To learn more about CMAAs, download Coker`s white paper “Physician Empowerment in the Hospital: An Overview of Clinical Co-Management Agreements” and for more information on this, please call 678.832.2021 to speak with Justin Chamblee, CPA, Senior Vice President, or Michael Ueng, CPA/ABV, ASA, manager.  If the underlying employment regime is based on productivity (e.g.B. wRVUs), the two cooperating agreements may normalise themselves. For example, if the physician spends disproportionate time on management tasks, it is likely that clinical productivity (and thus remuneration for clinical services) will decrease. Under CMAAs, hospitals focus on a specific service line that may cover inpatient, outpatient, complementary and/or other services, and enter into an agreement(s) with physicians (either individual physicians, medical groups or a medical management unit) to cooperate with hospital management to develop, manage and improve the quality and efficiency of that service line. In addition, co-management agreements for Service-Line are based on the management of a specific clinical service line (e.g.B. orthopaedic surgery) and therefore cannot easily accommodate managers of different service lines (e.g.B it would be difficult for a co-management of primary services to assume responsibilities for managing the orthopaedic service line). Therefore, the overall management of joint prostheses within an orthopedic service line is the responsibility of the orthopedic surgeons performing the operation, even though a family doctor may have seen and even treated the patient. Therefore, to determine the net turnover related to a primary care line, only the choice of MS-DRG and ICD-9 codes specifically associated with primary care patients leads to a more conservative calculation of turnover, as it does not contain coded services for other service lines (e.g.B orthopaedic surgery). It should also be taken into account that core management tasks need to be reviewed annually to ensure that they are relevant and proportionate. For example, if a basic management task relates to the development of patient information materials, it is likely that this task should be updated or discontinued after a year of agreement. . .