling Grant Program APPLICATION St. Louis-Jefferson SWMD 7525 Sussex Avenue St. Louis, MO 63143 314-645-6753 www.swmd.net 2018

More information

SAMPLE REPORTS: A SPECIAL INSIDE LOOK FOR MORE COST-EFFICIENT OPERATIONS

SAMPLE REPORTS: A SPECIAL INSIDE LOOK FOR MORE COST-EFFICIENT OPERATIONS HOSPICE Increase your profitability with up-to-date, industry-specific benchmarks SAMPLE REPORTS: A SPECIAL INSIDE LOOK FOR MORE COST-EFFICIENT OPERATIONS 1 Financial Monitor is the culmination of a 50-yearold

More information

AHLA. A. All Together Now: Minimizing Antitrust Risk when Creating and Operating ACOs, PHOs, and Other Clinically Integrated Entities

AHLA. A. All Together Now: Minimizing Antitrust Risk when Creating and Operating ACOs, PHOs, and Other Clinically Integrated Entities AHLA A. All Together Now: Minimizing Antitrust Risk when Creating and Operating ACOs, PHOs, and Other Clinically Integrated Entities Alpa G. Davis Attorney Federal Trade Commission Washington, DC Ashley

More information

Compliance Program Code of Conduct

Compliance Program Code of Conduct City and County of San Francisco Department of Public Health Compliance Program Code of Conduct Purpose of our Code of Conduct The Department of Public Health of the City and County of San Francisco is

More information

REQUEST FOR PROPOSALS FOR FINANCIAL AND ACCOUNTING SERVICES

REQUEST FOR PROPOSALS FOR FINANCIAL AND ACCOUNTING SERVICES REQUEST FOR PROPOSALS FOR FINANCIAL AND ACCOUNTING SERVICES Issued: March 30, 2015 Proposals Due: April 24, 2015, 3:00 pm Marshall Moran RethinkWaste Finance Manager 610 Elm Street, Suite 202 San Carlos,

More information

AHLA. David A. DeSimone Vice President and General Counsel AtlantiCare Egg Harbor Township, NJ

AHLA. David A. DeSimone Vice President and General Counsel AtlantiCare Egg Harbor Township, NJ AHLA HH. Achieving Patient Centered Medical Home (PCMH) and Meaningful Use (MU) Status How to Transform the Physician Practice in Light of Health Reform David A. DeSimone Vice President and General Counsel

More information

Choosing a Physician Leadership Model For Your Service Line

Choosing a Physician Leadership Model For Your Service Line Choosing a Physician Leadership Model For Your Service Line White Paper Prepared and Presented By: Bryan J. Warren Vice President, Operations Accelero Health Partners July 2009 1 Physician Engagement and

More information

Lessons Learned the Hard Way: Case Studies from Compliance Consulting, and Consulting Support in Civil & Criminal Legal Matters

Lessons Learned the Hard Way: Case Studies from Compliance Consulting, and Consulting Support in Civil & Criminal Legal Matters Lessons Learned the Hard Way: Case Studies from Compliance Consulting, and Consulting Support in Civil & Criminal Legal Matters Jeffrey E. Sinaiko Senior Vice President April 25, 2004 1 Outline Who we

More information

COMPLIANCE MONITORING CHECKLIST

COMPLIANCE MONITORING CHECKLIST HOSPITAL COMPLIANCE MONITORING CHECKLIST Return To: Year Ending: December 31, 2005 Email: Affiliate: Person Completing: Fax: All "No" answers should include an explanation in the General Comments column.

More information

Felipe Lopez, Vavrinek, Trine, Day & Co., LLP

Felipe Lopez, Vavrinek, Trine, Day & Co., LLP San Luis Obispo County Community College District & San Luis Obispo County Office of Education 2012 F d l C li T i i 2012 Federal Compliance Training Felipe Lopez, Vavrinek, Trine, Day & Co., LLP Objectives

More information

BOARD OF FINANCE REQUEST FOR PROPOSALS FOR PROFESSIONAL AUDITING SERVICES

BOARD OF FINANCE REQUEST FOR PROPOSALS FOR PROFESSIONAL AUDITING SERVICES TOWN OF KILLINGWORTH BOARD OF FINANCE REQUEST FOR PROPOSALS FOR PROFESSIONAL AUDITING SERVICES DATE: February 14, 2018 1 I. INTRODUCTION A. General Information The Town of Killingworth is requesting proposals

More information

Current Antitrust Issues Relating To Physician Mergers, Acquisitions And Combinations

Current Antitrust Issues Relating To Physician Mergers, Acquisitions And Combinations Current Antitrust Issues Relating To Physician Mergers, Acquisitions And Combinations David A. Ettinger Honigman Miller Schwartz & Cohn, LLP Physicians and Physician Organizations Law Institute: 2012 Heightened

More information

CONDUCTING A COMPLIANCE REVIEW OF HOSPITALPHYSICIAN FINANCIAL ARRANGEMENTS

CONDUCTING A COMPLIANCE REVIEW OF HOSPITALPHYSICIAN FINANCIAL ARRANGEMENTS CONDUCTING A COMPLIANCE REVIEW OF HOSPITALPHYSICIAN FINANCIAL ARRANGEMENTS Dennis S. Diaz, Esq. Shannon G. Dwyer, Esq. Partner Davis Wright Tremaine LLP Los Angeles, CA Sr. Vice President and General Counsel

More information

Summary Business Plan for SunFlower Center

Summary Business Plan for SunFlower Center Joyce E. Johnson, PhD, RN, NEA-BC, RN Wendy S. Garvin, MSN, APRN-BC, RN Summary Business Plan for SunFlower Center NOTE: This summary business plan has been condensed significantly and modified to exclude

More information

Administrative services which may be delegated to IPAs, Medical Groups, Vendors, or other organizations include:

Administrative services which may be delegated to IPAs, Medical Groups, Vendors, or other organizations include: Delegation Delegation This section contains information specific to medical groups, Independent Practice Associations (IPA), and Vendors contracted with Molina to provide medical care or services to Members,

More information

Procurement and Purchasing

Procurement and Purchasing Procurement and purchasing activities support the educational and research objectives of the college. Accordingly, individuals across campus are involved in purchasing goods and services as well as entering

More information

Grants Management Scenarios

Grants Management Scenarios Grants Management Scenarios SCENARIO 1: Parker School District received a TIF grant in 2012. It followed the guidelines set forth in the application package and did not list specific vendors in its application.

More information

Release Date: Tuesday, March 14, 2017 Deadline for Submissions: Friday, April 14, 2017

Release Date: Tuesday, March 14, 2017 Deadline for Submissions: Friday, April 14, 2017 The Annie E. Casey Foundation s Baltimore Civic Site is seeking proposals for community-based workforce initiatives to connect unemployed and underemployed residents in East Baltimore with quality job

More information

11/30/2012. Systems for Assuring Compliance with AKS and Stark

11/30/2012. Systems for Assuring Compliance with AKS and Stark Systems for Assuring Compliance with AKS and Stark WHY? Condell Medical Center (IL), 2008 - $36 million Physician arrangements Leases of medical office space at rates below fair market value Improper loans

More information

Family Services FIXED RATE CONTRACT REVIEW OF TEMPORARY STAFFING PHASE ONE REPORT ON EMERGENCY PLACEMENT RESOURCES

Family Services FIXED RATE CONTRACT REVIEW OF TEMPORARY STAFFING PHASE ONE REPORT ON EMERGENCY PLACEMENT RESOURCES Family Services FIXED RATE CONTRACT REVIEW OF TEMPORARY STAFFING PHASE ONE REPORT ON EMERGENCY PLACEMENT RESOURCES December 12, 2014 FIXED RATE CONTRACT REVIEW PHASE ONE EMERGENCY PLACEMENT RESOURCES TABLE

More information

Collaborative Care Model. Post-Acute Care / Long-Term care / Sub-Acute Care. Proposal

Collaborative Care Model. Post-Acute Care / Long-Term care / Sub-Acute Care. Proposal Definitions: Collaborative Care Model Post-Acute Care / Long-Term care / Sub-Acute Care Proposal For the purposes of this proposal, we use definitions consistent with AMDA The Society for Post-Acute and

More information

CROSS-COMMUNITY SUMMIT SESSION 2 CONSIDERATIONS FOR HEALTH CENTERS AND HOSPITALS IN DEVELOPING SUCCESSFUL PARTNERSHIPS. Speakers:

CROSS-COMMUNITY SUMMIT SESSION 2 CONSIDERATIONS FOR HEALTH CENTERS AND HOSPITALS IN DEVELOPING SUCCESSFUL PARTNERSHIPS. Speakers: SESSION 2 CONSIDERATIONS FOR HEALTH CENTERS AND HOSPITALS IN DEVELOPING SUCCESSFUL PARTNERSHIPS Speakers: Arthur Jones, M.D., Principal, has over 25 years of experience as a founding physician and CEO

More information

Compliance Considerations for Clinical Laboratories

Compliance Considerations for Clinical Laboratories Compliance Considerations for Clinical Laboratories Elizabeth Sullivan, Esq. McDonald Hopkins, LLC 600 Superior Ave., E, Suite 2100 Cleveland, Ohio 44114 P: 216.348.5401 / F: 216.348.5474 esullivan@mcdonaldhopkins.com

More information

Department of Defense INSTRUCTION

Department of Defense INSTRUCTION Department of Defense INSTRUCTION NUMBER 1100.21 March 11, 2002 SUBJECT: Voluntary Services in the Department of Defense Incorporating Change 1, December 26, 2002 ASD(FMP) References: (a) Sections 1044,1054,

More information

OIG Risk Areas: Anti- Supplementation; Therapy Services, Physicial Self-Referral & Hospice

OIG Risk Areas: Anti- Supplementation; Therapy Services, Physicial Self-Referral & Hospice OIG Risk Areas: Anti- Supplementation; Therapy Services, Physicial Self-Referral & Hospice Presented by: Ken Burgess, Esq. Paul Pitts, Esq. Suzie Berregaard, Esq. Where We ve Been & Today s Topics Review

More information

LivaNova Terms and Conditions for Donations and Grants

LivaNova Terms and Conditions for Donations and Grants LivaNova Terms and Conditions for Donations and Grants The following Terms and Conditions apply to all LivaNova Donations and Grants approved by the LivaNova regional Donation and Grant Committees, including;

More information

Miami Dade College Resource Development. Frequently Asked Questions

Miami Dade College Resource Development. Frequently Asked Questions Miami Dade College Resource Development Frequently Asked Questions ADMINISTRATION What is the MDC internal process for grant seeking? Once you have decided on a grant that you want to write, the MDC s

More information

TOWN OF STOUGHTON COMMUNITY CHOICE POWER SUPPLY PROGRAM AGGREGATION PLAN COLONIAL POWER GROUP, INC.

TOWN OF STOUGHTON COMMUNITY CHOICE POWER SUPPLY PROGRAM AGGREGATION PLAN COLONIAL POWER GROUP, INC. TOWN OF STOUGHTON COMMUNITY CHOICE POWER SUPPLY PROGRAM AGGREGATION PLAN PREPARED BY COLONIAL POWER GROUP, INC. PURPOSE OF THE AGGREGATION PLAN The Town of Stoughton ( Town ) developed this Aggregation

More information