(42 USC § 1395dd; 42 CFR § 411.353). PROFESSIONAL SERVICE AGREEMENT Consistent with a national trend, many Idaho hospitals are acquiring physician practices and then entering into a direct financial relationship with post-acquisition physicians formally associated with the practice. 3330 Cumberland Boulevard, Suite 200 Physician groups that contract with hospitals or other facilities to provide services “under arrangement” must ensure that any referrals within the group satisfy Stark requirements. For purposes of this Agreement, each physician affiliated with DS providing or anticipated to provide Contracted Services is a Physician (collectively Physicians). Professional Service Agreements Basics A traditional PSA, a contract drafted between a hospital and a physician practice, is composed of the following elements: The hospital contracts with the physicians for their services at a fair market value rate. Under Stark, if a hospital has a financial relationship with a physician, the physician may not refer patients to the hospital for certain designated health services 1 payable by Medicare or Medicaid unless the arrangement fits within a regulatory safe harbor. h�b```a``�������A���2�@�!�pƀ���T7����r,.��3}[���f4W;'�A�����XAB5Pm&�\+ -�R`���Y�1�g�d�eja��t���D��mܬ켌l�1�u�L�K/3�%>d`�^uW��[@����]��R�Û!�� Ϣ*� Unlike an employment model where the hospital enters into an employment relationship, in the PSA the physicians continue to operate under their own corporate structure, but contract with the hospital to provide medical services to their patients. PHO Physician Professional Services Agreement THIS PHO PHYSICIAN PROFESSIONAL SERVICES AGREEMENT (the “Agreement”) is made and entered into effective as of _____ (the “Commencement Date”), by and between Northeast Louisiana Physician Hospital Organization, Inc., a Louisiana for profit corporation (hereinafter referred to as “PHO”, and This is a medical simple service agreement template for a physician who is being hired to provide medical services to a community or physician group. Part of the hospital's role in physician recruiting is to provide independent physicians with an income guarantee, which serves as an inducement to attract an incoming physician. 387 0 obj <>stream This sample is an agreement between physician and hospital regarding employment. _������$(J��j(�����5�:�������R� �Ga�7�&�� MMA: Hospital Physician Alignment Services %%EOF A PSA is a staffing arrangement between a hospital and a non-employed physician that can take several forms. This agreement applies to any provider services I may obtain from Mercy providers at a clinic Material Change. 375 0 obj <>/Filter/FlateDecode/ID[<49ABADFF0123444987268897C7D5A41E>]/Index[356 32]/Info 355 0 R/Length 94/Prev 640166/Root 357 0 R/Size 388/Type/XRef/W[1 2 1]>>stream Defined in first paragraph of this Agreement. Under CCMAs, hospitals will focus on a particular service line, which may cover inpatient, outpatient, ancillary, and/or other services, and enter into an agreement (s) with physicians (either individual physicians, medical groups, or a physician-owned management entity) to work with hospital leadership to develop, manage, and improve the quality and efficiency of such service line. hޔVmO9����Չ��+UH �+jSP�A%UK�${lv�]�����I ����ό�y�Ya4�DC2��%,ӌp�����,�0�Q�r�4+�pJ $���"\� ҄[�ȇ�9�Q^��=�Z7Ӽ��aQ8;'��;�{�A��f�^�ޡf��b1s�������w0��z�ZO�������n�ՠ����S��z~\�F�q��������(n�Ɨ�)�v�*Oe���'W�'����$o�ο�0�,8���[״Ÿ�Y��J7�iԄ�0���&��ġ�k�zm�����9����qF��A���Zw�{bP�8�˺��i�F���'8�^8�s�}��K���0��ڠn�p��1L����J�B5��'4Ђ�9��/x�����ڻt�8����m��8���p���pm���-N��w�����m����& Unlike an employment model where the hospital enters into an employment relationship, in the PSA the physicians continue to operate under their own corporate structure, but contract with the hospital to provide medical services to their patients. with the terms of this Agreement. 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