Whether you’re managing physicians or advanced practice providers (APPs), understanding production, collections and compensation is key to financial success and regulatory compliance.
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Withum’s Healthcare Valuation Services Team brings deep industry expertise and an innovative approach to healthcare operations. We specialize in helping organizations achieve clarity, compliance, and measurable results.
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Maintaining fair market value (“FMV”) of physician compensation is a crucial aspect of healthcare compliance, and call compensation is a key component with unique complexities. Both the Physician Self-Referral Law (“PSL”)—commonly referred to as “Stark Law” and the Anti-Kickback Statute (“AKS”) are typically relevant for call coverage arrangements. Over the last two decades, call compensation…
Ensuring fair market value (“FMV”) in physician compensation is vital to healthcare compliance, especially physician administrative compensation, which is replete with complexities. Administrative services arrangements, most frequently used for medical directorship services, often intersect with the Physician Self-Referral Law (“PSL”), commonly known as Stark Law, and the Anti-Kickback Statute (“AKS”). Separate medical director compensation, as…
Maintaining fair market value (“FMV”) of physician compensation is a crucial aspect of healthcare compliance, reducing the risk that improper payments are not used to induce the referral of Medicare or Medicaid patients. As more physicians become employed and integrated into health systems, financial relationships (and FMV concerns) between physicians have risen. As a result,…
The landscape of federal healthcare legislation imposes certain regulatory requirements on the joint venture commonly known as the MSO-PC model. As discussed in Part 1, parties to an MSO-PC model must first navigate state-level regulations that prohibit the corporate practice of medicine (“CPOM”). Compliance thresholds under federal law, along with their valuation implications for stakeholders,…
As healthcare industry innovators work to broaden care access, more stakeholders have entered the arena to contribute capital and expertise to medical business ventures. These efforts have frequently resulted in a type of joint venture—commonly referred to as the “MSO-PC model”— between physician practices and outside business entities not licensed to practice medicine. Through this…