Two Payment Thursdays

Based on our recent survey, we are offering two Thursday teleconferences dealing with two different aspects of payment to physician practices, regardless of the architecture in which they live (e.g., independent, system-based, etc.) Each crisp, focused program costs $275 for ½ hour of presentation, 15 minutes of Q & A and a substantive handout. It is the same price whether you buy the live conference or a recording. Both include a handout. If you buy both, there is a discount to $500, whether recording or live for either or both. (Scroll to the end to buy both.)

The Modern Payer Contract: The Old, The New and Tips

Thursday, April 4, 2019
1-1:45pm EDT; 12-12:45pm CDT; 11-11:45am MDT; 10-10:45am PDT

The modern payer contract typically contains provisions that have long been around, requires new takes on old provisions, and presents entirely new provisions reflecting the new payment environment and the change in the emphasis to value and performance. This session offers a 10 page handout and links to 11 additional free articles addressing a wide range of issues in physician participation agreements.

• Context for negotiation
• Fundamental provisions
• New takes on old provisions including scope of participation, sites and services
• New issues if your contract is with a network and not a direct payer
• New compensation models and essential contract provisions including pay for performance, episode payments and bundled payments
• Disputes
• Data Issues

Click here to sign up. Credit Card only. No exceptions.
$275 no matter how many people listen on your line.
(One line per enrollment. This is not a webinar. A computer is not necessary.)
Click here for MP3 recording only

The 2019 Fee Schedule: What Does It Really Mean?

Recorded Thursday, March 21, 2019

The new Medicare Physician Fee Schedule introduces 4 entirely new ‘visit’ codes and 3 documentation changes effective immediately. There are also 3 new ‘visit’ codes for 2021 (with new payment) and new documentation options effective then. This session will focus on these issues only, which will challenge physician practices to manage effectively. We offer an 8 page handout with citations to the applicable policies and links to 4 additional free relevant articles.

• The legal and practical significance of these policies not being published in regulations
• How time becomes money under the new codes
• The new requirements effective today
• The new requirements effective in 2021
• Compliance tips to avoid problems

Live Registration closed. Credit Card only. No exceptions.
$275 no matter how many people listen on your line.
(One line per enrollment. This is not a webinar. A computer is not necessary.)
Click here for MP3 recording only

Click here for two teleconference recordings.


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Previous Teleconferences


Inducing Beneficiaries: Do's and Don'ts

Recorded April 24, 2018

For many years, our solid legal guidance to physicians about what they could do to benefit their patients without running afoul of the fraud and abuse laws has been restrictive.

More Info


LESSONS LEARNED FROM LEASING: A DEEPER DIVE

Recorded October 26, 2017

Five years ago, we presented a teleconference on the pros, cons and practicalities of a group practice leasing itself to a hospital or health system, in lieu of employment. The group remains intact.

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Social Media and "BYOD": What Are Your Risks?

Recorded June 22, 2017

Social media usage is a fact of modern life. Facebook has over 1 billion active users, which undoubtedly includes physician practice employees. Physician practices also may want to establish there own social media presence, to connect with current and potential patients. 

More Info


How Secure Do You Feel About Your HIPAA Compliance Plan?

Recorded December 6, 2016

The HIPAA Security Rule compliance stakes have risen. The Office of Civil Rights is currently enforcing against physician practices, and conducting audits of small practices and business associates alike.

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For Whom The Sixty Day Bell Tolls: Risk and Reward in Physicians Returning Overpayments

Recorded April 19, 2016

With less than a page of actual regulations, but 25 pages of discussion, the regulations addressing when and how to repay overpayments have some surprising elements. What triggers the obligation to report is now much broader than most people realize. 

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Beyond Face Time

Recorded February 2, 2016

Reports of the demise of fee for service are entirely premature. In fact, Medicare has introduced new codes to pay physicians for services that do not require that they have a face to face encounter with the patient.

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Is Your Group A Group?

Recorded May 5, 2015

The August, 2014 Stark settlement with the OIG and DOJ for $1.33 million dollars by a New York private practice cardiology group for its internal compensation practices should be seen as a call to arms.

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Unraveling The Knots: Stark and Medicare Reimbursement Principles and Intertwinings

Recorded July 15, 2014

Given the draconian impact of enforcement, it is clearly time to revisit some of the lurking pitfalls in the connection between the Stark law and Medicare reimbursement principles.

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Using Patient Safety Organizations to Bolster Clinical Integration

Recorded January 28, 2014

The demand for providers to change the way they deliver care to demonstrate more value is rampant. To make those changes requires clinical integration which centers, in essence, on analysis of data -- data that by definition demonstrates sub-optimal performance.

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Quality Fraud: What Is That?

Recorded February 14, 2013

This highly focused half hour of lecture with 15 minutes for questions will offer to hospitals and their compliance officers and physician practice groups a much better understanding of looming pitfalls which can be avoided with attention.

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Physician-Hospital Alignment Strategies

With health reform now moving inexorably forward, the implications of value-based payments, bundled payments, and reorganized care delivery - particularly for physicians - must be confronted.

  1. Leasing The Practice To The Hospital: Pros, Cons and Practicalities - (Sept. 11, 2012)
  2. A Physician's Perspective on Co-Management: Opportunities and Pitfalls - (Sept. 18, 2012)
  3. Governance and Contractual Issues Within Bundled Payment: The Physician Perspective - (Sept. 25, 2012)

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The Physician Compensation Challenge: Stark and Responding to The New Value Demands

Recorded June 19, 2012

This teleconference will explain the rules, debunk the myths and offer new information about how leading edge groups are increasingly moving to make their internal compensation models consistent with external demands for improved quality and value.

More Info