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Fraud Alert: Physician Compensation Arrangements …

    https://oig.hhs.gov/documents/other-guidance/903/Fraud_Alert_Physician_Compensation_06092015.pdf
    business. OIG encourages physicians to carefully consider the terms and conditions of medical directorships and other compensation arrangements before entering into them. OIG recently reached settlements with 12 individual physicians who entered into questionable …

CMS Manual System - Centers for Medicare

    https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R15SOMA.pdf
    “Medical director” refers to a physician who oversees the medical care and other designated care and services in a health care organization or facility. Under …

Medical Director Arrangements Under Increased …

    https://www.frierlevitt.com/articles/service/healthcarelaw/medical-director-arrangements-under-increased-scrutiny/
    Medical Director Arrangements Under Increased Scrutiny. Posted on July 23, 2015. While not an entirely new topic, there has been a significant increase in the …

Medical directorship arrangements: Increased …

    https://www.alston.com/-/media/files/insights/publications/2014/04/medical-directorship-arrangements-increased-govern/files/compliancetoday201404millermcclary/fileattachment/compliancetoday201404millermcclary.pdf
    of Birmingham, Alabama paid a total of $14.9 million to settle allegations related to improper medical directorship arrange-ments. HealthSouth paid $14.2 million, while the two …

Compliance Checkup: Key Questions for Medical Directors

    https://www.brouse.com/compliance-checkup-guideposts-for-medical-directors
    The agreement should cover all the services that the medical director will perform and set the aggregate compensation for the services to be performed. …

Aetna settles suit alleging claim-denying medical director never …

    https://www.cnn.com/2019/04/26/health/aetna-settlement-california-investigation/index.html
    Aetna has settled a lawsuit in which a company medical director said under oath that he never looked at patients’ records when deciding whether to approve or deny …

Understanding the Risks Associated with …

    https://www.norcal-group.com/library/understanding-the-risks-associated-with-medical-directorships
    An FP contracted with a company that provided medical directors, attending physicians, and advanced practice clinicians to skilled nursing facilities …

Texas Doctor Enters Settlement Agreement with OIG on …

    https://oig.hhs.gov/fraud/enforcement/texas-doctor-enters-settlement-agreement-with-oig-on-kickback-allegations-9/
    The $195,016 settlement resolves allegations that Dr. Ghebranious received remuneration from Jack L. Baker, MD and Fairmont Diagnostic Center and Open MRI, …

How to Become a Medical Director

    https://physiciansthrive.com/physician-compensation/medical-director/
    They coordinate teams of nurses, physicians, and non-medical staff to ensure that the overall goals of their facility are being met. A medical director also …

DOJ Penalizes Doctors, Hospitals, & Medical Practices …

    https://cohenhealthcarelaw.com/2020/09/doj-penalizes-doctors-hospitals-medical-practices-millions-to-settle-allegations-of-anti-kickback-statute-violations/
    Most Anti-Kickback Statute and Stark claims are litigated through the False Claims Act when the payments are made to physicians and medical practices and other healthcare …



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