April 22nd 2024
Federal regulators announce public meeting tomorrow on issue that is divisive in health care.
March 15th 2024
Negotiating your payer contracts is the ticket to the money you deserve.
February 8th 2024
When done correctly, doctors become the ‘quarterback’ leading a patient care team.
May 3rd 2021
For those looking for a new job, the following are some key considerations that might limit potential for burnout.
September 4th 2020
Competition is a rough process, but it still has to be fair, which is why antitrust laws were created.
Physicians Can't Win When It Comes to Payments
Physicians are stuck choosing between the lesser of two evils when it comes to payments and reimbursement.
Physicians Need an Exit Strategy
Entering a new employment agreement? Here's why and how you need to plan your exit strategy as soon as possible.
Physicians Sick of Jumping Through Hoops to be Paid
Physicians have to jump through more hoops than ever to be paid. Is there an end in sight?
Employment Contract Advice for Docs and Practices
Here is some basic contract advice for physicians receiving an offer and practices making an offer.
Is Arbitration an Option for a Practice's Contracts?
If your organization is seeking to add arbitration clauses to its contracts and manuals, be sure to know the advantages and disadvantages first.
Terminating Physicians for Bad Attitudes and Behavior
If you're drafting up provisions in a physician contract dictating his conduct, here are five things to consider.
Prepping a Practice for a Private Equity Transaction
Physicians interested in any transaction opportunity need to be familiar with the process, and the healthcare regulatory and legal issues that can delay or thwart a deal.
6 Things to Ask your EHR Vendor about Security
Physician practices can learn from Equifax's security breach by asking the right questions. Here are a few to ask their vendor.
Questions Docs Must Ask Before Buying Life Insurance
Before buying life insurance, physicians need to consider a plethora of factors. Here are the most important of the bunch.
Knowing Payers' Rules Can Save a lot of Money
Did you know that your insurance payers have very specific rules that you are required to follow? Don't leave money on the table.
Negotiating with Payers as a Small Practice
Small practices won't have access to a private payer's reimbursement rates, so what they are to do?
Hospital-Doctor Clawback Provisions in Employment Contracts
Watch out for aggressive language in hospital employment agreements requiring physicians to recoup all payments to insurance companies.
14 Situations Where Physicians Should Lawyer Up
Practices might be inclined to take on a legal issue on its own. Here are a few situations when they should hire a lawyer instead.
How to Handle an Audit from Medicare or Other Payers
Regardless of who the payer is or the stated purpose, every potential audit inquiry should be taken seriously by your practice.
5 Ways to Cover a Physician's Departure from Your Practice
You have an obligation to ensure patients are protected and retained when their physician leaves your practices. Here's what to do.
Stay on Top of Provider Credentialing and Revalidation
Providers, preparing yourself for upcoming credentialing and revalidations is important. Don't forget!
7 Things Your Practice's Governance Agreement Must Include
A governance agreement is necessary for practices with two physicians or 200 physicians. Here are the seven essentials of one.
How Your Payer Directory Profile May Harm Your Practice
Insurance companies are grading you. You may know this, but do you know how to change your score?
Tech Partnerships Bring Help, Potential Trouble to Docs
Old government regulations need to adapt to new healthcare technologies, advises a former DOJ attorney.
A Doctor's Interpretation of the Failed Aetna-Humana Merger
Humana and Aetna's merger didn't work out - but the real story is how much Aetna was willing to pay to just back out of the agreement.
What to Know About Negotiating with an EHR Vendor
Keeping emotions out of it, having a "Plan B," and being able to walk away are three key skills you need when negotiating.
What if Payers Don't Request Overpayments?
Everyone should know about CMS' rule about repaying overpayments within 60 days. What about private payers?
10 Steps to Help Make Your Practice Labor Compliant
Protect your practice from potential legal problems over labor laws. Here are 10 steps you can take.
10 Obstacles from Payers in Contract Negotiation
Negotiating the rate increase you want from a payer is a "war of attrition," says one expert. Here are 10 ways they'll try to trip your practice up.
How to Save a Practice 101
Independent practices are facing an abundance of challenges from external factors. One consultant is looking to help them through case-study learning.
4 Things for Practices to Know about Billing Partnerships
Bringing on a new billing partner or renegotiating the agreement with your current one? Here are four tips that will help you plan for all scenarios.
Why You Should Look at Your Non-Compete Clause Closely
Here are a few areas of a typical non-compete clause to look closer at when signing your employment contract.
How CVS Dealt a Blow to Physician Autonomy
The retail pharmacy chain recently replaced an established drug with a replacement. It's a move that, in one doctor's opinion, usurps physician autonomy.
Employment Agreements for Advanced Practitioners
How should practices formulate employment agreements for advanced practitioners? Here are a few things to consider.
Effectively Managing Your EHR Relationship
Don't just jump into your second EHR contract without help. Here is what you have to consider first.