This questionnaire helps to identify the potential salary range of a physician. It assesses a physician’s work history using objective criteria like specialized certifications, research publications and leadership appointments.
This comprehensive checklist identifies information for the due diligence process in connection with a proposed transaction between two parties. The entity responsible for producing requested documents should not have to create new documents. Production requests may seem duplicative; however, this is intentional in an effort to capture all relevant materials.
This sample form has specific application for parties entering a health services agreement. For instance, it considers the treatment of protected health information under the HIPAA Privacy Rule.
Use this tool to assess existing hospital/physician relationships in order to identify potential violations of the federal Stark Law, anti-kickback law or False Claims Act (or similar state laws), which could trigger disclosure and/or repayment obligations. This tool can also be used as an aid in negotiating and drafting new agreements with physicians. While this tool was designed primarily with the Stark Law in mind, some of its questions are applicable to an anti-kickback analysis as well.
This sample checklist focuses on the acquisition of a nonprofit healthcare entity.