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Physician Recruitment and Employment: A Complete Reference Guide, Second Edition

Author(s): The Coker Group
Details:
  • ISBN-13: 9780763738679
  • ISBN-10:0763738670
  • Hardcover    296 pages      © 2007
Price: International Sales $175.95 US List
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This book serves as an excellent resource for Physician Recruitment offices within hospitals, medical groups, and health systems. Thoroughly updated, the Second Edition covers revisions made to the Starke self-referral guidelines, providing comprehensive coverage of general guiding principles, current legal environments, recruitment policy development, and templates and tools to optimize physician recruitment. This book also includes a companion CD-ROM that offers several forms, letters, and legal documents featured throughout the text.

Features & Benefits

Ideal resource physician recruitment offices within hospitals, medical groups, and health systems

Updated edition includes revisions made to the Stark self-referral guidelines

Companion CD-ROM offers several forms, letters, and legal documents featured throughout the text

Part I: General Guiding Principles

TAX EXEMPT STATUS

ANTI-KICKBACK STATUTE

PRINCIPLES OF COMMUNITY NEED AND COMMUNITY BENEFIT

Community Need: Acceptable Justifications

Community Benefit: Acceptable Justifications

Unacceptable Justifications

Absence of Community Need/Community Benefit

POLICIES CONCERNING CATEGORIES OF PRACTICE

             Policies Applying to All Categories of Physicians

             Policies Applying to Existing Medical Practices

             Policies Applying to New or Significantly Expanding Medical Practices

OTHER GUIDING PRINCIPLES

             Overall Reasonableness of Recruitment Incentives

             Type of Physician to Whom Recruitment Incentives Can Be Extended

             Requirement for Written Agreement

             Duration of Recruitment Incentives

             Prohibition Against Renegotiation

             Requirement for Reporting to the IRS

             Exceptions to Guidelines

             Exhibit 1-1 Community Need Analysis

Part II: Current Legal Environment

FRAUD AND ABUSE

             Anti-Kickback Statute

             Safe Harbors to the Anti-Kickback Statute

             Other OIG Pronouncements

             Anti-Kickback Case Law

TAX EXEMPTION AND PRIVATE INUREMENT

             Private Inurement and Private Benefit

             The IRS’s Position on “Insiders”

             The Current IRS Concept of Community Benefit

             Expanded Hospital Audit Guidelines

             Hermann Hospital Closing Agreement

             IRS Announcement 95-25

ANTITRUST CONSIDERATIONS

             The Sherman Act

             The Clayton Act

             Examples of “Per Se” Antitrust Violations

             Examples of “Rule of Reason” Antitrust Violations

             Role of the “Expedited Business Review

             Physician-Hospital Organizations: Antitrust and PHO Contracting Activities

BONA FIDE EMPLOYEE STATUS

THE KENNESTONE SETTLEMENT

FELDSTEIN, M.D., v. NASH COMMUNITY HEALTH SERVICES, INC

ALVARADO HOSPITAL MEDICAL CENTER, INC

             Gainsharing and its Regulatory History

             The OIG’s Analysis

             Caveats and Recommendations

THE STARK LAW

 

Recent Enforcement of the Stark Law

 

             Exhibit 2-1 1991 Fraud And Abuse Safe Harbors

           

             Exhibit 2-2 Management Advisory Report Regarding Hospital-Based Physicians

             Exhibit 2-3 May 1992 “Special Fraud Alert” Regarding Physician Incentives

             Exhibit 2-4 December 1992 Thornton Letter To IRS

             Exhibit 2-5 Analysis Section Of Polk County Vs. Peters Decision

             Exhibit 2-6 Physician Recruitment Guidelines

             Exhibit 2-7 Announcement 95-25 (Now Known As Rev. Rul. 97-21)

Exhibit 2-8 Expedited Business Review Approval Request—Collaborative

Provider Organization, Inc.

             Exhibit 2-9 Twenty Key IRS Classification Factors For Determining Independent

Contractor Status

Part III: Recruitment Policy Development

             REASONS FOR CREATING A PHYSICIAN RECRUITMENT POLICIES

DOCUMENT

             Development Sequence

             Contents Of A Physician Recruitment Policies Document

                         Preliminary Statements

                         Supervision and Governance

                                     Supervision and Governance and Role of the Governing Board

                                     The New Era of Corporate Responsibility

                                     Sarbanes-Oxley Overview and Sentencing Guideline Amendments

Raise the Stakes for All Business

Organizations

The Content of the Sentencing Guideline Amendments

OVERVIEW OF STANDARD CONTRACTUAL ELEMENTS

             Element I—Recitals

             Element II—Obligations of the Hospital

             Element III—Obligations of the Physician

             Element IV—Prohibitions against Requiring Certain Obligations

             Element V—Terms of Financial Benefits

             Element VI—Conditions of Termination or Default

             Element VII—Miscellaneous Concluding Statements

             Element VIII—Exhibits

Recruitment Incentives For Non-Employed Physicians

             Practice Start-up Loans and Income Guarantee Loans

             Requirements

             Legal Documentation

             Traditional Repayment

             Alternative Repayment (“Loan Forgiveness”)

Signing Bonus, Relocation Expenses, Finder’s Fees, And Other One-Time Payments

             General Principles

                         Requirements

                         Reimbursement of Relocation Expenses

                                     Requirements

                                     Legal Documentation

                         Signing or Recruitment Bonus

                                     Legal Documentation

                         Purchase of “Tail” Medical Liability Coverage

                                     Requirements

                                     Legal Documentation

                         Professional Liability Insurance

                                     Requirements

                         Legal Documentation

                         Education (“CME”) Grants

                                     Requirements

                                     Legal Documentation

                         Education Loans and Payment of Student Loans

                                     Requirements

                                     Legal Documentation

                         Use of Hospital Property and Services

                                     Requirements

                                     Legal Documentation

                         Use of Hospital Support Staff

                                     Requirements

                                     Legal Documentation

                         Hospital’s Training of Physician’s Support Staff

                                     Requirements

                                     Legal Documentation

                         Office Leases and Leasehold Improvements

                                     Requirements

Practice Acquisition And Physician Employment

                                     Requirements

                                     Legal Documentation

Medical Practice Valuation—IRS Update

Practice Acquisitions: Integrated Delivery Systems  

                         Integrated Delivery System Models

                         Requirements

Exhibit 3-1 Access To Records

Exhibit 3-2 Sample Physician Recruitment Agreement

Exhibit 3-3 Example Of Practice Support Promissory Note

Exhibit 3-4 Example Of UCC Financing Statement

Part IV: Templates and Tools

 

             Physician Recruitment Agreement — Forgivable Loan

             Agreement For Professional Services—Employee (Primary Care Clinic

   - Employee Status)

             Medical Director Agreement—Employee

             Professional Services Agreement—Employee (Family Practice)

             Professional Services Agreement—Independent Contractor

             Professional Services Agreement— Employee

             Physician Recruitment Agreement—Independent Contractor

             Nurse Practitioner Recruitment Agreement—Forgivable Loan

             Medical Office Lease Agreement—Hospital And Physician

             Physician Recruitment Guidelines

             Position Postings

             Contingency Search Agreement—Primary Care

             Contingency Search Agreement—Specialty And Subspecialty

             Physician Recruitment Questionnaire—Pre-Interview Physician Questionnaire

             Professional Questions And Attestation

             Defining The Position—Getting A Feel For The Opportunity Physician

Recruitment Questionnaire

             Candidate Screening—Initial Interview Physician Interview Questionnaire

             Candidate Interview Checklist

             Candidate Interview Questionnaire

             Candidate Peer Interview Evaluation Grid Candidate Evaluation

             Candidate Evaluation Checklist - Interviewer’s Evaluation Grid

             Letter To Reviewers

             Physician Orientation And Development

             Physician Retention Plan

             Checklist For Initiating Hospital-Employed Physician Practice

Index

           


The Coker Group

The Coker Group is a national health care consulting firm helping physicians, hospitals, and other providers find answers and solve problems in management and business operations. Since 1987, Coker consultants and educators have provided practical, effective strategies and solutions to assist the leaders of today's health c are organizations through hands-on consulting and educational forums.

The Coker Group has maintained a reputation for thorough, efficient, and cost-conscious work, helping countless clients improve on financial and operational levels. Coker consultants are some of the nation's foremost experts on health care management. Each consultant has an area of specialty, but each brings an unparalleled ability to analyze and strategize and to recognize and solve problems.

 

The Coker Group
www.cokergroup.com