医疗保健评估解决方案

We have the accreditations, certifications and expertise to analyze and communicate:

• 公司估值
• 无形资产
• Compensation arrangements for transactions
• 法规遵从性
• 需要证明书(“证明书”)
• Commercial reasonableness studies
• 固定资产
• Valuations for financial reporting
• 诉讼支援服务

Learn more about 商业估价服务

的 医疗保健监管格局 是复杂的, making it difficult to determine proper and compliant physician compensation for services. Laws and regulations are constantly evolving, causing greater scrutiny on financial arrangements.

LBMC’s 医疗保健 Compensation Valuation team combines an understanding of complex financial and regulatory matters with an ability to analyze voluminous financial operations information to deliver 公平市价(FMV) opinions to ensure maximum compliance. Each valuation analyzes the healthcare arrangement to determine 公平市价(FMV) compensation using the cost, 收入和市场方法, 是适用的.

Physician Employment Arrangements

Physician employment FMVs are approached by considering the unique facts and circumstances of the physician and the employer involved. LBMC considers the historical and projected production of the physician, 已公布的市场调查, 招聘挑战, among other available and applicable information. 的 LBMC team leverages their expert knowledge to determine a compliant and defensible conclusion of FMV.

Independent Contractor Arrangement

医疗保健 organizations utilize independent contractors when it is financially or operationally beneficial compared with employing a provider to perform the same services. Key considerations of these arrangements include the burden to the provider (e.g. time required, acuity of patients, malpractice risk, etc.), as well as whether the provider can bill and collect for services provided under the arrangement.

医生随叫随到安排

On-call arrangements generally present themselves in two forms: restricted coverage and unrestricted coverage. 的 physician availability required by these arrangements can vary greatly. Restricted coverage requires the physician to be physically present at the facility during the coverage period. Hospital-based specialties are commonly arranged in this manner. Unrestricted coverage generally does not restrict the physician to the facility, but requires the physician to be within a reasonable distance from the facility so they can be onsite within a reasonable time, 比如30分钟. LBMC considers the facts and circumstances of each arrangement to determine a unique level of burden based upon guidelines and commentary in applicable Office of Inspector General (OIG) 咨询 Opinions.

医务主任安排

安排 医疗主任 services (and other administrative services) take into consideration activities which are not directly related to the provision of healthcare services to patients. Stark Phase III Regulations make a critical distinction between the clinical and administrative work provided by physicians and require FMV补偿 be determined for administrative physician services. LBMC completes a thorough analysis of the services provided, as well as the expertise and qualifications of the physician required.

管理服务协议

医疗保健 management services can be either professional or clinical services. Professional management is typically performed by non-physician business personnel and provided in combination with other services such as billing, 设备租赁, 员工租赁, 信息系统, or electronic health records services. Clinical management is similar to 医疗主任ship arrangements; however, it is provided by a group of physicians, as opposed to a single physician.

Joint Ventures and Leasing Arrangements

Joint Venture arrangements occur when two or more businesses agree to share profit, 损失, and control in a specific enterprise. Leasing arrangements can occur when one hospital seeks to borrow equipment from another hospital. LBMC uses its resources and experience to value these rates and arrangements.

Professional 服务 Arrangements

Often hospitals contract directly with an independent physician or a physician group for various types of services. 在这些安排下, the physician group maintains its independent practice, for which the hospital is not financially or operationally responsible. This provides flexibility for the hospital and the physician group.

Subsidy and/or Collection Guarantee Arrangements

It is common for hospitals to make arrangements with physician groups in hospital-based specialties for coverage, particularly when the hospital experiences difficulty securing qualified staff for clinical areas. Hospitals often contract with independent healthcare providers for a combination of 24-hour onsite and on-call coverage. Due to low patient volumes and/or high indigent patient volumes, healthcare providers may be unable to collect sufficient professional fees. 结果是, hospitals may subsidize the coverage or guarantee market based collections to secure consistent and adequate coverage.

Physician Compensation Consulting/ Planning

LBMC physician compensation consulting and planning begins by having discussions with providers about their vision, values and goals to help align compensation with the organizations objectives. LBMC completes a thorough review and assessment of current compensation models, recommends financially sustainable and compliant models and assists organizations in implementing compensation plans.

Clinical Co-Management Arrangements

Clinical Co-Management arrangements occur when facilities contract with a group of employed or independent physicians to manage the quality of a hospital’s service lines. 的se agreements are arranged to align the goals of the facility and the physician and often include an incentive for achieving quality outcome goals. LBMC analyzes the administrative duties, clinical duties and agreed upon goals to determine fair market value compensation for the services.

尽职调查

的 LBMC compensation valuation team understands the strict regulatory requirements and substantial financial penalties healthcare companies face today. We perform due diligence by collecting and analyzing material facts with careful attention to risks or concerns.