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We stay up to date on the ever-changing insurance market's impacts on your specialty for you...because it's basically a full time job in and of itself.

October 27, 2023

Friendly Physician Models: The Basics Through Five Frequently Asked Questions

KATHRYN HICKNER, ESQ. Brennan Manna & Diamond, LLC, Cleveland, OH           During the past several years, many health law practices have noticed a dramatic increase in the number of telehealth businesses and private equity-backed healthcare providers. Both of these trends often rely heavily on corporate structures commonly referred to as “friendly physician,” “captive PC” or “MSO” […]

October 26, 2023

More Bad News For the Company Model and its Sponsors

BY MARK F. WEISS, JD The Mark F. Weiss Law Firm, Dallas, TX, Los Angeles and Santa Barbara, CA “Everyone is doing it” is no more of a defense to a federal Anti-Kickback Statute (AKS) violation, than the fact that dozens of people are selling crack on street corners is a defense to drug charges. […]

October 26, 2023

Surgeons are Critical Anesthesia Stakeholders

BY JODY LOCKE, MAVice President of Anesthesia and Pain Practice Management Services Coronis Health, Jackson, MI In many of his presentations to participants at the ASA Practice Management Seminars, Dr. Amr Abouleish often suggested the following three levels of American healthcare. In fact, these were basically his leitmotif for understanding practice management. Healing is an […]

October 26, 2023

Overcoming the Challenges of Today

BY TONY MIRA Interim CEO Managing an anesthesia practice in the current environment can be quite challenging, which explains why so many independent practices are either choosing to merge with larger entities or relinquishing their independence to become hospital employees. Given a manpower shortage and the impact of growing Medicare and Medicaid populations, too many […]

October 26, 2023

Reducing Adverse Events: Technology Takes Center Stage

BY JUSTIN VAUGHN, MDIV Vice President of Anesthesia Compliance, Coronis Health, Jackson, MI “Do no harm” is seen as the central tenet and prime directive of an oath traditionally taken by physicians since the time of Hippocrates (c. 400 BC). Though this precise phrase is not found in the oldest extant Greek copy (c. AD […]

October 25, 2023

Suits and Settlements: The Latest Legal Actions Against Hospitals

It’s true: we live in a litigious society. That’s not necessarily an indictment against those who initiate a legal action. It may be that they feel forced into taking such extreme measures because of the inappropriate and detrimental behavior of others. Regardless of which party is at fault, one thing remains certain: the lawyers are […]

October 23, 2023

Succession Planning for Anesthesia Practices

Summary Regardless of how a medical group’s management is set up and functioning, there is no guarantee those in leadership will remain in place for an extended period. There must be processes in place to find and train the leaders of the future.  Effective management of any medical practice must include three distinct roles, which […]

October 22, 2023

Converting Data into Cash

BY MICHAEL J. FERRIE, MBAPresident, Laboratory & Pathology, Coronis Health, Fenton, MO Any discussion of converting data into cash begins and ends with understanding what constitutes usable information. For the world of laboratory & pathology, usable information comes out of data elements spit out by generally horrible information systems. CPT codes? Diagnosis codes? Payers? Rejections […]

October 21, 2023

How to Get Claim Denials Under Five Percent

BY JIM YARSINSKY, CRCE-1President, Zinserv Healthcare, Marlton, NJ The most important action a revenue cycle department can make is to implement a well-thought-out process for managing claim denials. Of course, the best way to manage denials is to avoid them in the first place, and this should be a top priority. CLAIM DENIALS CAN DRAIN […]

October 19, 2023

Collaboration is Key to the Financial Health of Healthcare: Is your “Bottom Line” Like a Hot Air Balloon—Lost in Space?

BY LYMAN G. SORNBERGERCEO/President, Lyman Healthcare Solutions, Inc., Broadview Heights, OH The number one concern these days in healthcare is inflation, and over 70 percent of healthcare leaders say that their “financial health” is at risk. Hospitals and providers of all sizes have been on a mission now that prioritizes, among other goals, higher-quality care […]