HIPAA-covered entities and business associates were directed by a Federal Court to charge fees for medical records by (1) calculating the labor cost it takes to fulfill a record request or (2) by charging a flat fee capped at $6.50 per request. This ruling does not apply to non-patients, such as in...

Physician practices have an opportunity to speed up cash flow and maximize income from health plans and patients by managing their accounts receivable (A/R) using techniques that are standard in commercial business and the hospital industry. ...

Physician Compensation CY 2023 Published October 2024 by Modern Healthcare Specialty                                 Average Anesthesiology                       $508,406 Cardiology Invasive                $747,604 Cardiology Non-Invasive...

The method of financing Accountable Care Organizations (ACO’s) must be through a form of Capitation in order to adequately pass financial risk from the health plan / consumer to the primary providers of care – hospitals and physicians....

One of the most common ownership vehicles for Accountable Care Organizations (“ACO’s”) is a physician-hospital joint venture (“PHO”), where the hospital takes the leadership role in setting up and administering the ACO and supplies the initial capitalization....

Health Plans have developed reimbursement systems to pay primary care and specialist physicians based on methodologies that shift risk to the physician. Referred to as “capitation,” they operate by providing a defined amount of payment on a “per member, per month (PMPM)” basis....

The financial value of a medical practice is composed of two parts: (1) “goodwill,” which is an intangible value associated with the name and reputation of the medical practice, and (2) the current value of the equipment (hard assets) of the practice, not including real estate....

Traditional (privately owned) medical groups frequently struggle with transitioning an employed physician to an owner-physician for many reasons....