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Sunday, May 3, 2026

Physicians, don't make this big mistake - Medical Economics

A huge mistake I often see physicians make is carelessly signing up to become medical directors. Becoming a medical director of a facility, a medical device company or some other venture could jeopardize your license and liberty. Although on its face medical directorship is a vehicle for making ancillary income, these contracts often are structured in ways that may be illegal. For example, the agreement:

  • pays physicians for patient referrals;
  • pays physicians for overseeing medical care, when in actuality the provider is not overseeing anything;
  • allows nonclinicians to direct patient care; or
  • pays physicians fees for no work performed.

Instead, if an opportunity to become a medical director is presented to you, review the agreement and business arrangement with your attorney. The attorney should examine rules related to your state’s licensing laws, Medicare and the facility’s payer agreements, and review the organization to ensure it has not been excluded from Medicare and other federal funding.

Additionally, it would not hurt to review recent Department of Justice indictments to have a better understanding of why other medical directors have gotten into trouble. The Office of Inspector General states that to comply as a medical director, the physicians should:

  • actively oversee clinical care in the facility;
  • lead the medical staff to meet the standard of care;
  • ensure proper training, education and oversight for physicians, nurses and other staff members;
  • and identify...


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