Physician Arrangements: FMV, Stark, AKS & Compliance Risk

Physician arrangements remain a significant compliance risk because compensation, referral relationships, documentation, reimbursement, and operational performance must remain aligned throughout the arrangement lifecycle. PYA's Tynan Kugler and Erin Walker explain fair market value, commercial reasonableness, Stark Law, the Anti-Kickback Statute, physician arrangement documentation, governance, centralized inventories, medical directorships, call coverage, professional services agreements, co-management, recruitment, and risk-based auditing and monitoring. Review the webinar resources, key takeaways, FAQs, and timestamped transcript: https://www.pyapc.com/insights/hcrr-1... Recorded October 28, 2026. Healthcare laws, regulatory guidance, enforcement priorities, and compensation methodologies may change. Confirm current legal and valuation requirements for the specific arrangement. What Viewers Will Learn • Why physician arrangement compliance must be managed throughout the entire lifecycle • How fair market value differs from commercial reasonableness • How Stark Law and the Anti-Kickback Statute affect physician financial relationships • Which documentation and operational evidence should support payments • What risks arise in medical directorships, call coverage, PSAs, co-management, recruitment, and other arrangements • Why centralized inventories, governance, and aggregated provider reviews matter • How to establish risk-based auditing and monitoring procedures 0:00 Introduction and presenters 2:37 Why physician arrangements remain a compliance priority 8:19 Enforcement lessons and documentation failures 12:53 Stark Law and Anti-Kickback Statute considerations 17:37 Additional federal, state, tax-exempt, and policy requirements 19:26 Fair market value, commercial reasonableness, and arrangement lifecycle 24:04 Framework for reviewing physician arrangements 28:32 Valuation benchmarks and supporting documentation 32:33 Business purpose and commercial reasonableness 37:17 Common physician arrangement types and risk areas 41:30 Medical directorships, call coverage, and co-management 46:00 Subsidies, recruitment, and provider need 48:52 Auditing and monitoring the arrangement lifecycle 52:49 Ongoing payment review and aggregated arrangements 57:36 Governance, accountability, and practical review procedures 1:00:42 Closing remarks #HealthcareCompliance #PhysicianCompensation #FairMarketValue