Compensation Compliance program development

How We Work

HSG Advisors empowers health systems to build strong, defensible Provider Compensation Compliance programs through annual, data-driven evaluations of every provider agreement. We go beyond surface checks—stratifying contracts into clear non-issues and potential concerns, and delivering formal Fair Market Value (FMV) and Commercial Reasonableness (CR) opinions when needed.

The result? Confidence in compliance, reduced risk exposure, and a foundation for fair, transparent, and sustainable compensation practices.

Compliance Support and Solution Benefits

HSG supports hospitals and health systems through the following steps:

• Annual Comprehensive Review: Conducts a thorough annual assessment of all provider compensation arrangements, including benchmarking against industry standards and reviewing contracts, duties, compensation models, and productivity.
• Bifurcation of Agreements: Stratifies provider agreements into categories—No Concern, Moderate Concern, Significant Concern, and Monitor—based on compliance risk, compensation percentiles, and alignment with production, allowing organizations to focus resources on potential issues.
• Formal FMV and CR Opinions: Provides formal, third-party FMV and CR opinions for agreements identified as moderate or significant concern, documenting compliance and supporting regulatory defense.
• Corrective Action Recommendations: Offers actionable recommendations for agreements requiring adjustment, ensuring compensation is brought into alignment with FMV standards or justified by unique circumstances.
• Ongoing Monitoring and Support: Delivers ongoing support for monitoring new hires, ramp-up periods, and evolving compensation structures, with options for multi-year engagement and discounted annual reviews.
• Senior-Level Expertise: Leverages deep experience and thought leadership from senior consultants, ensuring every assessment is thorough, defensible, and tailored to the health system’s needs.