ED Coding & Reimbursement Alert - 2009 Issue 20
Compliance Tip: High Hospital Physician Salaries Can Trigger Anti-Kickback Concerns
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Article Overview
This article explains a compliance issue involving hospital physician salaries and federal anti-kickback concerns. It is aimed at compliance professionals, hospital administrators, physicians, and coding or reimbursement staff who need to understand how compensation arrangements can raise regulatory risk. The discussion focuses on broad legal and compliance considerations, including employment relationships, fair market value concepts, and government enforcement attention.
Why This Topic Matters
Compensation arrangements between hospitals and physicians can have regulatory implications beyond traditional fair market value review. Understanding the compliance risks can help organizations evaluate employment structures and reduce exposure to enforcement concerns.
What You Will Learn
- How physician compensation can raise anti-kickback compliance concerns
- Why employment relationships may attract government scrutiny
- What broad regulatory issues are associated with compensation that is far above market norms
- Which oversight entities may be involved in enforcement
Who Should Read This
- Compliance professionals
- Hospital administrators
- Physicians
- Healthcare attorneys
- Revenue cycle and reimbursement staff
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