Monitor these six indicators monthly; when they point toward overstaffing, plan a careful, compassionate reduction strategy before financial pressures make the choice for you.
Payroll is routinely the largest expense in a physician practice; often rivaling rent, supplies and malpractice insurance combined. As reimbursement rates flatten, inflation drives up supply costs and patients migrate to telehealth or retail clinics, even well‑run groups can find themselves supporting more employees than current demand justifies. The pandemic’s payroll‑protection lifeline has ended, and many administrators now face the harder math of matching head count to leaner margins. Downsizing, however, is delicate work: trim too aggressively and service, quality and morale suffer; wait too long and a slow drip of red ink can threaten solvency. Consistent audits of workflow, productivity and costs are your best hedge against surprise layoffs. Use the following six indicators as an early‑warning dashboard—if several are blinking at once, it may be time to right‑size your roster before the numbers make the decision for you.
Split/Shared Billing in Emergency Medicine: Why Attestation Matters More Than Ever
June 2nd 2025Emergency Medicine is Evolving—And So Are the Billing Rules Team-based care is now the norm in emergency departments, but outdated billing practices are putting revenue and compliance at risk. In this must-read article, Michael Jeffery, President of Emergency Medicine at Coronis Health, breaks down what every ED leader needs to know about split/shared billing, recent CMS rule changes, and the critical role of attestation. A Smarter, Simpler Approach to Compliance Michael shares real-world examples and best practices used by high-performing EDs to keep documentation clean, billing accurate, and compliance risks low. If you oversee ED operations or billing, this article is your go-to resource.