tci Medicare Compliance & Reimbursement - 2005 Issue 10

HOSPITALS: A Fail-Safe Way To Reward Docs Who Save You Money

Caution: You'll need careful planning and plenty of oversightArrangements that allow hospitals to share savings with physicians who implement money-saving strategies typically draw fire from the Office of Inspector General. But a plan submitted in a Feb. 4 Advisory Opinion (No. 05-01) won tentative approval for both protecting patient care and guarding against referrals.The plan: Over a one-year period, a hospital paid a cardiac surgeon group 50 percent of the savings achieved by curbing the inappropriate use or waste of specific medical supplies during designated surgery procedures. For example, performing blood cross matching only when a transfusion is...

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