Tip: How to obtain on-call physicians
Compliance Monitor, January 14, 2009
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The most common solution to obtain physicians for on-call coverage is to provide a stipend or hourly rate. A Sullivan Cotter survey shows that 90% of organizations pay employed physicians and 97% pay nonemployed physicians.
Other options include:
- Providing payments for excess call (typically more than 3–5 shifts per month)
- Paying the physician’s malpractice insurance
- Contracting with an entire physician group to provide call coverage
- Using locum tenens agencies
- Technology-driven call, in which the physician calls in remotely to review imaging scans and on-site reports and direct the on-site physician via live video/audio.
If you plan to use the most common model, an hourly rate or stipend, it is important to understand government guidelines for determining fair-market value on-call payments.
This tip is an excerpt from an article written by Jen Johnson, CFA, in the January 2009 issue of the HCPro monthly newsletter Healthcare Auditing Strategies titled “Create a compliant on-call payment model.” For more information about this newsletter, visit the HCMarketplace.
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