What’s in Your Medical Director Agreement? Negotiating the Terms and Understanding Key Provisions

Date:  January 27, 2021 

Time2:00 PM-2:30 PM ET 

Description

Medical director agreements are critical to establishing obligations and boundaries between the provider and the physician. Understanding the terms and provisionsas well as the negotiation strategies, are important when successfully designing an agreement that works for the professional. There are number of key provisions that medical director agreements should have, including the duties of the medical director; compensation; the licensure, criminal history, and exclusion status of the medical director; and insurance and indemnity. Recently the Department of Justice (DOJ) has investigated False Claims Act violations arising from the alleged payment of kickbacks in the form of sham medical director agreements and payments to the spouses of referring physicians. This session will review the nuances of key agreement terms and address negotiation tips. 

 Learning Objectives: 

  • Understand key terms and provisions of medical director agreements 
  • Learn key negotiation items for the design of a medical director agreement 
  • Recognize the provider's interests and goals when negotiating with the professional 
  • Identify DOJ concerns about referrals and agreements 

Speaker: Sean Fahey, BA, JD 

Sean Fahey, BA, JD, represents the needs of skilled nursing and assisted living facilities in all areas of health care compliance, transactions, accounts receivable, and reimbursement recovery. He counsels clients on admission agreement language relevant to collection matters and provides advice on discharge planning issues. Mr. Fahey also has been regular speaker at long-term care conferences as well as at continuing legal education seminars focusing on assisted living and skilled nursing facility issues. He is admitted to practice in Indiana, Illinois, and New York.  

Credit Statements: 

CME:  

Designation - AMDA: The Society for Post-Acute and Long Term Care Medicine designates this live activity for a maximum of 0.5AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. 

Accreditation : AMDA – The Society for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

CMD: This live activity has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 0.5 management hours toward certification or recertification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.  

Maintenance of Certification (MOC): Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.5 Medical Knowledge MOC points and patient safety credit in the American Board of Internal Medicine’s (ABIM) MOC program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. 

Disclosure Information: 

Speakers are required to provide verbal disclosure prior to each talk. If the learner perceives any bias toward a commercial product or service, please report this to the Society’s staff. According to the Society and ACCME policy, all those in a position to control content are required to disclose any relevant financial relationships. 

The speaker has no financial relationships to disclose.  

The faculty have no financial relationships to disclose. 

The following AMDA Online Education Committee members have financial relationships to report: Robert Zorowitz, MD, MBA, CMD – United Health Group: Stock Shareholder; all others have no relationships to disclose. 

 AMDA staff have no financial relationships to disclose.