PHYSICIAN ARRANGEMENTS & REFERRAL REVIEWS

Why Choose Apache Consulting Apache Consulting for Physician Arrangements & Referral Reviews?

Ensuring compliance with physician arrangements and referral practices is critical to avoiding legal risks and maintaining ethical healthcare standards. Apache Consulting provides expert guidance to help healthcare organizations navigate complex regulations, including the Anti-Kickback Statute and Stark Law, ensuring compliant agreements and referral practices.

Regulatory expertise in physician contracts & referrals
Comprehensive risk assessments to identify compliance vulnerabilities
Proactive mitigation strategies to prevent legal violations

Expert Evaluation of Physician Arrangements & Referral Practices

Apache Consulting specializes in compliance consulting tailored to the intricate legal and regulatory requirements of physician arrangements, ensuring:
📌 Contracts align with fair market value
📌 Referral practices comply with Stark Law & Anti-Kickback Statute
📌 Legal safeguards are in place to prevent conflicts of interest

Understanding the Healthcare Regulatory Framework

Strict federal regulations govern physician agreements and referrals. Apache Consulting ensures your organization remains compliant with key laws, including:
📖 The Anti-Kickback Statute – Preventing financial incentives that improperly influence patient care
📖 The Stark Law – Prohibiting unlawful physician self-referrals
📖 CMS & OIG Guidelines – Ensuring transparency & accountability in healthcare arrangements

Our regulatory experts provide clear guidance and strategic interpretation of these laws, minimizing compliance risks while ensuring ethical patient care.

Structuring Compliant Physician Agreements

Physician contracts must be structured carefully to avoid regulatory violations. Apache Consulting provides:
Contract drafting & review – Ensuring compliance with legal standards
Compensation analysis – Aligning with fair market value & commercial reasonableness
Joint venture & management agreement structuring – Preventing conflicts of interest

We help healthcare organizations establish legally sound, ethical physician relationships that support regulatory compliance and financial integrity.

Ensuring Compliant Referral Practices

Referral arrangements are heavily regulated and require careful oversight. Apache Consulting offers:
🔍 Referral pattern analysis – Identifying potential Stark Law violations
📑 Compliance reviews – Ensuring referral decisions are based on medical necessity
🛡 Safeguard implementation – Preventing unlawful self-referrals & improper incentives

By conducting regular reviews, we ensure your organization’s referral policies align with federal regulations, reducing legal risks while maintaining high ethical standards.

Risk Assessment & Mitigation Strategies

Effective risk management is key to avoiding compliance violations. Our experts conduct:
📊 Thorough risk assessments – Identifying vulnerabilities in physician arrangements & referrals
Proactive compliance strategies – Addressing issues before they escalate
📚 Training & education programs – Equipping staff with compliance best practices

With Apache Consulting, your organization gains a strategic partner in managing compliance risks while ensuring continued operational success.

Partner with Apache Consulting for Compliance Confidence

Our specialized services in physician arrangements & referral reviews ensure your organization:
Meets regulatory standards with confidence
Avoids costly compliance violations
Maintains ethical, patient-centered healthcare practices

Protect your healthcare organization

We are committed to providing exceptional compliance consulting services, helping you navigate complex regulations with confidence. Our approach is built on expertise, integrity, and a dedication to your success. Reach out today for a free consultation and discover how we can support your compliance needs.