

CMS’s 2024 Final Rule Reduces Conversion Factor by 3.37%
The Centers for Medicare and Medicaid Services (“CMS”) recently issued the Final Rule announcing the 2024 policy changes for Medicare,...
Nov 30, 2023


$45.6 Million Settlement Related to Improper Medical Director Payments at 6 SNFs
In November 2023, Prema Thekkek, her management company, Paksn Inc. (“Paksn”), and 6 SNFs that are owned by Thekkek or managed by Paksn...
Nov 28, 2023


Notable OIG Advisory Opinion: Favorable Toward Employed Physician Bonuses Based on ASC Collections
In October 2023, the Department of Health and Human Services ("HHS") Office of the Inspector General (OIG) issued Advisory Opinion No. 23-07 ("AO") to a multi-specialty physician practice (the "Requestor") with 11 physician employees (the "Physicians"). The Requestor had inquired about the payment of bonuses to its employed physicians based on net profits from procedures performed by the Physicians ("Proposed Arrangement"). The Proposed Arrangement would implement a quarterly
Nov 22, 2023


Valuing Physician-Performed NP and PA Supervisory Services
Medical practices commonly hire nurse practitioners (NPs) and physician assistants (PAs) to boost productivity, improve healthcare access, and enhance profitability. Although the U.S. seems to be moving toward more autonomy and even full practice authority for PAs and NPs, every state in the US currently requires that PAs maintain a collaboration arrangement with a supervising physician. Many states require formal arrangements between NPs and supervising physicians, as well.
Nov 17, 2023


BFMV Perspective: The Physician Shortage, Patient Access, and FMV
Major access to care issues in the US, stemming from a physician shortage, have been a looming concern since the early 2000s. Deficits are projected to be in the range of 50,000 to 150,000 physicians by the mid-2030s due largely to the aging patient population and physician retirement trends. The COVID-19 pandemic is believed to have exacerbated the issue by contributing to provider burnout and accelerating physicians’ plans to retire or transition out of clinical practice. I
Nov 6, 2023


4 Settlements for Alleged Improper Payments for Lease Arrangements and Medical Director Services
Four home healthcare settlements related to improper payments to physicians have been announced by the Department of Justice (“DOJ”). ...
Oct 19, 2023


$3.8 Million Settlement Related to Improper SNF Medical Director Payments
Medical director arrangements at skilled nursing facilities (“SNF(s)”) have been under federal scrutiny for the past few years (2021 blog...
Sep 25, 2023


5 Insights from BFMV’s 2023 Physician Call Coverage Burden & Compensation Survey
Every year, BFMV conducts a national direct-to-physician call coverage survey. This project offers valuable insights that inform our fair...
Sep 22, 2023


Over $20 Million in Combined Qui Tam Settlements from Home Health Buyer and Seller
In August 2023, the Department of Justice (“DOJ”) announced that Watermark Retirement Communities, LLC (“Watermark”), based in Tucson,...
Sep 20, 2023


Hospital Self-Disclosure Led to Settlement with DOJ
In April 2023, the Department of Justice (“DOJ”) announced that Sibley Memorial Hospital (“SMH”) and its parent company, Johns Hopkins...
Aug 31, 2023


Physician Call Coverage Compensation: 6 Key Background Statistics from the 2023 BFMV Survey
Earlier this year, BFMV conducted our fifth annual direct-to-physician call coverage survey. An affordable source of physician call...
Aug 15, 2023


The Top 3 Physician Compensation Questions From Hospice Providers
A variety of factors can complicate hospice physician compensation. The top three questions we help hospice providers answer are...
Aug 9, 2023


Key Burden Statistics: 2023 BFMV Physician Call Coverage Burden & Compensation Survey
Not only is BFMV’s fifth annual direct-to-physician call coverage survey an affordable source of physician call coverage compensation...
Jul 27, 2023


CMO Compensation in Non-Profit Hospitals
As part of the 2023 BFMV Physician Leaders Compensation Report, BFMV analyzed Form 990[1] data filed by non-profit hospitals and health systems nationwide to find trends in compensation paid to Chief Medical Officers (CMOs). CMOs are physicians in senior leadership roles who provide strategic leadership and direction of daily operations in hospitals, health systems, or medical centers. Their duties commonly include serving as liaisons between the administration and medical st
Jul 20, 2023


5 Snapshots from the 2023 BFMV Physician Leaders Compensation Report
Earlier this year, BFMV released the 2023 Physician Leaders Compensation Report, which reflects compensation for 3,462 physician leaders...
Jun 23, 2023








