A mother-daughter-owned pharmacy paid kickbacks and bribes to marketing and telemedicine companies in exchange for referring Medicare beneficiaries for expensive durable medical equipment (DME) and prescriptions for pharmaceutical medication, which […]
The Evolution of Physician Compensation
Physician compensation is evolving. The way healthcare employers are paying physicians has vastly changed after the COVID-19 pandemic. Traditional productivity-based compensation models have been upended, and there is slow migration […]
It’s Damn Expensive to Hire a Physician!
According to a 2021 study by the Association of Advancing Physician and Provider Recruitment (AAPPR), it takes about 248 days to fill an open physician-specialist position and 207 days to […]
ASC Industry Snapshot (2 min. read)
Patients in the US have been pining for greater affordability and efficiency in healthcare.The ambulatory surgery center (ASC) model has become an alternative to inpatient hospitals over the last few […]
Is there a Commercially Reasonable (CR) Risk with Cost-Plus Management Fees?
Many MSA fee structures are based on a cost-plus fee structure. And often times the MSO cannot accurately forecast the expenses of providing management services. So one question is whether […]
FMV of Space and Equipment Leases
HVG has come across some existing lease arrangements where the lease rate was calculated based on the fair or desired rate of return to the lessor/landlord or owner of the […]
FMV is Not Enough to Keep You Out of Hot Water
There are a number of arrangements that require not only an opinion of the FMV rate in terms of dollars but also an estimate of time, cost, or some other […]
Selection of HCPs for Advisory Roles & FMV Comp.
There’s been quite a bit of FMV compliance concern and awareness lately surrounding health care professionals (HCPs) providing services to life sciences companies with respect to FMV compensation and commercial […]
Physician Compensation and Productivity – Post Pandemic & Inflation
Based on a cursory review of the latest MGMA physician compensation and productivity survey data, physician productivity increased sharply in 2021 from 2020 and has rebounded to levels prior to […]
COVID Testing and Specimen Collection Enforcement Expected
Recently, the DOJ expressed its renewed enforcement action against COVID-19-related fraud with the creation of the COVID-19 Fraud Enforcement Task Force. https://www.justice.gov/opa/pr/attorney-general-announces-task-force-combat-covid-19-fraud Most of the DOJ’s enforcement activity to date […]
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