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Hospital and Cardiology Group Settle Allegations of Improper Medical Director Payments

On March 7, 2018, the Department of Justice announced that a hospital and a physician group will pay $20.75 million to settle allegations of kickbacks and Stark Law violations. The case started with a qui tam lawsuit filed by Dr. Tullio Emanuele, a cardiologist once employed by the group.[1] In an amended complaint filed November 30, 2012, Dr. Emanuele alleged that his former employer, Medicor, a private practice of cardiologists and internal medicine physicians, entered into sham medical directorship agreements with Hamot Medical Center.[2] At the time of Dr. Emanuele’s employment, Medicor was the exclusive provider of cardiology services at Hamot, a tertiary care facility, regional referra

What to Do When You Need to Double Check wRVUs

Work RVUs (wRVUs) are commonly used to measure physician productivity. Under many physician compensation plans, physicians are paid a specific dollar amount for each wRVU generated. Since a significant amount of money may be tied to wRVUs – it is important that employers calculate them correctly and have confidence that wRVU totals accurately reflect the amount of work done by their physicians. We recommend periodically testing wRVU inputs and related data to help make sure physicians are paid appropriately. See the graphic for a summary of tests/analyses that can be done to assess whether the wRVU calculations being used to compensate physicians at your organization are appropriate.

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