First few Article Sentences
Determining physician compensation requires a multifaceted approach and annual auditing to make sure hospitals and health systems don't expose their organizations to fraud and abuse claims by potentially and inadvertently violating the Stark Law and anti-kickback statute.
Over the past decade, an increasing number of hospitals employed physicians to augment their networks and leverage negotiations with insurers.
Following the increased regulatory demands of the Affordable Care Act, and exacerbated by the shift from fee-for-service to value-based reimbursement models, independent physician organizations are overwhelmed with technological and regulatory burdens. Addressing these concerns can consume valuable practice time. Failing to do so has resulted in emerging penalties and settlements due to physician agreements or contracts violating Stark and anti-kickback regulations.