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You are here > Home > Reading Lists > HR, Personnel & Supervision > Physician Recruitment & Employment

Physician Recruitment and Employment: A Complete Reference Guide, 2nd Edition
The Coker Group

2nd Edition
Hardcover: 320 pages + bonus CD-ROM
ISBN 0763738670
9780763738679
Jones & Bartlett
December 2006
(click the button below for the very best available price)

If you are a health administrator, having this book available to you, on your desk, is like sharing your office with your attorney - without the fees. If you are an attorney, your job has just become much easier.

 

Physician Recruitment and Employment is a comprehensive manual and complete resource for physician recruitment and employment policies and contracts. 

 

This book serves as an excellent resource for Physician Recruitment offices within hospitals, medical groups, and health systems, as well as administrators, finance directors, human resource professionals, medical staff coordinators and physician executives. The book has been updated to cover the revisions made to the Starke self-referral guidelines.

 

An invaluable resource for hospitals and health care providers who have questions about the far-reaching government regulations pertaining to physician recruitment, this book will help readers avoid potential pitfalls and help ensure legal compliance. Updated edition includes revisions made to the Stark self-referral guidelines. Using this book, you will:

  • Know the areas most likely to be scrutinized by the government

  • Understand the current legal environment and how the rules apply to providers

  • Learn how to create a physician recruitment policies document

  • Have confidence in knowing that your practices are safe and sound

This tool kit includes model agreements and contracts to serve as the basis of your own agreements. The CD-ROM accompanying the book offers many forms, letters, and legal documents. The models were designed by health law experts to cover all the bases in recruitment and retention. In addition, this resource also contains tools to help you succeed, including:

  • forms

  • questionnaires

  • checklists

  • training documents

  • and more.

This book comes with a useful CD-ROM that contains many exportable forms, policies, checklists and questionnaires. In a world where the regulations regarding physician recruitment are vague and often contradictory, Physician Recruitment and Employment: A Complete Reference Guide will help you stay on top of ever-changing guidelines. This book and CD-ROM set provides guidance, discussion and resources for the following topics:

  • General Guiding Principles

    • Principles of Community Need and Community Benefit

      • Community Need: Acceptable Justifications

      • Community Benefit: Acceptable Justifications

      • Unacceptable Justifications

      • Absence of Community Need/Community Benefit

    • Policies Concerning Categories of Practice

      • Policies Applying to All Categories of Physicians

      • Policies Applying to Existing Medical Practices

      • Policies Applying to New or Significantly Expanding Medical Practices

      • Other Guiding Principles

    • Overall Reasonableness of Recruitment Incentives

      • Cap on Incentives Provided

      • Type of Physician to Whom Recruitment Incentives Can Be Extended

      • Requirement for Written Agreement

      • Duration of Recruitment Incentives

    • Prohibition against Renegotiation

    • Requirement for Reporting to the IRS

    • Exceptions to Guidelines

  • Current Legal Environment

    • Fraud and Abuse

      • Anti-kickback Statute

      • Past Safe Harbor Activity

      • Current Safe Harbor Activity

      • Other OIG Pronouncements

      • Anti-kickback Case Law

    • Tax Exemption and Private Inurement

      • Private Inurement and Private Benefit

      • The IRS’s Position on “Insiders”

      • The Current IRS Concept of Community Benefit

      • Expanded Hospital Audit Guidelines

      • Hermann Hospital Closing Agreement

      • IRS Announcement 95-25

    • Antitrust Considerations

      • The Sherman Act

      • The Clayton Act

      • Examples of “Per Se” Antitrust Violations

      • Examples of “Rule of Reason” Antitrust Violations

      • Role of the “Expedited Business Review”

      • Physician-Hospital Organizations: Antitrust and PHO Contracting Activities

    • Bona Fide Employee Status

    • The Kennestone Settlement

    • Feldstein, M.D., v. Nash Community Health Services, Inc.

    • OIG Gainsharing Advisory Bulletin

    • Comprehensive Physician Ownership and Referral Act of 1993 (“Stark II”)

  • Recruitment Policy Development

    • Reasons for Creating a Physician Recruitment Policies Document

    • Development Sequence

    • Contents of a Physician Recruitment Policies Document

      • Preliminary Statements

      • Preamble

      • Statement of Awareness

    • Supervision and Governance

      • Role of the Governing Board

      • General Considerations regarding Recruitment Committees

    • Overview of Standard Contractual Elements

      • Recitals

      • Obligations of the Hospital

      • Obligations of the Physician

      • Prohibitions against Requiring Certain Obligations

      • Terms of Financial Benefits

      • Conditions of Termination or Default

      • Miscellaneous Concluding Statements

      • Exhibits

      • Table of Contents

    • Requirement Incentives for Non-Employed Physicians

    • Practice Start-up Loans and Income Guarantee Loans

      • Traditional Repayment

      • Alternative Repayment (“Loan Forgiveness”)

      • Signing Bonus, Relocation Expenses, Finder’s Fees, and Other One-time Payments

    • General Principles

    • Reimbursement of Relocation Expenses

    • Signing or Recruitment Bonus

    • Purchase of “Tail” Medical Liability Coverage

    • Professional Liability Insurance

    • Education (“CME”) Grants

    • Education Loans and Payment of Student Loans

    • Use of Hospital Property and Services

    • Use of Hospital Support Staff

    • Hospital’s Training of Physician’s Support Staff

    • Office Leases and Leasehold Improvements

    • Practice Acquisition and Physician Employment

    • Practice Acquisitions: Usual Circumstances

    • Practice Acquisitions: Integrated Delivery Systems

  • Templates and Tools

    • Physician Recruitment Agreement—Forgivable Loan

    • Agreement for Professional Services—Employee

    • Medical Director Agreement—Employee

    • Professional Services Agreement—Employee (Family Practice)

    • Professional Services Agreement—Independent Contractor

    • Professional Services Agreement—Employee (Emergency Department)

    • Physician Recruitment Agreement—Independent Contractor

    • Nurse Practitioner Recruitment Agreement—Forgivable Loan

    • Medical Office Lease Agreement—Hospital and Physician

    • Physician Recruitment Guidelines

    • Position Postings

    • Contingency Search Agreement—Primary Care

    • Contingency Search Agreement—Specialty and Subspecialty

    • Physician Recruitment Questionnaire—Pre-Interview

    • Professional Questions and Attestations

    • Defining the Position—Getting a Feel for the Opportunity

    • Candidate Screening—Initial Interview

    • Candidate Interview Checklist

    • Candidate Interview Questionnaire

    • Candidate Peer Interview Evaluation Grid

    • Candidate Evaluation Checklist

    • Letter to Reviewers

    • Physician Orientation and Development

    • Physician Retention Plan

    • Checklist for Initiating Hospital-employed Physician Practice

  • Exhibits

    • Community Need Analysis

    • Fraud and Abuse Safe Harbors

    • Management Advisory Report Regarding Hospital-based Physicians

    • May 1992 “Special Fraud Alert” Regarding Physician Incentives

    • December 1992 Thornton Letter to IRS

    • Analysis Section of Polk County vs. Peters Decision

    • Physician Recruitment Guidelines

    • Announcement 95-25 (Now Known as Rev. Rul. 97-21)

    • Expedited Business Review Approval Request—Collaborative Provider Organization, Inc

    • Twenty Key IRS Classification Factors for Determining Independent Contractor Status

    • Access to Records

    • Sample Physician Recruitment Agreement

    • Example of Practice Support Promissory Note

    • Example of UCC Financing Statement

The Coker Group is a national health care consulting firm helping physicians, hospitals, and other providers find answers and solve problems in management and business operations. Since 1987, Coker consultants and educators have provided practical, effective strategies and solutions to assist the leaders of today's health c are organizations through hands-on consulting and educational forums.

The Coker Group has maintained a reputation for thorough, efficient, and cost-conscious work, helping countless clients improve on financial and operational levels. Coker consultants are some of the nation's foremost experts on health care management. Each consultant has an area of specialty, but each brings an unparalleled ability to analyze and strategize and to recognize and solve problems.

(information from the publisher)

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