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By: Victoria Lee, InternAnamika Desai, Director, Physician Relations Department
History
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Purpose
Significance
Methodology
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Prior to the introduction of the Stark Law, there was no regulation of physician self-referral
practices
Physicians could ultimately refer patients to medical facilities that favored their financial
interest
This lead to overutilization of
services, increase in healthcare costs, and
monopolization of healthcare services
Analyze past physician outreach expense records
Isolate key data components from the expense records
Research better documentation techniques
Convert data from past expense records into Excel
Assemble data to form pivot tables
Use pivot tables to determine total expenses per physician and service
line
Implement a routine of yearly updates for Physician Liaisons on changes in the Stark Law during the first
meeting of each year
Create a set of instructions to guide Physician Liaisons through the operations of
the new procedures
Measure change through a 360-feedback system
Outcomes
Outcomes (cont.)
The new procedure allows for access to updated expense reports at any time
As of 2015, the non-monetary compensation limit per physician must not exceed $392 per year
Total Spend per MD and Total Spend per Service Line Reports allows for Physician Liaisons to efficiently
monitor and stay updated on expenses per physician throughout the year
Current report shows that RWJUH is in compliance with the Stark Law
Evaluation
Acknowledgements