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WHEREAS, Company desires to engage Physician to provide medical director services, including appropriate supervision of nurse practitioners;. 2.4Compensation Responsibility.Compensation to medical directors has become a 'hot-button compliance issue. If not properly structured and monitored, a medical director arrangement can. Physicians serving as medical directors determine whether individuals are eligible for hospice care or home health services. 2 The parties agree that the compensation provided under this Agreement. Prospective managers also typically need work experience in an administrative or clinical role in a hospital or other healthcare facility. Pay. Tips for Medical Directors. 2003 NASEMSO (formerly National Association of EMS Directors) workgroup:. Relationships between EMS agencies and the Medical Director.