Insights from Ludi

Gail Peace

Recent Posts

How to Construct the Optimal Physician Contract

Posted by Gail Peace on Mar 14, 2017 1:48:31 PM

Physician contracts should, in theory, be created using templates as a best practice. The reality is that physician contracts are like snowflakes: it’s difficult to find two that are alike. In practice, having too much variation in your physician contracts can be detrimental to the organization. High level of variation can lead to operational problems while trying to execute agreements.

Ludi has had the pleasure of reading close to 7,500 physician contracts in the last three years. From this experience comes a tip sheet on how to construct the optimal physician contract.

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Topics: physician agreements, physician contracts, physician management

3 Financial Benefits of Using the Right Physician Software

Posted by Gail Peace on Mar 10, 2017 9:16:38 AM

Over the last five years, the industry has been largely focused on ensuring physicians have an Electronic Medical Record (EMR) in their private practices to capture clinical practice time. There has been a focus on capturing the work flow to collect the clinical documentation and to ensure the appropriate variables are accurate for billing. These systems are expensive and time consuming to implement.

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Topics: revenue cycle management, physician software

5 Steps to Lower Your Physician Agreements Compliance Risk

Posted by Gail Peace on Mar 6, 2017 8:05:00 AM

The four top areas for regulatory risk for hospitals include: Patient privacy, coding, quality, and physician agreements. Physician agreements tend to have the most opportunity for points of failure due to the process, structure, and people involved in making sure agreements are appropriately written and managed over time.

Read through the following 5 tips and consider them a guideline to lower your risk related to physician agreements:

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Topics: physician agreements, hospital compliance

5 Ways to Avoiding Costly Physician Logging Errors

Posted by Gail Peace on Feb 28, 2017 9:36:04 AM

The regulatory environment is deep with rules governing how healthcare organizations (HCO) behave. One particularly strict law is the Stark Law, governing how HCOs interact with referring physicians. The law prevents HCOs from paying physicians unless a safe harbor is met. Assuming the HCO takes proper care in setting up this agreement, problems can still arise in how the agreement is operationally managed over time. If not followed exactly as written, the organization may fall outside the safe harbor rendering the organization in violation. Because the law is non-intent based, the OIG will not be swayed if the HCO inadvertently violates the law. Meaning, even if there is a technical violation of the law, the full wrath of the law applies.

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Topics: physician logging, revenue cycle management, physician errors

4 Ways To Improve Your Hospital's Physician Agreements

Posted by Gail Peace on Feb 22, 2017 8:18:00 AM

Many hospitals have embraced the Lean Six Sigma method to collaboratively identify opportunities and reduce waste. Some hospitals even have teams that shine a laser focus on large cost savings opportunities. These projects are collaborative and can also take time and resources to manage appropriately. We have thought of a handful of ways that are rooted in the Lean approach but also take advantage of the work that has been performed by others to date. These four findings aim to improve your hospital's physician agreements and how you manage them. These could be any of the following: an employment agreement, a medical directorship, an on-call agreement, a research agreement or a teaching agreement.

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Topics: revenue cycle management, physician agreements, physician software, time management

How Physician Time Logs Impact Your Medicare Reimbursement

Posted by Gail Peace on Feb 14, 2017 12:05:32 PM

Hidden somewhere inside each hospital is the person who is responsible for coordinating the submission of the Medicare Cost Report. This is an annual filing that contains information about the hospital’s cost of delivering care. While Medicare currently reimburses hospitals prospectively based on DRGs, accurately and efficiently logging your physicians' workflows is still a major driver of that reimbursement. Below are two areas that are directly impacted by physician time logs.

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Topics: revenue cycle management, Physician Time Logging, medicare reimbursement

How to Minimize Risk and Avoid Anti-Kickback Settlements

Posted by Gail Peace on Feb 6, 2017 4:34:30 PM

The Anti-Kickback Statute (AKS) applies not only from the standpoint of merging health care organizations, but also for physicians contracting with health care organizations. The basic premise is that business relationships should be clean, without one party paying the other for business. Hospitals, pharmaceutical companies and insurance and device companies are evaluated by how they do business directly with physicians, since physicians refer patients to that organization.

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Topics: Healthcare Law