Life Sciences companies will often contract with physician practices, outpatient clinics and medical centers to help carry out the protocols of their clinical trials. In many cases, an FMV assessment is highly recommended especially if the providers refer the products of the company…
Provider Shortages & Incentive Bonuses
There’s no shortage of articles on the physician shortage in the US…pun intended.
For example, a recent report released by the Association of American Medical Colleges (AAMC) declared that the U.S. faces a projected shortage of between 37,800 and 124,000 physicians within 12 years…
FMV On-Call Pay – What to Consider
When assessing the FMV compensation for a physician’s on-call pay arrangement, there are a number of factors that an appraiser should consider in order to develop a defensible FMV opinion…
Physician Compensation-per-wRVU Pay Plan – Be Careful!
If you structure a physician’s pay plan based strictly on a compensation-per-wRVU model, be careful when relying on survey data, especially at the 90th percentile…
FMV of a PSA
A professional service agreement (“PSA”) is generally defined as a financial relationship between a physician practice and a hospital in which the physician practice remains an autonomous entity (i.e. employees of their own PC) but the physicians are compensated directly by the hospital at a fair market value rate…
Minority Discount for an ASC Member Interest?
However, it’s paramount to remember that although a typical physician-investor in an ASC may be considered a “minority” owner, the fact that the physician-investor controls the revenue and the business makes regular distributions is a “major” factor…
What are the Professional Standards for an FMV Opinion?
An FMV opinion is typically an individual’s opinion of the value of a specific service (as opposed to an asset or business interest). Trained and certified appraisers are normally the types of professionals that are hired to express their opinion on the value of a service…
FMV of Telehealth MSAs
Determining the FMV of an MSO fee in the telehealth space is proving to be challenging for a number of reasons. First, a thorough and defensible FMV should consider the perspective of both the MSO and the friendly PC…
Lab paid kickbacks to “patient brokers” in the form of legitimate advertising services
Lab owner was convicted for submitting genetic tests that were medically unnecessary and procured through kickbacks. An Atlanta lab owner conspired with patient brokers, telemedicine companies, and call centers to target Medicare beneficiaries with telemarketing calls falsely stating that Medicare covered expensive cancer genetic tests…
Commercially Unreasonable Expenses for Specimen Collection and Space Rent
I’ve been pounding the table on this matter and now we see the DOJ recognizing it. The FMV for specimen collection services and MSO services are normally calculated on a “cost plus mark-up” basis. But, the costs to provide the specific service must be commercially reasonable…
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