Insights from Ludi

I worked for a large non-for-profit system “papering” physician employment, loans, and other physician alignment strategies. I regarded compliance as a necessary evil.

It’s actually smart to conduct your organization’s business within in the bounds of federal regulations. The Department of Justice (DOJ) hasn’t taken 2018 off and when they hit an organization, the fine tends to go big. And, now it’s even personal – healthcare executives are being given prison time. As one Ludi™ client has stated, “Orange is not my color.”

Given that it is May 1 and you will likely be staring at a stack of 100 time logs from physicians who want to be paid, here are 3 tips for minimizing compliance errors:

We know as a leader in your hospital organization that you’ve got a number of priorities and likely a number of reasons to toss and turn through the night. We also know that physician administrative agreements are an intricate part of your strategy to align with physicians and are probably a much more complicated and time-intensive process to manage than they should be. We've gathered a couple of the reasons that may be keeping you up at night when it comes to your physician contracts and offered solutions so you can finally get some shut eye.

Physician administrative agreements are such a critical part of hospital strategy. The challenge with these agreements is they live in a variety of departments where each department manages them differently which can be cause for manual process and leave large opportunity for error. With automation comes concrete process across all silos of physician contracts as well as ownership of the problem.

The regulatory environment dictates that hospitals who contract with physicians meet specific conditions in order for the contract to be legal. The conditions are meant to ensure the physician payment is not based on volume or value of business because it can lead to overusing services and increasing overall costs of care. Technically violating your own contracts can lead to multi-million dollar settlements.