Latest In Healthcare Management

Legal

When the Auditor Comes Knocking

Stephen D. Bittinger, Esq. Medicare Zone Program Integrity Contractor (ZPIC) audits can cripple a practice. Be aware of your rights when a ZPIC auditor arrives. Proactivity is key to successful defense in a ZPIC audit. Improper documentation is a leading cause of ZPIC audits. A constantly monitored compliance program will help safeguard the practice. The practice manager still remembers the ...

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Integrated Private Practice – A Good Idea?

Integrated Practice

I.              What is a Multi-Discipline Practice? Healthcare in America is becoming increasingly integrated. For instance, the American Medical Association (“AMA”) notes rapid changes in healthcare delivery and an expanding environment of integrated modes of practice.[1] A strong impetus for this change was the enactment of the Affordable Care Act, which created a broad regulatory framework for such initiatives as clinical ...

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Taking Aim at the High Cost of Provider Turnover

Keith A. Herl, MHA, MBA Matthew Mingenback In today’s ultra-competitive market, smart healthcare delivery organizations have sought to improve their margins by capitalizing on strategic advantages and maximizing efficiencies. However, most organizations have yet to adequately address one inefficiency that costs millions of dollars annually – provider turnover. In fact, less than one-quarter of healthcare organizations measure the cost of ...

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Three Financial Scenarios (and Solutions) for Saving for Things Other than Your Retirement

By David Lockey Thought about making a practice shift toward something less stressful, but also less lucrative? What about taking an early or partial retirement? Ever wanted a second home, yacht or other expensive toy? Are you saving the right way for your children’s education? You’ve received plenty of advice about saving and investing for retirement, but there are other ...

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Medical Tourism: A Global Impact

Medical Tourism is defined as people crossing international borders for the purpose of receiving medical care. Traditionally people have moved to markets with greater expertise than available in their domestic markets, others by a desire to pay a lower price for care. Most sources reference prices in US dollars and site our country as having the highest relative prices. CDC.gov ...

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The Next Evolution of Long-Term Care Protection

As a faculty member of Massachusetts Continuing Legal Education (MCLE), I was recently asked to speak to a large group of attorneys about the ‘evolution’ of long-term care insurance. Clearly, since the emergence of the ‘modern’ mutual fund in the wake of the Revenue Act of 1978, few financial products have undergone such drastic change in such a short period ...

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Tips for Contesting Unemployment Benefits

By Paul Edwards & Jennie McLaughlin, J.D. What should you do when an employee resigns but later changes their story in an attempt to receive unemployment benefits? We get questions about this quite often. The employee resigns because they are moving, got a new job, want to go back to school, or didn’t think it was a good fit – ...

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Demystifying the Private Pooled Income Fund

Understanding and using privatepooled income funds for retirement In our roles as tax, legal and financial advisors, we have encountered many clients who can be fairly classified as ‘reluctant’ charitable donors. To clarify, we frequently remind them that, when it comes to their ‘gross’ income and their consequent income tax obligation, there are only three choices: (1) Pay yourself; (2) ...

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Tick Tock… and the Tax Trap

Almost 20 years ago, as a newly-minted prosecuting attorney in the district attorney’s office, I attended an educational workshop on effective witness cross-examination. The presenter was a 50-something year old, very accomplished litigation attorney from a major Boston law firm. In addition to the covering the fundamentals (such as: never ask a question to which you don’t know the answer), ...

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BUILDING A STRONGER HUMAN RESOURCES FOUNDATION

One of the challenges facing many medical practices is how to effectively and uniformly administer the human resources (“HR”) function across a number of offices, oftentimes with a diversity of cultures and historic practices. This article is not going to focus on HR issues unique to a medical workplace, but rather the HR issues unique to multi-location operations and the ...

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