NOTE: The date has been changed to July 5, 2011. delayed indefinitely. *********************************************************************************************************************** As of April 5, 2010 As of January 3, 2011, As of July 6, 2010, if the...
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A Memo to the Staff: The Preciousness of Patients
Sometimes in the midst of making changes to improve things, we inadvertently lose the patient. Sometimes we literally lose the patient because they say "Everything is changing and I don't like it. I'm taking my business elsewhere." Sometimes we figuratively lose the...
Medicare for 2010: Deductibles and Premiums Update
Medicare is a federal health insurance program created in 1965 for: people age 65 or older, people under age 65 with certain disabilities, and people of all ages with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant) Medicare...
How to Develop a New Financial Policy For Your Practice: A Short Course
I've had lots of questions about financial policies since I did a webinar on patient collections last year. Here's a short course on developing a new financial policy for your practice. The topic is addressed more comprehensively in my book. I dislike financial...
Dear Mary Pat: How Can I Stop Staff From Comparing Salaries?
You probably can't. But that doesn't mean I haven't been guilty of trying to in the past. I have typically had a policy in my personnel handbook saying staff can be terminated for discussing wages. But should you really follow through with that threat? Some managers...
There is No Such Thing as a 10-Minute Office Visit
I sat at the checkout desk in my practice last week for the first time and as always, it was a revelation. If you haven't worked your check-in and check-out desks recently, I highly recommend it. An insured patient that I checked out was shocked when I said the...
Double Effect (as applied to terminal sedation)
The philosophical principle or rule of double effect, attributed to the 13th century Roman Catholic philosopher Thomas Aquinas, states that even if there is a foreseeable bad outcome, like death, it is acceptable if it is unintended and outweighed by an intentional...
Definition of a Group Practice (Stark)
The Group Practice Definition (courtesy of HealthNoob.com) Under Stark, a group practice is a physician practice that meets the following conditions: Single Legal Entity. The group practice must consist of a single legal entity operating primarily for the purpose of...
Patient Collection Question #1: How Do I Know What to Collect at Check-Out?
My book on front-end collections has been doing really well and I'm pleased that a number of people have called me or emailed me with questions. Here's one question that a number of people have asked - "Can you tell me more about knowing what to collect from the...
Is Your Practice Focusing on These Top Ten Preventive Services? (Your Reimbursement May Depend on It)
If you don't have the following ten items on a manual checklist or in your EMR, you might want to add them. Any time I hear someone list things that improve quality of life and downstream health, I think to myself "This is future reimbursement criteria." Actually,...
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