Before You Submit Your Phase 3 PRF & PPP Application

October 21, 2020

Phase 3 PRF Key Takeaways To Consider Now

Providers who have previously received or are expecting to receive HHS Provider Relief Funds (PRF) should read this before submitting their Phase 3 applications, as well as providers who are preparing to submit Paycheck Protection Program (PPP) loan forgiveness applications. Applying different funding sources to cover the same cost is prohibited.

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Phase 3 Provider Relief Fund (PRF)

October 14, 2020

HHS Issues $20 Billion in Phase 3 Provider Relief Funding

Earlier this month, the Trump Administration announced that an additional $20 billion will be made available for healthcare providers who are on the first line of defense against the coronavirus. A range of providers will be able to apply for this funding starting on October 5th, 2020 including previously ineligible providers. This round of funding considers financial losses and changes in operating revenues and expenses caused by the coronavirus. Furthermore,  providers who have already received PRF dollars are still encouraged to apply to Phase 3 for additional payment opportunities.

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HHS Announces New Provider Relief Fund Reporting Requirements

September 28, 2020

Medical Providers to Follow These New PRF Reporting Requirements

If you are a medical provider that received more than $10,000 in Provider Relief Fund payments, then this message is for you.

As of Saturday, September 19, 2020, the United States Department of Health and Human Services (HHS) released its Provider Relief Fund (PRF) Reporting Requirements detailing how medical providers who received more than $10,000 in PRF payments will be obligated to follow post-payment reporting requirements to report their use of funds.

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Keep Employees COVID-19 Free: An Employer’s Guide From OSHA

June 23, 2020

Naturally you care about the health and safety of your employees, and don’t need a federal agency to tell you that you should be concerned. Still, it’s helpful to know what the overall position of the Occupational Health and Safety Administration’s (OSHA) is on COVID-19. In a recent “alert,” OSHA urged employers to take the following three steps:

  1. Assess the hazards to which workers may be exposed,
  2. Evaluate the risk of exposure, and
  3. Select, implement and ensure workers use controls to prevent exposure.
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Closing a Practice Doesn’t End Patient Responsibilities

June 23, 2020

For most small business owners, closing up shop is relatively simple — perhaps they take down their signs, get rid of inventory and turn the lights off. But for a health care practitioner closing a practice, the issues are more complex.

You have a duty to preserve medical records and ensure your patients have access to them. There may even be liability issues after your death that must be addressed in your estate plan.

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Investigate Operations Before Signing an Employment Contract

June 23, 2020

When considering joining or merging with a medical practice, you need to perform a due diligence investigation into the operations of the practice, as well as the finances.

Much of the due diligence you perform in checking into a practice’s finances will overlap with the operations due diligence. For operations information, it’s important to interview current and former practice employees. It’s not uncommon for many of the policies of a practice to be unwritten. The more aspects of the agreement you understand and can incorporate into a written document, the better. At the very least, you want to know the situation you’re getting into. For example, here are some considerations:

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Tread Carefully When Renting Space

December 12, 2018
Medical fraud

Office spaces being rented between physicians and medical suppliers are getting more attention for potentially fraudulent activity and kickbacks.

As you know, medical practitioners are subject to a federal law that makes it a felony to influence the referral of federal health care business, including Medicare and Medicaid.

For example, if a physician refers a patient to a specialist and receives part of the specialist’s Medicare payment in exchange, the doctor has committed a felony under the Anti-Kickback Statute and could be subject to criminal and civil charges. The physician could also be excluded from Medicare and other federally funded health care programs. Read more

A Buy-Sell Agreement Can Protect Your Practice and Minimize Disputes

August 15, 2018
Buy-Sell Agreements

When healthcare practices bring on new physicians, it’s important to make sure they sign buy-sell agreements to protect the practice from disputes.

In the wake of health care reform, you might find your practice inundated with new patients. With the extra workload, you might want to hire one or more physicians to help out.

If so, and if these physicians intend to take an ownership share of your practice, make sure each one signs a buy-sell agreement. Reason: It can safeguard your practice from disgruntled doctors and minimize disputes should they arise. Read more

A Clear Policy Improves Billing Results

August 13, 2018

Medical practices are always looking to speed up third-party payments and keep patients’ accounts current. Here are some ways to make your practice’s billing procedures more efficient to improve cash flow.

You may have heard about the Vermont doctor who was fed up with the way medicine is practiced today and opened an office she calls “Simply Medicine.” The sole practitioner doesn’t accept insurance. Her fee is listed on a board in the waiting room: $2 a minute for labor, plus the cost of supplies. Read more

Tips on the Medicare Appeals Process

May 11, 2018
Medicare Appeals

It’s frustrating to have Medicare claims denied — and it happens to almost all physicians from time to time. To successfully appeal claims that have been denied, you need to understand the process.

Nearly every physician has claims denied from time to time. Medicare, as a government program, has its own way of doing things. As you know, the process is different from insurance companies, which also have their own way of handling claims.  Read more