Gail Peace

Governance Effectiveness, Legislation and Legislative Advocacy, Operational Excellence, Physician Workforce, Workforce

Preventing Federal Violations in Physician Arrangements

Health care organizations face a great deal of regulatory risk in physician-hospital contracts, billing issues, quality and privacy. For physician-hospital contracts, the laws, enacted to discourage fraud, require complex contracts along with a high level of documentation. Failing to follow the rules of the contract or failing to document actions under the contract are technical violations and may result in settlements with the federal government. These settlements can run into the millions of dollars, so effective compliance is paramount.