Medical and Dental Schools and Services

440.010 Constitution and Code of the UMC Hospital and Clinics

kuscheld — Wed, 26 May 2010 22:04:14 +0000

440.010 Constitution and Code of the UMC Hospital and Clinics kuscheld Wed, 05/26/2010 - 22:04

Bd. Min. 7-20-51, p. 5797, as amended; revised Bd. Min. 2-7-86, deleted Bd. Min. 1-29-04.

440.020 Medical Staff Bylaws of the UMC Hosptial and Clinics

kuscheld — Wed, 26 May 2010 22:05:44 +0000

440.020 Medical Staff Bylaws of the UMC Hosptial and Clinics kuscheld Wed, 05/26/2010 - 22:05

Bd. Min. 2-15-80; Amended 5-22-81; Bd. Min. 3-26-82 and revised Bd. Min. 3-23-84. Deleted Bd. Min. 1-29-04.

440.030 Rules and Regulations of the Medical Staff of the UMC Hospital and Clinics

kuscheld — Wed, 26 May 2010 22:06:16 +0000

440.030 Rules and Regulations of the Medical Staff of the UMC Hospital and Clinics kuscheld Wed, 05/26/2010 - 22:06

Bd. Min. 2-15-80; Revised Bd. Min. 3-23-84. Deleted Bd. Min. 1-29-04.

440.040 University Physicians Medical Practice Plan

kuscheld — Wed, 26 May 2010 22:07:00 +0000

440.040 University Physicians Medical Practice Plan kuscheld Wed, 05/26/2010 - 22:07

Amended February 27, 1976 & Bd. Min. 12-14-79 & 3-17-87; Amended Bd. Min. 9-28-17; Amended Bd. Min. 9-20-18; Amended Bd. Min. 9-26-19; Amended Bd. Min. 6-18-2020.

Definitions
1. University Physician Medical Practice Plan-- These rules and regulations shall be known and referred to as the "University Physicians Medical Practice Plan."
2. Plan-- The word "Plan" as used in these regulations shall be construed to mean the Plan herein created for the rendering of professional services to patients, consultation or any other services related to their professional skills rendered to others than the University by members of the Faculty of the School of Medicine of the ��ҹӰԺ-Columbia (“MU”), providing for the use of any fees or compensation received for such services and providing for additional compensation for those Faculty members who become participants in the Plan.
3. Plan Income -- The words "Plan Income" shall be construed to mean all income received by the University by assignment which are derived from patient care activities from sources identified in Section 440.040.D.
4. MU Health Care-- The words "MU Health Care" or “MUHC” as used herein shall refer to the facilities owned, operated or that are affiliates of MU Health Care and the School of Medicine. This includes MU and the UM System.
5. Participant-- The word "Participant" as used in these regulations shall be construed to mean all Faculty or Staff Physicians of the School of Medicine who are members of the MUHC Medical Staff who as part of their employment responsibilities generate income from professional activities documented by a signed contract for patient care related services which is assigned to the University pursuant to the Plan.
6. Department-- The words "Department" or "Departments" shall refer to those departments of the School of Medicine for whom departmental accounts have been recommended by the University Physicians Management Committee and approved by the Dean and in which one or more Faculty members or Staff Physicians shall have qualified as participants in the Plan.
7. Departmental Account-- The words "Departmental Account" or "Departmental Accounts" shall refer to those departmental accountability records maintained in the University Physicians Administration Office in support of the percentage portion of the Plan income credited to the department as determined by the Plan.
8. University Physicians-- The words "University Physicians" shall mean the operating name of the University Physicians Medical Practice Plan.
9. Section/Division-- The words "Section/Division" or "Sections/Divisions" shall refer to those sections/divisions of departments of the School of Medicine which have a separate account as provided in Section 440.040 G.3.
10. Section/Division Chief -- The words "Section/Division Chief" shall refer to the head of a section/division within a department qualified under the Plan.
11. Section/Division Account-- The words "Section/Division Account" or "Section/Division Accounts" shall refer to those sectional accountability records maintained in the University Physicians Administration Office in support of the portion of the Plan income credited to the section as determined by the Plan.
12. Dean-- The word "dean" shall refer to the Dean of the School of Medicine.
13. Chancellor-- The word "Chancellor" shall refer to the MU Chancellor.
14. President-- The word "President" shall refer to the President of the UM System.
15. Chief of Staff -- The words "Chief of Staff" shall refer to the Chief of Staff, MU Health Care.
16. School of Medicine -- The words "School of Medicine" shall refer to the MU School of Medicine.
17. University-- The word "University" shall refer to The Curators of the ��ҹӰԺ and UM System.
18. Hospital-- The word "Hospital" shall refer to the facilities owned, operated or are affiliates of MU Health Care.
19. Department Chair-- The words "Department Chair" shall refer to the head of a department in which one or more Faculty members shall have qualified as participants in the Plan.
20. Chief Executive Officer of MU Health Care -- The words "Chief Executive Officer" shall refer to the Chief Executive Officer of MU Health Care.
21. University Physicians Management Committee-- The words "University Physicians Management Committee" shall refer to the committee established by the Plan. As an exception to the general regulation providing for the appointment of University committees, there is hereby created a committee to be known as the University Physicians Management Committee.
22. Executive Director of University Physicians -- The words "Executive Director of University Physicians" shall refer to the Executive Director of University Physicians.
23. Base Salary Contract -- The words "Base Salary Contract" shall refer to the regular employment contract approved by MU.
24. Participant Body-- The words "Participant Body" shall refer to the total collective participants in the Plan.
25. Deduction Rate-- The words "Deduction Rate" or "Deduction Rates" shall refer to the percentage(s) accounted and budgeted annually for the costs of operation of the Plan.
26. Group-- The word "Group" shall refer to participants within a department and/or section/division who pool their Plan income.
27. Staff Physician-- The words “Staff Physician” shall refer to physician employees of the University who are not ranked faculty, are classified as Staff Physicians and generate income from professional activities documented by a signed contract for patient care related services which is assigned to the University pursuant to the Plan. Staff Physicians do not participate in Section F, Distribution of Net Plan Income, and Section G, Distribution of Incentive Income, of this Plan. To the extent Staff Physicians receive incentive compensation, such incentive compensation shall not be governed by this Plan but instead shall be established and governed under applicable Collected Rules and Regulations and University policies, including but not limited to Section 360.150 of the Collected Rules and Regulations.
Purposes of the Plan-- Faculty members of the School of Medicine may be engaged in one or more of the following employment duties: teaching, research and patient care. Patient care is an integral part of the educational mission of the school for it provides to the instructor and the medical student the clinical experience essential to medical education. In the course of rendering patient care services, faculty members may generate income described in this Plan as plan income.
This plan has been created to provide a means for establishing salary compensation for employment services rendered by plan participants to their employer, the University, an educational organization. All payments to plan participants made pursuant to the provisions of this plan are salary payments by the employer to the participants as employees and subject to the rules and regulations of the University governing the approval and payment of salaries. All plan income referred to in Section 440.040 D. shall be irrevocably assigned to the employer by the plan participants as agents (employees) of the employer; no plan participant shall have any right, title or interest in any such plan income; and the employer shall have the unrestricted right to such income and complete control over its disposition. Provisions in this plan for accounting for plan income and expenses and for recommendations from plan participants are not intended to and shall not be construed to confer on plan participants any right, title or interest in plan income, any right to control the disposition of plan income and expenses, or any right to determine salaries. In addition, the plan is created to implement the following purposes:
1. To provide a system by which the faculty is enabled to achieve fulfillment of their commitment to high quality patient care.
2. To recognize that high quality patient care is related to faculty participation in teaching and research and also that high quality clinical teaching is dependent upon the faculty being engaged in active medical practice, thereby assuring an adequate supply of clinical material for educational purposes.
3. To establish incentive mechanisms for faculty compensation which enhance the attainment of the patient care, teaching and research goals of the School of Medicine, University Physicians and MU Health Care.
4. To assure a University Physicians Medical Practice Plan which will be competitive with income plans of other academic medical centers in the United States.
5. To assist with the retention of qualified faculty by contributing to their total compensation.
6. To establish and maintain a set of policies for the management of professional income which is sufficiently flexible to respond to the needs of all participating individuals, sections and departmental differences.
7. To provide a mechanism for Staff Physicians to participate in the governance of University Physicians.
8. To provide a mechanism to support programs that benefit the School of Medicine.
9. To establish a methodology of professional income generation, distribution and utilization.
Participants-- All Faculty and Staff Physicians of the School of Medicine who are members of the MU Health Care Medical Staff who as part of their employment responsibilities generate income from professional activities for patient care related services which is assigned to the University pursuant to the Plan shall be participants in the Plan.
1. For each participant, a written Agreement shall be executed annually and filed in the Business Office of University Physicians. Each Agreement shall contain a statement that the participant will abide by all provisions of the Plan.
2. Section F, Distribution of Net Plan Income, and Section G, Distribution of Incentive Income, do not apply to Staff Physicians.
Plan Income -- Within the framework of the Plan, Plan income means:
All income derived from patient care and other income derived from patient care provided by a participant in the performance of regularly assigned duties for the University as determined by the appropriate person having supervisory authority of the participant. For participants who are full time employees (0.75 FTE or greater), such participants may not engage in income-generating patient care activities outside of their regularly assigned duties for the University unless such outside activity complies with applicable law and University policy and has been approved by the Dean and Department chair.
1. As unique instances of patient care occur, the University Physicians Management Committee will recommend whether income derived from these instances constitute Plan income.
2. Income of participants not related to patient care shall not be Plan income.
3. Section 490.020 of the Collected Rules and Regulations of the University establishes the terms and conditions of coverage for Medical, Professional, and Patient General Liability for University employees and should be separately reviewed to determine whether and to what extent coverage exists for activities done outside of regularly assigned duties for the University.
Distribution of Plan Income
1. Costs of Operations-- The costs of operations of the Plan will be funded by applying an approved deduction rate (percent) to Plan Income. The costs of operation of the Plan may include expenditures for the following items and activities:
  - Billing and Collections Costs
  - Professional Liability Insurance
  - Support personnel, services and facilities
  - Administrative costs
  - Retirement
  - Other items that are deemed necessary in the operation of the Plan
  Annually and as requested by the University Physicians Management Committee, the Executive Director of the University Physicians will report to the University Physicians Management Committee the expenditures to date for the costs of operation of the Plan. A final accounting report will be issued after the close of the accounting period.
  An annual budget will be submitted for the costs of operation of the Plan. Based on the budget that is submitted the University Physicians Committee shall recommend a deduction rate to be proposed for the period covered by the budget. The proposed deduction rate and budget for the next fiscal year must be approved by the Dean.
  Further, for certain types of Plan income, such as contract income and certain other types of "lump sum" income, requiring a minimum of administrative and business office expense, it may be appropriate to establish a special deduction rate(s) to cover operating costs.
  In exceptional circumstances, it may be necessary to alter the deduction rate during the fiscal year. Such an alteration will be recommended by the University Physicians Management Committee and approved by the Dean.
  Separate accounts will be established for each category of expenditures authorized in this Section 440.040 E.1. Expenditures from these accounts will be in accordance with standard University standards.
  From time to time good accounting practice and effective fiscal management may well indicate a need to revise, expand, contract or otherwise modify the accounting system relative to the Plan. Nothing in this Plan shall be interpreted as preventing such accounting revision, expansion, modification or contraction so long as they adhere to generally accepted accounting principles and University policy.
2. Dean's Office Account -- A Dean's office account shall be maintained. The account shall be credited with 6 percent of the Plan income. Any expenditures or transfers from this account must conform to standard University budgeting policy.
  The Dean's Office account is established to support research and development costs, capital improvements, new members of the faculty, renovation, the Health Sciences Library and for such other purposes that are of general benefit to the School of Medicine.
3. Departmental Accounts-- A departmental and or Sectional/Divisional account shall be maintained for each department and/or section/division. The departmental accounts shall be credited with 10 percent of the departmental Plan income.
  Annually on the date established by the Dean, the department is to submit a comprehensive budget to include the distribution of the department's share of Plan income. This annual budget must be approved by the Chair of the Department and the Dean.
  Expenditure from these accounts shall be in accordance with standard University policy.
  Voluntary contributions to the Dean's Office account may be made annually from each departmental and/or sectional/divisional account. The University Physicians Administration Office shall supply the Dean and the University Physicians Management Committee with a periodic statement of account for each departmental and/or sectional/divisional account. A periodic statement of account shall be furnished to each Department Chair or Section/Division Head for their own departmental or sectional/divisional account.
Distribution of Net Plan Income
1. For purpose of this section, the following definition applies: The words "Net Plan Income" shall be construed to be plan income (Section 440.040 A.3) less the distribution of plan income as outlined in Section 440.040 E. Net Plan Income will be those funds available to meet base salary contract commitments as outlined in Section 440.040 F.2, and incentive income as outlined in Section 440.040 G.
2. Salary Contract -- Base Salary -- A participant's base salary may be budgeted from plan income and/or from funds derived outside the Plan Recommendation of the individual faculty member's base salary contract from all sources including Plan income shall be made by the appropriate Departmental Chair and approved by the Dean to the appointing authority with this determination becoming a part of the recommended School of Medicine budget. That portion of the faculty member's base salary which is budgeted from Plan income shall preferably reflect the extent of their efforts in patient care. The salary contract will be negotiated in the same manner as other School of Medicine faculty contracts.
  The portion of base salary budgeted from plan income is payable only to the extent of departmental net plan income. If Departmental net plan income is not sufficient to meet budgeted base salary, then the individual Department Trust funds or the School of Medicine funds will meet the remainder of the obligation.
  Under normal circumstances the portion of the individual's base salary budgeted from Plan income will be derived through only one Section/Division or Department. Under the special circumstances of interdisciplinary programs individuals with joint appointments may derive salary measured by Plan income from more than one Section/Division or Department with the approval of the participant, the Section/Division Chief or Chiefs, the Department Chair, University Physicians Management Committee and the Dean.
  The faculty contract year for the purposes of the Plan will be the faculty contract year of MU. Faculty members who commence employment subsequent to the beginning of the faculty contract year may be a participant for the remainder of the year.
3. Payment of Base Salary -- A departmental or divisional/sectional base salary pool shall be established for each department or division/section in which net plan income will be pooled and from which base salaries as outlined above (Section 440.040 F.2) will be paid.
Distribution of Incentive Income
1. For purposes of this section, the following definition applies: The words "Incentive Income" will refer to net plan income less the costs of base salary contract commitments as outlined in Section 440.040 F.
2. Individual Participant
  1. In addition to base salary (440.040 F. above) a participant may receive available incentive income as incentive salary. A participant can receive incentive salary only if the participant generated net revenue sufficient to meet their portion of base salary as described in Section 440.040 F.2. Individual participants may allow reductions of incentive salary for support of their Department or Section/Division. This amount will be determined by negotiations between the individual and their Department Chair with approval of the Dean. Such arrangements and the allocation of such incentive salary shall be determined prior to the commencement of the salary contract year and agreed to in writing by the participant and approved by the Chief of the Section/Division, the Department Chair and the Dean.
3. Group Participants
  1. In some circumstances it may be appropriate for participants within a department and/or section/division to practice as a group and pool their incentive income. Such arrangements and the allocation of such incentive salary among the participants in the department or section/division shall be determined prior to the commencement of the salary contract year and agreed to in writing by each participant and approved by the chief of the section/division, the Department Chair and the Dean.
  2. Annually on the date established by the Dean the appropriate Departments will submit proposals to practice as departmental or sectional/divisional groups to pool their Plan income under Section 440.040 G.3.a.
4. Participant's Account-- An account shall be established for each Participant which shall be credited with the participant's portion of the Plan income as determined by the University Physicians Medical Practice Plan base salary contract and the incentive income distribution schedule. All expenditures or transfers from this account will conform with the participant's plan contract provisions relating to the participant's share of any incentive income.
Administration of the Plan
1. University Physicians Management Committee -- The membership of the University Physicians Management Committee will include all Department Chairs or approved alternates, six members from the participants at large or their elected alternate. The Chair of the Plan with prior approval of the Executive Committee, Dean, Chancellor and President may appoint a Staff Physician to serve on the University Physicians Management Committee to represent groups of one or more Staff Physicians. The Dean of the School of Medicine, the Executive Director of University Physicians, the Chief of Staff of MU Health Care and the Chief Executive Officer of MU Health Care shall be ex-officio members without vote. The Department Chair will appoint the individuals to serve as their alternate. The members at large and their alternates will be elected by the participant body for three year terms but may not serve for more than two consecutive terms. In the first year of the Plan, the six members at large and their alternates will be elected for staggered terms; two members and two alternates for three years, two members and two alternates for two years, and two members and two alternates for one year. Thereafter an annual election will be held for the purpose of electing two members at large and their alternates to serve three year terms.
  The Committee shall organize by electing from the membership of the Plan a Chair and a Secretary. The term of office for the Chair and the Secretary will be two years. The Secretary shall function as the Vice Chair. In the first year of the Plan the Chair will be elected for a two year term and the Secretary for a one year term. Thereafter, annually the Committee will elect either a Chair or the Secretary to serve a two year term.
  In the event the Chair or Secretary is unable to complete the term of office and more than six months of the term remains, a special election will be held to elect a replacement to complete the term of office.
  The Committee shall meet at least quarterly. Additional Committee meetings may be called by the Chair of the Committee or at the request of a majority of the members of the Committee.
2. Functions of the University Physicians Management Committee
  1. To establish an Executive Committee consisting of the Chair of the Plan and seven members of the University Physicians Management Committee. The seven members of the Committee shall be selected in the following manner. Four members shall first be elected by the University Physicians Management Committee from its voting membership. These members shall be elected to a two year term of office and may not serve more than two consecutive terms. In the first year of the Plan the four members will be elected for staggered terms; two members for one year and two members for two years. Thereafter an annual election will be held for the purpose of electing two members for the Committee. After the election of these members the Chair of the Plan shall appoint an additional three members from the voting membership of the University Physicians Management Committee to the Executive Committee. The Chair shall appoint three members annually at the date of the election of the other Committee members. There shall be no restrictions on the number of terms an appointee of the Chair may serve.
    The Executive Committee is to review and recommend items for the agenda of the University Physicians Management Committee and to review other items as deemed necessary by the Chair or the University Physicians Management Committee.
  2. To review the functioning of the Plan to assure it is meeting the objective of the Plan.
  3. To annually review the operating costs of the Plan and the appropriateness of individual expenditures. It shall make any appropriate recommendations for changes in the operation of the Plan to the University.
  4. To recommend the hiring and be responsible for the administrative direction of the Executive Director of University Physicians in accordance with University Policy and Personnel guidelines.
  5. To develop and recommend such detailed policies and procedures as necessary to assure the effective implementation and operation of the Plan to the University.
  6. To develop and recommend policies and procedures as necessary to assure effective operation of the Plan for both faculty and Staff Physicians within a common organizational structure.
  7. To make recommendations for revision of the Plan to the Participants.
  8. To recommend the budget for the costs of operation of the Plan including the amount of the Deduction Rate or Rates to the University.
  9. To initiate and approve professional fees schedules of the participants with the advice of the Clinical Department Chair.
  10. To discharge such other duties necessary to the efficient operation of the Plan and Committee.
3. Participant Body-- The participant body will consist of all Plan participants, each with one vote, and will meet for the following reasons:
  1. To elect the University Physicians Management Committee members at large and their alternates.
  2. To vote on recommended revisions of the Plan.
  3. For business as called by the Chair of the Committee.
  4. As petitioned by 20% of the voting body to consider issues and develop recommendations for the Committee.
  5. To consider business referred by 2/3 vote of the Committee. The Participant Body shall meet annually, as provided below, and at such other times as appropriate. Written notices giving the date, hour and place of all meetings shall be given to all participants in the Plan by the Committee Chair at least 15 days prior to the meeting date. The Committee Chair will preside and in their absence the Vice-Chair. Fifty percent (50%) of the Plan Participants shall constitute a quorum and a majority vote of those present and voting shall be required to conduct business, except voting to approve recommendations for revisions of the Plan shall follow Section 440.040 I. of the document.
4. Annual Meeting-- In May of each year, the Chair of the Committee shall call a meeting of all participants in the Plan for the purpose of electing two committee representatives from the membership at large and conducting other business as appropriate. Nominations shall be made from the floor. Voting for the Committee shall be by secret ballot. No more than two members at large may be from the same Department. In the event a quorum is not present the Chair shall reschedule the meeting to a definite date and hour, but not more than ten days hence and written notice of such meeting shall be given to all participants in the Plan; or the Chair may, at their discretion, direct that the election be held by mail or electronic ballot, in which event a ballot shall be sent to each participant of the Plan and the participants receiving the highest number of votes cast shall be elected the representative of the Committee.
Revision of the Plan -- The University Physicians Management Committee shall take all recommendations for revision of the Plan to the Plan participants. The Chair of the Committee shall call a meeting of all participants and the Plan for the purpose of voting on the proposed revisions of the Plan. A two-thirds affirmative vote of a 50% quorum shall be required for revisions to the Plan. Voting for the revisions shall be by secret ballot. In the event a quorum is not present the Chair shall reschedule the meeting to a definite date and hour, but not more than ten days hence, and written notices of such meeting shall be given to all participants in the Plan; or the Chair may at their discretion direct that the revision be voted on by mail or electronic ballot in which even a ballot shall be sent to each participant in the Plan. If approved the proposed revisions shall be forwarded through the Dean, Chancellor, and President, to the Board of Curators for their approval.
Appeal Process for the Individual -- Any participant(s) perceiving unfair treatment under the provisions of the Plan may request a hearing before the University Physicians Management Committee. The request must be in writing to the Chair of the Committee. The Chair will call a special meeting of the Committee in not less than ten days nor more than thirty days following receipt of the request. The participant(s) and the Committee may be represented by legal counsel at the hearing. A report of the hearing along with recommendations for action will be prepared by the University Physicians Management Committee for the Chancellor. Copies of the report and recommendation will be provided to the participant, their Department Chair, and the Dean, all of whom will offer their comments directly to the Chancellor who shall make the final decision.
Professional Charges-- Each participant may review their schedule of fees and recommend any changes to the Section/Division Chief, Departmental Chair and the Committee. It shall be the responsibility of the Committee to recommend general operating policies under which professional fees will not be billed to the patient or third party.
Billing and Collection of Professional Fees -- All professional charges will be initiated and signed by the provider of the service and submitted to the University Physicians Business Office for processing. Billing for professional charges will be distinct from other services and will indicate the name of a participant or group of participants of the Plan. Fees collected shall be credited to the account of the participant or participants rendering the services for which the fee is collected as otherwise provided for in the Plan.
When it is clearly the intent of the payor to satisfy a specific portion of the patient's obligation to the University, the monies received will be deposited in the account or accounts corresponding to the payor intent. In those instances where the intent of the payor is unclear, University Physicians Management Committee procedures for the allocation of monies received to the proper account shall apply.
In the instance of contractual agreements, special billing arrangements may be accomplished through other mechanisms as provided for in the contractual agreement.
Retirement and Other Staff Benefits-- For the purposes of determining average regular annual salary of a faculty member who is a plan participant under a University retirement plan and for purposes of determining regular salary of a plan participant for other staff benefits such as life insurance and disability insurance the base salary as provided in 440.040 F. of this plan shall be used and incentive salary under 440.040 G. of this plan shall be excluded.
Special Situations-- All fees for professional services rendered by a plan participant are assigned to The Curators of the ��ҹӰԺ, and a plan participant shall at no time have any ownership interest in uncollected fees. For situations described below the disposition of uncollected fees and payments to a plan participant shall be made in accordance with this section.
1. Termination of Employment - Voluntary or Involuntary -- Upon termination or resignation of employment a faculty plan participant shall be entitled to receive salary payments in accordance with their current salary contract for services rendered to the effective date of termination or resignation. Incentive salary, if any, will be based upon fees earned and collected at the effective date of termination or resignation; provided that, if the faculty plan participant resigns, the faculty plan participant shall provide written notice to the participant’s Department Chair sixty (60) days before the effective date of the resignation to receive incentive salary for the final incentive period during the participant’s employment. If the faculty plan participant provides less than 60 days advance written notice of resignation to the Department Chair, the plan participant shall not receive incentive salary for the final incentive period during the participant’s employment unless the Department Chair for the plan participant waives the 60 day notice requirement. Uncollected fees at the effective date of termination or resignation which are subsequently collected shall be allocated to the departmental base salary pool (Section 440.040 F.3) after deductions for the cost of operation of the plan (Section 440.040 E.1) School of Medicine Account (Section 440.040 E.2), and Departmental Account (Section 440.040 E.3). Distribution of incentive salary, if any, to Staff Physicians upon termination or resignation shall be governed by the terms of the Staff Physician's incentive plan, if any, in effect at the time of the termination or resignation.
2. Death or Disability of a Plan Participant -- Upon the death or disability of a faculty plan participant there shall be paid to the faculty participant or the participant's estate all salary payments then due in accordance with their current salary contract for services rendered to the date of death or disability. Incentive salary, if any, will be based upon fees earned and collected at the date of death or disability. In addition there shall be paid to the faculty participant or the deceased faculty participant's estate an amount equal to the participant's incentive salary based on uncollected fees at the time of their death or disability, reduced by the amount of such fees that are not in disability. Reasonable efforts shall be taken to collect all such accounts within the six month period. This additional payment shall be made to the participant or the estate of the deceased participant as soon after the end of the six month period as is practicable. Income from any fees uncollected at the end of the six month period which are subsequently collected shall be allocated to the departmental base salary pool (Section 440.040 F.3), School of Medicine Account (Section 440.040 E.2), and Departmental Account (Section 440.040 E.3). Distribution of incentive salary, if any, to Staff Physicians upon death or disability shall be governed by the terms of the Staff Physician’s incentive plan, if any, in effect at the time of the termination or resignation.
3. Termination of Plan Participation -- If the plan participant ceases to generate income from professional fees he will no longer be a participant in the plan. The effective day of the termination of their participation shall be recommended by the Department Chair subject to review by the Committee, and determined by the Dean. On termination of their participation, income from any uncollected fees which are subsequently collected shall be allocated to the departmental base salary pool (Section 440.040 F.3), School of Medicine Account (Section 440.040 E.2), and Departmental Account (Section 440.040 E.3).
Fiscal Year and Transition-- The fiscal year of the Plan shall be the fiscal year of MU. Unencumbered balances in all accounts shall be carried forward to the succeeding year.
Upon implementation of this Plan, current departmental and Dean's Office accounts will become part of the new departmental, sectional/divisional, or School of Medicine Dean's Office account as appropriate or as otherwise specified in this Plan.
Assignment of Fees-- Each Participant shall annually execute an assignment in a form to be approved by the Executive Committee of the University Physicians Management Committee. For fiscal year 2018, the assignment form shall be substantially similar to the following form:

ASSIGNMENT

09/01/20__ through 08/31/20__

In consideration of my employment by The Curators of the ��ҹӰԺ and the salary payments described in this Plan, I hereby assign to The Curators of the ��ҹӰԺ all Plan Income, as defined by the University Physicians Medical Practice Plan. This assignment shall be an absolute assignment, subject only to the conditions that the fees charged by me shall not be altered, except as provided in the rules and regulations establishing said Plan.

I further agree that all monies received by me for such services shall be promptly turned over to the Business Office of University Physicians and all checks made payable to me for such fees shall be promptly endorsed and delivered to said Business Office. It is distinctly understood that this assignment applies only to the income specifically identified in the University Physicians Medical Practice Plan.

In consideration of my being permitted to participate in the University Physicians Practice Plan, I agree to fully cooperate therein and comply with all the rules and regulations of the Plan and my Department. I acknowledge receipt of the attached materials regarding billing, documentation, and compliance policies for rendering professional services.

I agree that I will comply with all applicable billing and documentation policies, including but not limited to those outlined in the Teaching Physician Regulations of the Centers for Medicare and Medicaid Services (CMS). Further, I agree to participate in the mandatory education programs on billing and documentation that are provided by the University Physicians Medical Practice Plan.These education programs will include regular and periodic reviews of billing and documentation practices and focused education with follow-up billing and documentation audit for any deficiencies identified. I understand that if deficiencies in compliance are identified after my participation in focused education, a comprehensive audit of my billing and documentation will be conducted at my expense and I may be subject to loss of eligibility for incentive income and other corrective actions specified in the University Physicians policies. I understand that failure to comply with these requirements may result in suspension of billing privileges, and may include disciplinary action by The Curators of the ��ҹӰԺ.

_________________________ __________________________

Participant’s Printed Name Department

_________________________ __________________________

Participant's Signature Division

___________________________________

Date

Attachments: Introduction, Policy Statement, Definitions

Medicare Claims Processing Manual Chapter 12 - Physicians/Nonphysician Practitioners CMS Carrier Manual:

http://www.cms.govegulations-and-Guidance/Guidance/Manuals/downloads/clm104c12.pdf

The ��ҹӰԺ Health System's Integrity and Compliance Program and Code of Conduct:

https://mymuhealth.org/body_sub.cfm?id=3123&fr=true

Guidelines for Teaching Physicians, Interns, and Residents:

http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Teaching-Physicians-Fact-Sheet-ICN006437.pdf

HIPAA Confidentiality:

http://www.ama-assn.org/ama/pub/physician-resources/solutions-managing-your-practice/coding-billing-insurance/hipaahealth-insurance-portability-accountability-act.page

450.020 Overall Plan for Operation of UMKC Medical School

kuscheld — Wed, 26 May 2010 22:25:00 +0000

450.020 Overall Plan for Operation of UMKC Medical School kuscheld Wed, 05/26/2010 - 22:25

Bd. Min. 6-25-71, p. 35,926; Bd. Min. 3-22-02; Revised Bd. Min. 11-21-13.

The ��ҹӰԺ-Kansas City School of Medicine (herinafter School of Medicine) was founded in 1971 as an innovative medical education system based on an integrated, six-year baccalaureate/MD format. This novel curriculum and format contribute to a high successful medical education program for medical students. Students with existing undergraduate or graduate degrees are also admitted each year to the medical school at Year 3 and these students pursue their medical degree over four years.

Mission: The mission of the UMKC School of Medicine is to provide and foster excellence, innovation and scholarship in education, research and medical care.

Vision: The vision of the UMKC School of Medicine is to be a leader in academic medicine through innovative programs and vibrant community partnerships.

The medical student education proram is accredited by Liaison Committee on Medical Education. In addition to the medical student education program, the School of Medicine is accredited by the Accreditation Council for Graduate Medical Education as the institutional sponsor for residency and fellowship training programs at its affiliated hospitals. All programs are tailored to incorporate the key elements of hands-on clinical experience, didactic teaching, research, and professional and peer interaction into a clinical environment ideal for developing the techniques to become a highly competent, skilled physician. The School of Medicine offers certificate and graduate programs at the masters level and collaborates with other programs on interdisciplinary PhDs.

Affiliation agreements and/or contracts are in place with several institutions to provide access to hospitals and health centers and to the teaching time of their staff. These agreements provide the School of Medicine with priority access to the institution's educational resources and oversight authority for the education programs of the School of Medicine's learners. Affiliated institutions are responsible for the clinical care that they provide and the university does not accept fiscal responsibility for patient care or service. The affiliation arrangement relates entirely to support of professional education.

The School of Medicine also utilizes other sources of teaching support: (a) coordinated teaching with basic sciences schools, including the UMKC College of Arts and Sciences and the UMKC School of Biological Sciences, (b) intensive personal instruction and longitudinal mentoring by competent, comprehensive care clinicians (Docents), and (c) collaborative relationships with other health professional schools, including the UMKC Schools of Dentistry, Nursing and Pharmacy, which reside with the School of Medicine on UMKC's Hospital Hill campus.

To provide the coordinating, administrative management structure, The School of Medicine recognizes clinical and basic science departments and associated department chairpersons. The administration of the professional education programs is coordinated via a medical school council structure. Individual councils report directly to the Coordinating Committee (senior medical school policy setting body) which directly advises the School of Medicine dean. The faculty are represented by a Faculty Council that is advisory directly to the School of Medicine dean. The graduate programs report through the Graduate Council to the School of Medicine dean and the School of Graduate Studies.

The faculty structure for the School of Medicine consists of faculty either directly employed by the university and/or by one of the affiliated providers. Faculty appointments are made in accordance with the Collected Rules and Regulations.

450.030 Affiliation Agreements

kuscheld — Wed, 26 May 2010 22:26:21 +0000

450.030 Affiliation Agreements kuscheld Wed, 05/26/2010 - 22:26

Bd. Min. 6-27-71, p. 35,926; Revised, 11-21-13.

That the UMKC School of Medicine be authorized to enter into primary affiliation agreements with:
1. Truman Medical Center
2. St. Luke's Hospital
3. Children's Mercy Hospital
4. Research Medical Center
5. Center for Behavioral Medicine
6. VA Medical Centers of Kansas City/Eastern Kansas, St. Louis and Topeka
7. University Physicians Associates
8. Others as the Dean may, from time to time, deem necessary
That the University be authorized to enter into Physician Teaching Time contracts with any Kansas City metropolitan hospital or physician's practice as the Dean deems necessary to meet the needs of the School of Medicine.

460.010 Definitions

kuscheld — Wed, 26 May 2010 22:27:00 +0000

460.010 Definitions kuscheld Wed, 05/26/2010 - 22:27

Bd. Min. 2-11-83; Revised Bd. Min 4-9-15.

Administrator - The word “administrator” shall refer to the administrative manager (or the then current title that individual has been assigned) of the overall DFP clinic who performs administrative, financial, customer service, and management duties in the DFP. He reports to the Director.
Chancellor - The word “Chancellor” shall refer to the Chancellor of the ��ҹӰԺ-Kansas City.
Curators - The word “Curators” shall refer to the Board of Curators of the ��ҹӰԺ.
Dean - The word “Dean” shall refer to the Dean of the School of Dentistry, ��ҹӰԺ-Kansas City.
Dean’s Administration Allocation - The words “Dean’s Administration Allocation” shall refer to a percentage of gross collections to cover certain overhead costs incurred by the UMKC SOD in the operation of the Dental Faculty Practice. The overhead costs include, but are not limited to, administrative support, facilities maintenance, facility usage charge, general liability insurance and other necessary indirect costs. The allocation percentage shall be determined by the Dean.
Dental Clinic -The words “dental clinic” as used herein shall refer to the Dental Faculty Practice Clinic at the School of Dentistry, ��ҹӰԺ-Kansas City.
Dental Faculty Practice (DFP) - The words “dental faculty practice or DFP” shall refer to the actual dental clinic within the SOD in which the Participants practice and participate in the Plan.
Dental Faculty Practice Plan (or “Plan”) - The words “dental faculty practice plan,” or simply the “plan” shall refer to the rules and regulations approved by the Board of Curators which will govern and regulate the DFP and its practices. This Plan will operate in accordance with all governing rules, regulations and policies of the ��ҹӰԺ, including Equal Opportunity.
Dental Hygienists (RDH) - The words “dental hygienists” shall refer to registered dental hygienists working in the DFP and seeing patients of the Participants. They report administratively to the Administrator and clinically to the Participant doctors with whom they work.
Director - The word “director” refers to the Director of the Dental Faculty Practice as defined in section 460.080. He reports to the Dean.
Director of Business Affairs - The words “Director of Business Affairs” shall refer to the SOD’s Business Officer who monitors and advises the DFP.
Gender - Where the masculine pronoun is used it shall be interpreted as feminine when applicable.
Income Sharing - The words “income sharing” shall be that amount distributed monthly to each doctor Participant in accordance with the formula for determining each doctor’s proportional share of the net profit.
Miscellaneous Expense Account - The words “miscellaneous expense account” shall refer to the account maintained by the administrator for managing expenses that are generally considered overhead in the operation of a dental practice or for necessary teaching expenses incurred by an individual participant and approved by the director. All expenditures will be administered in accordance with University and SOD policies. These expenses would include but are not limited to items such as: personal continuing education costs, association dues, dental licenses, loupes, and similar items.
Operations and Procedures Manual - The words “operations and procedures manual” shall refer to the collection of guidelines, systems, and policies that are contained in the manual outlining the day-to-day workings of the DFP. These various protocols are created with collaboration of faculty, staff, and administrators to maximize the effective and efficient running of the dental clinic and to fulfill its mission and vision.
Participant - The word “participant” as used in these regulations shall refer to a member of the faculty of the School of Dentistry who is a member of the plan.
Participation Agreement - The words “participation agreement” shall refer to the document that is signed annually by all doctor participants outlining their understanding and agreement to abide by the rules and regulations of the DFP and the Plan, and assigning all income from services rendered under the DFP to the University.
Participant Body - The words “participant body” shall refer to the total collective participants in the plan.
Plan Income - The words “plan income” shall be construed to mean all fees for services received by the University by assignment which are derived from patient care directly delivered by faculty within facilities operated by the Dental Faculty Practice.
Plan Overhead - The words “plan overhead” shall refer to all the costs of operating the plan which may include laboratory fees, billing and collection costs, support personnel compensation & benefits, supplies, marketing, administrative services, reserve fund contributions, debt/deficit reduction, UMKC full costing charges, the Dean’s Administrative Allocation, and other expenses.
School of Dentistry (SOD) - The words “School of Dentistry” shall refer to the School of Dentistry, ��ҹӰԺ-Kansas City.
Staff - The word “Staff” refers to the non-faculty personnel who carry out the administrative, clerical and clinical duties for the clinic. They report to the supervisors.
Supervisors - The word “Supervisor” shall refer to individuals who manage either the administrative or clinical staff of the DFP. They report to the Administrator.
UMKC Full Costing - The words “UMKC full costing” shall refer to the charge levied by the University that is allocated proportionally among non-educational entities on campus for central administrative service costs provided by the university. These would include, but are not limited to, the following: campus accounting services, banking functions, credit card services, central payroll office and HR, financial systems, and administrative software.
University - The word “University” shall refer to The Curators of the ��ҹӰԺ.

460.020 Purposes of the Plan

kuscheld — Wed, 26 May 2010 22:28:00 +0000

460.020 Purposes of the Plan kuscheld Wed, 05/26/2010 - 22:28

Bd. Min. 2-11-83; Revised Bd. Min 4-9-15; Revised 6-25-15.

Faculty members of the UMKC School of Dentistry may be engaged in one or more of the following employment duties: teaching, research and patient care. Patient care is an integral part of the educational mission of the school for it provides to the instructor and the dental student the clinical laboratory experience essential to dental education.

This plan has been created to provide a means for additional compensation beyond their base salary. All payments to plan participants made pursuant to the provisions of this plan constitute supplemental compensation paid by the employer to the plan participants and is subject to all of the rules and regulations of the ��ҹӰԺ. This supplemental compensation shall not be used to calculate University retirement benefits or any other University benefit.

All plan income referred to in this section shall be irrevocably assigned to the University by the plan participants. No plan participants shall have any right, title or interest in any such plan income; and the University shall have the unrestricted right to such income and complete control over its disposition. Provisions in this plan for accounting for plan income and expenses and for recommendations from plan participants are not intended to and shall not be construed to confer on plan participants any right, title or interest in plan income, any right to control the disposition of plan income and expenses, or any right to determine salaries.

In addition to a Participation Agreement, each participant will sign a Non-Solicitation Agreement as a requirement of their participation in the Plan. These documents are a part of the Operations & Procedures Manual.

The Plan is created to achieve the following purposes:

To provide a system by which eligible faculty are provided an opportunity to achieve fulfillment of their commitment to high quality patient care;
To recognize that high quality patient care is not only related to faculty participation in teaching and research, but also that high quality clinical teaching is dependent upon the faculty being engaged in active dental practice, as well;
To establish a financial incentive mechanism for faculty compensation which enhances the attainment of the School of Dentistry goals of patient care, teaching and research;
To inhibit the loss of highly qualified faculty to other academic health institutions and private practice because of differences in compensation and to attract qualified faculty for the same reason;
To establish a venue for professional fee generation, compensation, and utilization to accomplish the above purposes.

460.030 Participants

kuscheld — Wed, 26 May 2010 22:30:00 +0000

460.030 Participants kuscheld Wed, 05/26/2010 - 22:30

Bd. Min. 2-11-83; Revised Bd. Min 4-9-15.

Eligibility
Faculty members are eligible to become participants in the DFP in accordance with the policy set forth in Section VII of the SOD Faculty Handbook. This policy states the following:

Intramural or extramural faculty practice options may be available for practitioners holding a current license (Missouri license required to practice intramurally). These options are available to non-tenure track as well as tenure track and tenured faculty. The opportunity to work in the SOD Faculty Practice is dependent upon a number of factors and requires the approval of Dean. Faculty or faculty applicants who are interested in faculty practice should work with their department chair, the Dean of the school as well as the Faculty Practice Director. For each faculty participant in the Faculty Practice, a written participation agreement will be executed annually and filed in the Office of the Dean.

Plan participants will abide by all provisions of the Plan, the DFP Operations & Procedures Manual, the UMKC policies and the ��ҹӰԺ Collected Rules and Regulations. In addition, each Participant will also practice in accordance and must comply with the following:
1. The Code of Ethics of the American Dental Association;
2. The laws governing the practice of dentistry in the State of Missouri as defined by the Missouri Dental Board; and
3. The general rules, by-laws and policies of the SOD.
The Dean of the School of Dentistry is not eligible to be a participant in the Plan.
Membership
All Members of the DFP must be members of the faculty of the UMKC School of Dentistry. To become a Participant in the DFP, an application provided by the DFP must be submitted to the Director. The Director will make an initial determination of the available resources and review the faculty member’s credentials. A recommendation will then be made and forwarded to the Dean for final approval.
Subject to University regulations, retired faculty participants who are eligible to work for the University and have practiced for at least three years in the DFP may be allowed to continue to practice following their retirement from the SOD with the approval of the Dean. Such approval will be reviewed and approved by the Dean annually.
Termination from the DFP
Participants may be terminated from the DFP for violating any of the above-mentioned governing rules and regulations. Maintaining the privilege to practice as a participant in the DFP is dependent upon fulfilling the obligations of eligibility as outlined in section 460.030(A) and in the DFP Operations and Procedures Manual.

460.040 Income

kuscheld — Wed, 26 May 2010 22:31:00 +0000

460.040 Income kuscheld Wed, 05/26/2010 - 22:31

Bd. Min. 2-11-83; Revised Bd. Min 4-9-15.

Within the framework of the plan, plan income shall be derived from the following sources:
1. All professional fees for service income derived from faculty patient care in the Dental Faculty Practice shall be plan income.
2. All other income derived from faculty patient care related services in the Dental Faculty Practice shall be plan income.
3. Income of participants not related to patient care shall not be plan income.
4. Fees for services rendered to patients by Dental Hygienists shall not be plan income, but can be used to pay general overhead or other general expenses of the Plan.
Governmental payers will not be billed for services under the Plan, with the exception of services provided by oral pathologists participating in the Plan.