Healthcare provider compensation restrictions (% of collections)

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by a searcher from Drexel University
in Denver, CO, USA

5yrs ago

Healthcare provider compensation restrictions (% of collections)

Searchers with Healthcare experience:

Seeking a document outlining Stark and/or other limitations to productivity-based compensation for physicians.
Would love to go in and set every doc to a % of their collections but have been advised that this may be non-compliant in some areas.

Does anyone have anything like this?
Specific to medicare, M'caid, Tricare, & Commercial

For non-heatlhcare folks- salaried/ per-diem compensation is the most common trojan horse in all of healthcare when it comes to providers but it's also the easiest to execute compliantly.

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reply by a searcher 11mos ago
from Villanova University in York, PA, USA

Paying providers a productivity % of collections (otherwise known as net revenue) is standard across plenty of healthcare service lines. I have not heard of groups paying different %s based on the type of payor/insurance type. I'd reach out to a healthcare attorney as a rule of thumb when doing physician contracts just to be safe.

reply by a searcher 8mos ago
from University of the Sciences in Philadelphia in New York, NY, USA

Right on. But many healthcare providers typically want a fix salary plus the performance bonuses rather than 100% reliant on a certain percentage of collections (and I'm sure you understand that).