Physician Contract Compliance Review Audit Report
Subscriber Content
Audit Physician Contracting and Payment Processes in Healthcare Organizations
Paying direct compensation to physicians has become complicated due to regulations such as Stark I, Stark II and the Federal Anti-Kickback Statute. Compliance with these regulations, however, is critical to the success of the organization.
This sample audit report can be used to measure the effectiveness of a company's physician contracting and payment processes, to analyze a physician's written and managed contracts in relation to company policy regulations, to identify control and/or compliance weaknesses, and to recommend improvements.
The following key observations were noted during the review:
- Contracts may not contain a stipulation restricting the execution of similar arrangements within the first year of the contract term.
- Contracts terms may not contain a termination date and/or may contain an indefinite contract term.
- Contracts may be incomplete and/or missing exhibits.
- Contract terms may commence prior to the full execution of the contract.
- Contracts may not contain a requirement to submit time logs and/or other support documentation.