Craft A Medical Practice Compliance Program

CREATING A MEDICAL PRACTICE COMPLIANCE PROGRAM

[Accountability, Processes and Implementation]

Carol S. Miller RN MBA

Dr. David Edward Marcinko MBA

In general terms, healthcare entity or medical practice compliance is the organization’s adherence to rules, regulations, guidelines, and specifications relevant to performing its day-to-day operations.

This includes the observance of all applicable Medicare billing guidelines; state, local, and Federal regulations impacting the practice; ethical, privacy and security requirements; and the steps and processes to avoid potential fraud and abuse.

Due to the increasing number of regulations placed on medical practices and the need for operational transparency, provider offices are adopting the use of consolidated and harmonized sets of compliance controls to ensure that all necessary governance requirements can be met without unnecessary duplication of effort or too extensive processes that could take away from patient care.

LINK: https://medicalexecutivepost.com/2016/03/12/the-types-of-healthcare-compliance-audits/

LINK: https://medicalexecutivepost.com/2015/06/16/benefits-of-a-healthcare-compliance-program/

About Podiatry BOARD CERTIFICATION Study Guides

Join Our Mailing List

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ALL NEW AND IMPROVED STUDY GUIDE SOFTWARE !

http://www.PodiatryPrep.org

[Versions 2.0]

As we complete our first quarter-century of service to the podiatric community, it is only fitting to update our colleagues of the extreme changes taking place in the individual board exam testing space.

Some of these changes are perfunctory with little practical impact; while others are so profound as to cause extreme consternation in the practitioner community writ-large.

For example:

Nomenclature:

  1. FROM: American Board of Podiatric Surgery -TO- American Board of Foot and Ankle Surgery.
  2. FROM: American Board of Primary Podiatric Medicine and Orthopedics -TO- American Board of Foot and Ankle Medicine and Orthopedics.
  3. FROM: ORAL questions -TO- “oral” computerized Clinical Pathology Conference-like queries
  4. FROM: American Board of Podiatric Medical Specialities -TO- American Board of Medical Specialities, in Podiatry.
  5. FROM: Non-Competitive MOC Exams -TO-Competitive MOC Re-Cert Tests.
  6. FROM: Solely DPM crafted exams to professional psychometric designs by PhDs, computer scientists, and E.Eds.

ABPS Statistics: ABPS Statistics

Testing Dynamics:

  1. The Surgery Certification and Qualification tests now rely less on rote memorization and more on applied cognitive content, and may be very different from any other test you have ever taken, to date [ie., multiple choice or fill-in-the-blank].
  2. The Primary Medicine and Orthopedics Certification and Qualification tests now rely less on rote memorization and more on applied cognitive content, and may be very different from any test you have ever taken, to date [ie., multiple choice or fill-in-the-blank].
  3. Traditional human ORAL questions have been usurped by [non-human] computerized Clinical Pathology Conference [CPC] queries; AKA: Computer Based Testing [CBT] or Clinical Scenario Questions [CSQs].
  4. American Board of Medical Specialities now includes over a dozen general categories; including podiatry.
  5. The Re-Certification tests for Maintenance of Certification [MOC] now rely much less on rote memory, as in the past; and more on deeply experiential content. It is also becoming more competitive, to-date.
  6. So-called “wrong” questions by-design are called psychological “stressor questions” and are used to evoke emotional volatility and waste precious time. So, BEWARE!. Moreover; the so-called “points-to-pass” AND “points-to-fail” philosophy may be re-emerging.

More Here: FARC Promo.Psychometrics

This is the dynamic PODIATRY PREP difference [Unique Competitive Advantage] between our customized Study Guide File Programs with customized board exam preparation content, and the static general “off-shelf” books or Web guides of the past; and/or traditional CEU educational seminars.

SAMPLE QUESTIONS: Traditional Rote ISTITUTIONAL RESIDENCY Questions versus Experiential and Cognitive Styled INDIVIDUAL PRACTITIONER [CBT/CBS] Formats

PRACTITIONERS: Be sure to specify the target exam and customize your own personal study guide, today.

Pilon Fractures: pilon fractures

Hallux Rigidus: HALLUX.LIMITUS.RIGIDUS.SURGERY

AKIN: 3[1][1].AKIN.OSTEOTOMY

CHEVRON: 5[1][1].CHEVRON.MODIFICATIONS

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http://www.PodiatryPrep.org

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Dental Electronic Records – Why Bother?

Electronic dental records – why bother?

[By Darrell Pruitt DDS]

“Clinician EHR Workload, Cognitive Efforts Double After EHR Adoption – Providers reported significant cognitive workload increases, such as higher levels of frustration and mental demands following EHR adoption”

By Christopher Jason for EHR Intelligence, March 23, 2021.
https://ehrintelligence.com/news/clinician-ehr-workload-cognitive-efforts-double-after-ehr-adoption

Jason:  “Clinician workload and cognitive efforts doubled after the first six months of EHR adoption, according to a study published in Applied Ergonomics. Clinicians also experienced increased EHR workload over 2.5 years following EHR implementation. This adds to the evidence showing a connection between EHR usability and clinician burnout. EHR usability issues typically increase cognitive load and errors, leading to patient safety issues. An increase in cognitive load adds to EHR use, which then leads to clinician burnout.”

Compared to physicians, the business of dentistry is like a lemonade stand. Electronic dental records offer only convenience – expensive, complicated and dangerous convenience.

Why bother?

DAVID EDWARD MARCINKO IS AT YOUR SERVICE IN 2021

DAVID EDWARD MARCINKO IS AT YOUR SERVICE IN 2020-2021

INVITATION:

EDITOR

TO SCHEDULE A SEMINAR, SPEAKING ENGAGEMENT, POD OR VLOG-CAST:
Contact: Ann Miller RN MHA CMP®
MarcinkoAdvisors@msn.com
770-448-0769
Thank You
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Pass Your Foot & Ankle Surgical Board Exams

PASS ALL YOUR FOOT AND ANKLE SURGERY BOARD CERTIFICATION EXAMS
Courtesy: www.PodiatryPrep.org
Pass The First Time

ESSAY: https://lnkd.in/dKyq-6u
ORDER: https://lnkd.in/e3uy6qB
Thank You
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Artificial Intelligence in Medicine!

AI in Medicine – Who is Responsible?

[By staff reporters]

https://qz.com/1905712/when-ai-in-healthcare-goes-wrong-who-is-responsible-2/

 

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American Rescue Plan Act of 2021

Healthcare Provisions in the American Rescue Plan

By Health Capital Consultants, LLC

On March 11, 2021, President Joe Biden signed into law the American Rescue Plan Act of 2021 (ARPA). The law looks to alleviate the burden felt by the millions of people who lost their employer-sponsored health insurance over the first six months of the pandemic and assist the hardest-hit communities through the extension of the Patient Protection & Affordable Care Act (ACA) and Consolidated Omnibus Budget Reconciliation Act (COBRA) subsidies, expanding Medicaid coverage, increasing funding for behavioral health, ramping up COVID-19 vaccines and testing, providing financial relief for rural providers, and enacting other individual and healthcare system protections. (Read more…)

STROKE

Right Side VERSUS Left Side Cerebral Vascular Accidents

[By staff reporters]

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A stroke occurs when the blood supply to part of your brain is interrupted or reduced, depriving brain tissue of oxygen and nutrients [occlusive and hemorrhagic]. Within minutes, brain cells begin to die.A stroke is a medical emergency. Prompt treatment is crucial. Early action can minimize brain damage and potential complications.The good news is that strokes can be treated and prevented, and many fewer Americans die of stroke now than in the past.

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Happy “Doctors Day”

Circa 2021

[By staff reporters]

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World Bi-Polar Day 2021

By staff reporters

Bipolar disorder, formerly called manic depression, is a mental health condition that causes extreme mood swings that include emotional highs (mania or hypomania) and lows (depression).

When you become depressed, you may feel sad or hopeless and lose interest or pleasure in most activities. When your mood shifts to mania or hypomania (less extreme than mania), you may feel euphoric, full of energy or unusually irritable. These mood swings can affect sleep, energy, activity, judgment, behavior and the ability to think clearly.

Episodes of mood swings may occur rarely or multiple times a year. While most people will experience some emotional symptoms between episodes, some may not experience any.

Although bipolar disorder is a lifelong condition, you can manage your mood swings and other symptoms by following a treatment plan. In most cases, bipolar disorder is treated with medications and psychological counseling (psychotherapy).

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Health Insurance – Paradox!

A Lifestyle Conundrum

[By staff reporters]

 

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Top 10 Non-Social Websites for [almost] Everyone?

Top Ten Sites

[By staff reporters]

*Top 10 Sites for your career:*

1. LinkedIN
2. Indeed
3. Naukri
4. Monster
5. JobBait
6. Careercloud
7. Dice
8. CareerBuilder
9. Jibberjobber
10. Glassdoor

*Top 10 Job Skills:*

1. Machine Learning
2. Mobile Development
3. SEO/SEM Marketing
4. Data Visualization
5. Data Engineering
6. UI/UX Design
7. Cyber-security
8. Cloud Computing/AWS
9. Blockchain
10. IOT

*Top 10 Sites for Free Online Education:*

1. Coursera
2. edX
3. Khan Academy
4. Udemy
5. iTunesU Free Courses
6. MIT OpenCourseWare
7. Stanford Online
8. Codecademy
9. Open Culture Online Courses

*Top 10 Sites to learn Excel for free:*

1. Microsoft Excel Help Center
2. Excel Exposure
3. Chandoo
4. Excel Central
5. Contextures
6. Excel Hero
7. Mr. Excel
8. Improve Your Excel
9. Excel Easy
10. Excel Jet

*Top 10 Sites to review your resume for free:*

1. Zety Resume Builder
2. Resumonk
3. Resume dot com
4. VisualCV
5. Cvmaker
6. ResumUP
7. Resume Genius
8. Resumebuilder
9. Resume Baking
10. Enhancv

*Top 10 Sites for Interview Preparation:*

1. Ambitionbox
2. AceTheInterview
3. Geeksforgeeks
4. Leetcode
5. Gainlo
6. Careercup
7. Codercareer
8. InterviewUp
9. InterviewBest
10. Indiabix

Assessment: What and whoi did we miss?

THANK YOU

 

International Medical Science Liaison Day

MSL Day 2021

[By staff reporters]

A medical science liaison is a healthcare consulting professional who is employed by pharmaceutical, biotechnology, medical device, and managed care companies. Other job titles for medical science liaisons may include medical liaisons, clinical science liaisons, medical science managers, regional medical scientists, and regional medical directors.

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Hospital Price Transparency 2021

ARE FINES TOO LITTLE – TOO LATE?

[By staff reporters]

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MORE:

https://www.cms.gov/hospital-price-transparency

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Mortality and Activity

Changes Due to Activity

[By staff reporters]

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On Context and Perspective

A Matter of Perspective

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On Health Insurance Premiums and Deductibles RISING!

 

2020 Employer Health Benefits Survey – Summary of Findings

On Corporate “Culture”

Culture versus Strategy

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Corona Vaccine Food for Thought

Vaccine

By Anonymous

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cv

“Reasons” to Sell Stock

[By staff reporters]

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Long-Terms Effects of Covid-19

Long-Terms Effects of Covid-19

By staff reporters

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MORE:

The short-term, middle-term, and long-term future of the coronavirus

CMS Reimbursement Reductions

CMS Reimbursement Reductions 2021

By staff reporters

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 MORE:

Anesthesiology, -21 percent
Physician assistant, -21 percent
General surgery, -20 percent
Cardiology, -19 percent

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On “Doctoring” Medical Records

LAUGHTER

By staff reporters

Laughter is a physical reaction in humans consisting usually of rhythmical, often audible contractions of the diaphragm and other parts of the respiratory system resulting most commonly in forms of “hee-hee” or “ha-ha”.

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World Obesity Day

MARCH 4, 2021

CELEBRATE HERE:

https://www.worldobesityday.org/

Eat Less – Walk More – Avoid Moral Hazards

Money and Happiness?

Does Money Buy It?

By staff reporters

 

SCIENCE: https://medicalexecutivepost.com/2020/12/11/the-science-of-happiness/

RATIO: https://medicalexecutivepost.com/2016/12/21/how-debt-affects-the-income-to-happiness-ratio/

Your thoughts are appreciated.

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What is Physician Board “Certification” & “Eligibility”?

WHAT IS PHYSICIAN BOARD CERTIFICATION AND BOARD ELIGIBILITY?
Courtesy: https://lnkd.in/drrYKeT

BOARD CERTIFICATION (Boarded, Diplomate): A doctor who is board certified has pursued advanced training in his or her specialty and has passed a qualifying examination; a doctor who is board eligible has received the training but has not taken or passed the exam.
DHIMC: https://lnkd.in/e9AmEhd

BOARD ELIGIBLE: Describes a physician who is eligible to take the specialty board examination by virtue of being graduated from an approved medical school, completing a specific type and length of training, and practicing for a specified amount of time. Some HMOs and other health facilities accept board eligibility as equivalent to board certification, significant in that many managed care companies restrict referrals to physicians without certification.
FOREWORD: https://lnkd.in/gywd_Ad


Your thoughts are appreciated.

HOSPITAL MANAGEMENT & BUSINESS TEXTS:
1 – https://lnkd.in/eEf-xEH
2 – https://lnkd.in/e2ZmewQ
Thank You
***

RARE DISEASE DAY 2021

Rare Disease Day 2021

[By staff reporters]

February 28th 2021 was the fourteenth international Rare Disease Day coordinated by EURORDIS. On and around this day hundreds of patient organizations from countries and regions all over the world held awareness-raising activities.

LINK: https://rarediseaseday.org/

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FMV of the Medical Practice?

FINANCIAL OPINIONS OF MEDICAL PRACTICE FAIR MARKET VALUE [FMV]
Courtesy: https://lnkd.in/eBf-4vY
Plastic Surgery-Medical Practice Worth, Valuation, Sales & Succession Planning

For doctor-colleagues, buying or selling a practice may be the biggest financial transaction of their lives. Reasons for appraising practice worth include: sales, merger, succession, retirement and estate planning; partnership disputes and divorce; or as an important tool for organic growth and strategic planning.

DHEF: https://lnkd.in/dqdbWM9
FOREWORD: https://lnkd.in/ecwZWxu

However, the transaction is fraught with many pitfalls to avoid and no medical specialty seems immune; especially when it comes to contentious fair market value [FMV] appraisals.

ESSAY: https://lnkd.in/eujJySP
MAXIMIZATION: https://lnkd.in/dG8UYaa
BLUNDERS: https://lnkd.in/etgDpqr
Your comments are appreciate.

BUSINESS, FINANCE, INVESTING & INSURANCE TEXTS:
1 – https://lnkd.in/ebWtzGg
2 – https://lnkd.in/ezkQMfR
3 – https://lnkd.in/ewJPTJs
THANK YOU
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What is a Stock Market SPECIALIST?

WHAT IS A STOCK MARKET “SPECIALIST”?
Courtesy: https://lnkd.in/eBf-4vY

CMP® CURRICULUM: https://lnkd.in/dbAF_iY

DEFINITION: A member of a securities exchange with the essential function of maintaining a fair and orderly market, insofar as reasonably practicable, in the stocks in which he is registered as a specialist. To do this, s/he must buy and sell for his own account and risk, to a reasonable degree, when there is a temporary disparity between supply and demand. In order to equalize trends, he must buy or sell counter to the direction of the market.
DHEF: https://lnkd.in/dqdbWM9
FOREWORD: https://lnkd.in/ecwZWxu

At all times the specialist must put his customer’s interest before his own. All specialists are registered with the exchange, but are not employees of that exchange. Your thoughts are appreciated.

BUSINESS, FINANCE, INVESTING AND INSURANCE TEXTS FOR DOCTORS:
1 – https://lnkd.in/ebWtzGg
2 – https://lnkd.in/ezkQMfR
3 – https://lnkd.in/ewJPTJs
THANK YOU
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“PERFORMANCE OF PUBLIC HOSPITALS IN KENYA”

“PERFORMANCE OF PUBLIC HOSPITALS IN KENYA”
Courtesy: https://lnkd.in/eBf-4vY
[THE ESSENTIAL ROLE OF MANAGEMENT]

Proud to be mentioned and cited in this new hospital management publication.
WHITE-PAPER: https://lnkd.in/eP_5JuR
Your thoughts are appreciated.

HOSPITAL MANAGEMENT & BUSINESS TEXTS:
1 – https://lnkd.in/eEf-xEH
2 – https://lnkd.in/e2ZmewQ
THANK YOU
***

On “SIGNIFY HEALTH”

The SEC Filing 

SIGNIFY HEALTH Goes Public

https://www.dallasnews.com/business/health-care/2021/02/11/signify-health-goes-public-with-7-billion-valuation-as-ceo-says-company-is-long-on-dallas/

By Signify Health

https://lnkd.in/ePKNEak

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RED CROSS Day History

RED CROSS DAY

On this day in 1863, Henry Dunant founded the Red Cross, which would go onto receive the Nobel Peace Prize three times.

During the Battle of Solferino in the Franco-Austrian war, Swiss businessman Dunant was shocked to witness tens of thousands dead or wounded left on the field after just one day of fighting.

After this experience, on 17 February 1863, he decided to form the International Committee of the Red Cross in Geneva Switzerland with four other Swiss businessmen to take care of casualties and prisoners of war. In the following year, the first Geneva Convention was adopted, “for the Amelioration of the Condition of the Wounded and Sick in Armed Forces in the Field.”

The First World War was an enormous challenge for the organisation. At the outbreak of the war in 1914 medical staff from all over the world gathered to take care of the many wounded. One of them was the young Ernest Hemingway (awarded the Nobel Prize in Literature 1954), employed as an ambulance driver on the Austrian-Italian front. The experience later inspired him to write the novel ‘Farewell to Arms’.

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Henry Dunant was awarded the first ever Nobel Peace Prize in 1901 for his humanitarian work.

The organization he founded received the prize three times.

Learn more: https://bit.ly/2LgtfQY

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BUSINESS & MANAGEMENT TEXTBOOKS OF INTEREST TO SAVVY PHYSICIANS

BUSINESS & MANAGEMENT TEXTBOOKS OF INTEREST TO SAVVY PHYSICIANS
Courtesy: https://lnkd.in/eBf-4vY

Health Economics, Finance, Accounting, Investing, HR and Insurance; etc.
BOOKS: https://lnkd.in/dys_xQz

 


INVITATION: https://lnkd.in/d2SefCY
SPEAKING TOPIC LIST: https://lnkd.in/e7WrDj9
MY “AVATAR”: https://lnkd.in/d6BU-TQ
Thank You
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International Day of Women and Girls in Science

International Day of Women and Girls in Science

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How the Vaccines Work?

PFIZER-BioNTech and MODERNA

By staff reporters

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Medical Practice Fair Market Value

FINANCIAL OPINIONS OF MEDICAL PRACTICE FAIR MARKET VALUE [FMV]
Courtesy: https://lnkd.in/eBf-4vY
Medical Practice Worth, Valuation, Sales and Succession Planning

ESSAY: https://lnkd.in/eujJySP
MAXIMIZATION: https://lnkd.in/dG8UYaa

NASDAQ

Download our Complimentary “Free” Resources
PART 1: https://lnkd.in/edwCnde
PART 2: https://lnkd.in/eBAvF_S
PART 3: https://lnkd.in/ekhVsWq
Thank You
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TIME-LINE TO LAUNCH A NEW MEDICAL PRACTICE

TIME-LINE TO LAUNCH A NEW MEDICAL PRACTICE
Courtesy: https://lnkd.in/eBf-4vY

 

ESSAY: https://lnkd.in/errcNEx
Thank You
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Women in Medicine

It’s a Celebration

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Health Economics in the United Kingdom

Health Care Demand and Costs Rising!

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DHEF

DHEF: https://lnkd.in/dqdbWM9

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“Wear Red” Day for Women’s Heart Health

NATIONAL WEAR RED DAY 2021

National Wear Red Day for the year 2021 is celebrated / observed on Friday, February 5th.

Every year the first Friday of February has been dedicated to National Wear Red Day as an awareness day for American women to understand their number one health threat – heart disease.

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FEMALE HEART ATTACK SYMPTOMS

https://medicalexecutivepost.com/2021/01/08/heart-attack-symptoms/

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Hospitals and Price Transparency

DISCLOSURE OF CASH PRICE

SECTION 1.

(a) In this section, “hospital” means a hospital: (1) licensed under Chapter 241; or (2) owned or operated by this state or an agency of this state. (b) A hospital shall disclose the hospital’s cash price for each health care service regularly provided by the hospital. The required disclosure must be made: (1) by posting the prices on the Internet website of the hospital; or (2) if the hospital does not have an Internet website, by providing the prices in writing on request to any person.

SECTION 2. This Act takes effect September 1, 2021.

Average Cost of Cyber ATTACKS!

Across 15 Industries – Including Healthcare

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Top Child Health Concerns

Circa: 2020

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What to do when [medical practice] business is slow?

Why Not Update Your Medical Practice Business Plan?

By Dr. David Edward Marcinko MBA CMP

http://www.CertifiedMedicalPlanner.org

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MBA Business Plan CAPSTONE Outline

Conclusion

Your thoughts and comments on this ME-P are appreciated. Feel free to review our top-left column, and top-right sidebar materials, links, urls and related websites, too. Then, subscribe to the ME-P. It is fast, free and secure.

Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

[PRIVATE MEDICAL PRACTICE BUSINESS MANAGEMENT TEXTBOOK – 3rd.  Edition]

Product DetailsProduct Details

  [Foreword Dr. Hashem MD PhD] *** [Foreword Dr. Silva MD MBA]

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HAPPY FIRST NEW YEAR SUNDAY 2021

HAPPY FIRST NEW YEAR SUNDAY 2021

PATTERSON PARK

[East Baltimore City, Maryland]

Patterson Park is an urban park in Southeast Baltimore, Maryland, United States, adjacent to the neighborhoods of Canton, Highlandtown, Patterson Park, and Butchers Hill. It is bordered by East Baltimore Street, Eastern Avenue, South Patterson Park Avenue, and South Linwood Avenue.

The Patterson Park extension lies to the east of the main park, and is bordered by East Pratt Street, South Ellwood Avenue, and Eastern Avenue.

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What is BIDEN CARE?

Bidencare: The President-Elect’s Healthcare Plan

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By Health Capital Consultants, LLC
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The Biden Administration has put forth their healthcare plan, which seeks to expand access to affordable healthcare with the following:
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(1) upholding and expanding the Patient Protection and Affordable Care Act (ACA), to reduce the amount that consumers pay for health insurance on the individual marketplace; (2) offering a new, public insurance option similar to Medicare; (3) prohibiting the practice of “surprise billing”; (4) leveraging the Department of Justice’s (DOJ’s) and Federal Trade Commission’s (FTC’s) antitrust authority to target market concentration within the healthcare system; and, (5) driving down prescription drug prices by increasing competition for, and regulation, of pharmaceutical companies.
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The CORONA PANDEMIC 2020 – 2021

Defense versus Offense

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What is a “Value”Stock?

Looking for Bargains in 2021?

Continue reading

Historic Physician Reimbursement Trends

Not Inflation Protected

By Federal Register

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