Wisdom. Applied.

Burnout: Physicians as “Renters” in the Rent Seekers’ World

Mark — Mon, 10 Aug 2026 16:16:33 +0000

What if physician burnout isn't about resilience at all? A different look at ownership, autonomy, and incentives.

The post Burnout: Physicians as “Renters” in the Rent Seekers’ World appeared first on Wisdom. Applied..

The Impending Death of the Friendly Physician Model

Mark — Mon, 03 Aug 2026 20:50:20 +0000

California’s crackdown on the friendly physician model may signal broader risks for MSOs nationwide.

The post The Impending Death of the Friendly Physician Model appeared first on Wisdom. Applied..

Countertrends: Why AI May Save the Physician-Patient Relationship

Mark — Mon, 27 Jul 2026 15:17:31 +0000

Most discussions about healthcare AI focus on replacement. What if the real opportunity is the opposite? By taking administrative work off physicians' plates, AI may help restore the very thing industrialized medicine has eroded: the physician-patient relationship.

The post Countertrends: Why AI May Save the Physician-Patient Relationship appeared first on Wisdom. Applied..

The Age of Agency

Mark — Mon, 20 Jul 2026 16:38:34 +0000

There is a wide middle ground between going it alone and giving up control, built on physician-led collaboration, shared resources, and strategic alignment.

The post The Age of Agency appeared first on Wisdom. Applied..

For FIFA They Called It a Bribe. The OIG Calls It a Kickback.

Mark — Tue, 14 Jul 2026 15:37:27 +0000

What FIFA called bribery, healthcare regulators call kickbacks. Lessons from FIFA, labs, drug companies, and health systems on AKS compliance.

The post For FIFA They Called It a Bribe. The OIG Calls It a Kickback. appeared first on Wisdom. Applied..

The Fall of the Friendly Physician

Mark — Tue, 30 Jun 2026 19:42:49 +0000

The “friendly physician” model is being dismantled. New laws target MSO control and paper ownership, forcing real physician governance in healthcare practices.

The post The Fall of the Friendly Physician appeared first on Wisdom. Applied..

The Next Physician Shortage Isn’t What Anyone Thinks

Mark — Mon, 22 Jun 2026 15:47:57 +0000

The next physician shortage is about doctors leaving traditional employment for independence, autonomy, and new business models.

The post The Next Physician Shortage Isn’t What Anyone Thinks appeared first on Wisdom. Applied..

The Rise of the Portfolio Physician

Mark — Mon, 15 Jun 2026 17:20:12 +0000

The most successful physicians aren’t depending on one job or one source of income. They’re building out a range of skills, roles, and ownership opportunities so they have real flexibility—and control—over what comes next.

The post The Rise of the Portfolio Physician appeared first on Wisdom. Applied..

When the Machine Speaks: AI, Physician Liability, and the Future of the Learned Intermediary

Mark — Mon, 08 Jun 2026 15:24:57 +0000

Artificial intelligence is challenging the traditional legal framework that places physicians as the “learned intermediary.” As AI systems increasingly participate in clinical decision‑making, the legal standard for physician judgment, documentation, and liability may shift in ways physicians need to understand now.

The post When the Machine Speaks: AI, Physician Liability, and the Future of the Learned Intermediary appeared first on Wisdom. Applied..

Medical Group Mergers and Un-Governance – Planning for Failure and Calling it Strategy

Mark — Mon, 01 Jun 2026 16:20:00 +0000

Medical group mergers often fail not because of economics, but because of governance. When groups preserve separate identities instead of fully integrating, the result is conflict, inefficiency, and eventual breakdown.

The post Medical Group Mergers and Un-Governance – Planning for Failure and Calling it Strategy appeared first on Wisdom. Applied..

Fraud on Fridays: That’s Why They Go to Jail

Mark — Fri, 29 May 2026 14:58:00 +0000

A 78-year-old Brooklyn clinic owner. A van outside where his staff directed patients to sell their Suboxone. A Florida nurse practitioner who signed prescriptions without seeing a single patient. And a federal informant with a hidden camera who heard Brown-Arkah explain, on the record, exactly why people in his business get arrested.

The post Fraud on Fridays: That’s Why They Go to Jail appeared first on Wisdom. Applied..

Memorial Day

Mark — Mon, 25 May 2026 13:28:00 +0000

We analogize business to war. Litigation to battle. Negotiation to struggle.

The post Memorial Day appeared first on Wisdom. Applied..

Fraud on Fridays: No Sample Required

Mark — Fri, 22 May 2026 14:14:00 +0000

Two brothers from Naperville. Four laboratories. $293 million in claims for COVID-19 tests that were never performed. And then the gold bars, the overseas mansions, the luxury watches — and a superseding indictment.

The post Fraud on Fridays: No Sample Required appeared first on Wisdom. Applied..

The Rent Seekers Are Doing You a Favor

Mark — Mon, 18 May 2026 15:17:45 +0000

As corporate medicine expands, physician autonomy declines, but opportunity grows. Why “rent seekers” are creating a powerful edge.

The post The Rent Seekers Are Doing You a Favor appeared first on Wisdom. Applied..

Fraud on Fridays: Football Fraudster Drops the Ball

Mark — Fri, 15 May 2026 14:33:00 +0000

He signed with the Seahawks. He made the Packers’ practice squad. He never played a regular-season game. Then he built a $197 million fraud operation targeting the elderly and the families of disabled and deceased veterans.

The post Fraud on Fridays: Football Fraudster Drops the Ball appeared first on Wisdom. Applied..

You’re Not Negotiating What You Think You Are

Mark — Mon, 11 May 2026 16:11:43 +0000

Physician groups often believe they’re negotiating price when, in reality, they’re negotiating value, positioning, and long-term relationships. The groups that succeed understand that contracts aren’t commodity transaction, and that the outcome is shaped long before negotiations begin.

The post You’re Not Negotiating What You Think You Are appeared first on Wisdom. Applied..

Fraud on Fridays: Not That Kind of Angel

Mark — Fri, 08 May 2026 13:59:00 +0000

A Houston strip mall clinic. Mirrored windows. A price list based on which drug you’d receive. And a doctor who prescribed the same opioid cocktail to more than 99% of her patients.

The post Fraud on Fridays: Not That Kind of Angel appeared first on Wisdom. Applied..

Utah Called It a Sandbox. Your Patients Are in It.

Mark — Mon, 04 May 2026 15:56:14 +0000

Utah has launched a program allowing AI to process prescription refills, but without clear regulatory authority or defined liability.

The post Utah Called It a Sandbox. Your Patients Are in It. appeared first on Wisdom. Applied..

Fraud on Fridays: The Diagnosis That Wasn’t There

Mark — Fri, 01 May 2026 13:28:00 +0000

$556 million. One settlement. One health system that is simultaneously the insurer and the physician group. The largest Medicare Advantage risk adjustment fraud settlement in history, and a warning for every physician group in an MA contract.

The post Fraud on Fridays: The Diagnosis That Wasn’t There appeared first on Wisdom. Applied..

AI in Medicine: Physician as Puppet or Physician as Puppet Master?

Mark — Mon, 27 Apr 2026 15:38:10 +0000

AI can either tighten institutional control over physicians or restore autonomy and human‑centered care. The difference isn’t technology, it’s who holds the strings.

The post AI in Medicine: Physician as Puppet or Physician as Puppet Master? appeared first on Wisdom. Applied..

Fraud on Fridays: Your Banker Is Watching

Mark — Fri, 24 Apr 2026 15:19:00 +0000

Your bank’s been deputized as the front line of healthcare fraud detection. Here’s what that means for you.

The post Fraud on Fridays: Your Banker Is Watching appeared first on Wisdom. Applied..

How to Escape the Factory-ification of Healthcare

Mark — Mon, 20 Apr 2026 16:18:56 +0000

Many physicians leave hospital or private‑equity owned practices only to recreate the same factory model they wanted to escape. Real differentiation comes from rejecting throughput medicine in favor of human‑centered care.

The post How to Escape the Factory-ification of Healthcare appeared first on Wisdom. Applied..

Fraud on Fridays: Operation Gold Rush

Mark — Fri, 17 Apr 2026 14:55:00 +0000

A Russian criminal organization allegedly bought dozens of legitimate Medicare-enrolled companies, installed fake owners, and submitted $10.6 billion in fraudulent DME claims. The government stopped almost all of it. Almost.

The post Fraud on Fridays: Operation Gold Rush appeared first on Wisdom. Applied..

The Clinical AI Liability Gap

Mark — Mon, 13 Apr 2026 17:03:23 +0000

AI may assist clinicians, but replacing them creates a liability gap. Malpractice caps protect physicians, not algorithms, and the risk exposure is unlimited.

The post The Clinical AI Liability Gap appeared first on Wisdom. Applied..

Fraud on Fridays: Operation Never Say Die

Mark — Fri, 10 Apr 2026 14:40:00 +0000

Healthy patients recruited at grocery stores, cash in envelopes, and a fraud ring that didn’t stop even when its ringleader was already sitting in a federal prison.

The post Fraud on Fridays: Operation Never Say Die appeared first on Wisdom. Applied..

The FTC Just Told You Exactly What It’s Looking For. Is Your Noncompete on the List?

Mark — Mon, 06 Apr 2026 16:08:41 +0000

The FTC has abandoned a blanket ban on noncompetes, but is aggressively enforcing them in healthcare. What physician groups and physicians need to know now.

The post The FTC Just Told You Exactly What It’s Looking For. Is Your Noncompete on the List? appeared first on Wisdom. Applied..

Fraud on Fridays: Trash, Junk and 12.5 Years

Mark — Fri, 03 Apr 2026 14:46:00 +0000

A Texas fraudster ran a wholesale market in fake doctors’ orders, pressured elderly Medicare patients with an offshore call center, then fled before sentencing. The U.S. Marshals had thoughts about that.

The post Fraud on Fridays: Trash, Junk and 12.5 Years appeared first on Wisdom. Applied..

AI Isn’t Going to Replace Your Radiologists. It’s Going to Reprice Them.

Mark — Mon, 30 Mar 2026 15:05:39 +0000

AI won’t replace radiologists, but it will change throughput, FTE math, and leverage in hospital contracts. Groups that ignore this will lose negotiating ground.

The post AI Isn’t Going to Replace Your Radiologists. It’s Going to Reprice Them. appeared first on Wisdom. Applied..

Fraud on Fridays: Bonnie and Clyde, M.D.

Mark — Fri, 27 Mar 2026 13:55:39 +0000

A husband-and-wife team, expired injections, and 15 years of fraud. This Bonnie and Clyde didn’t rob banks, they robbed their patients.

The post Fraud on Fridays: Bonnie and Clyde, M.D. appeared first on Wisdom. Applied..

The Anesthesia Workforce Shortage Is Your Group’s Negotiating Leverage (If You Know How to Use It)

Mark — Mon, 23 Mar 2026 17:20:39 +0000

Nearly 30% of anesthesiologists are projected to leave practice by 2033, creating a workforce shortage hospitals can’t ignore. Mark explores how anesthesia groups can turn that reality into real negotiating leverage — before the window closes.

The post The Anesthesia Workforce Shortage Is Your Group’s Negotiating Leverage (If You Know How to Use It) appeared first on Wisdom. Applied..

Fraud on Fridays: It’s What Was in the Goody Bag

Mark — Fri, 20 Mar 2026 14:51:00 +0000

Opioids, unnecessary prescriptions, unlicensed interns, and a Goody Bag no patient actually wanted.

The post Fraud on Fridays: It’s What Was in the Goody Bag appeared first on Wisdom. Applied..

The Problem With Hospital–Physician “Alignment”

Mark — Mon, 16 Mar 2026 16:27:37 +0000

Hospitals talk about “alignment,” but when leadership changes or incentives shift, the relationship often looks very different.

The post The Problem With Hospital–Physician “Alignment” appeared first on Wisdom. Applied..

Fraud on Fridays: Fraudulent Visas, Kickbacks, and $32 Million in Medicaid Billing

Mark — Fri, 13 Mar 2026 14:45:00 +0000

Visa fraud, kickbacks, and Medicaid billing under someone else’s name.

The post Fraud on Fridays: Fraudulent Visas, Kickbacks, and $32 Million in Medicaid Billing appeared first on Wisdom. Applied..

The Essential Money Discussion – A Conversation with Financial Planner Justin Harvey, ChFC, CFP

Mark — Mon, 09 Mar 2026 13:55:00 +0000

Mark F. Weiss sat down to chat with Justin Harvey, ChFC, CFP, a well-known financial planner whose practice focuses heavily on working with anesthesiologists and pain management physicians, about preserving wealth, not just accumulating it. The talk centered on the importance of having hard money conversations to keep your family together.

The post The Essential Money Discussion – A Conversation with Financial Planner Justin Harvey, ChFC, CFP appeared first on Wisdom. Applied..

Fraud on Fridays: Doctor Chasing: When Someone Wants to Borrow Your License

Mark — Fri, 06 Mar 2026 14:56:00 +0000

A former football player, marketers, and your medical license

The post Fraud on Fridays: Doctor Chasing: When Someone Wants to Borrow Your License appeared first on Wisdom. Applied..

A Novel Approach to ASC Structure: Distributions In Proportion to Production.

Mark — Mon, 02 Mar 2026 16:30:41 +0000

Four surgeons practicing together, ophthalmologists, for example, plan to build their own ASC. It goes without saying that they would think that distributions from their ASC must be in proportion to ownership interests. But that’s not necessarily true.

The post A Novel Approach to ASC Structure: Distributions In Proportion to Production. appeared first on Wisdom. Applied..

Fraud on Fridays: Surgeon Sentenced for Compound Bribes

Mark — Fri, 27 Feb 2026 15:41:00 +0000

A surgeon doesn’t get 102 months in federal prison because he “missed a detail.” He gets it because he treated prescribing like a revenue stream instead of a duty.

The post Fraud on Fridays: Surgeon Sentenced for Compound Bribes appeared first on Wisdom. Applied..

Breaking Down the Breakdown – ER Group Terminated After 35 Years

Mark — Mon, 23 Feb 2026 17:47:39 +0000

When a hospital system terminates a 35‑year relationship with its ER group, it tells you far more about leadership than about performance.

The post Breaking Down the Breakdown – ER Group Terminated After 35 Years appeared first on Wisdom. Applied..

Fraud on Fridays: Inside Job

Mark — Fri, 20 Feb 2026 15:03:00 +0000

Some of the most damaging fraud in medical practices doesn’t come from CMS, payors, or regulators—it comes from trusted employees.

The post Fraud on Fridays: Inside Job appeared first on Wisdom. Applied..

Is the Prohibition on Physician-Owned Hospitals Worsening the Hospital-Based Specialist Shortage?

Mark — Mon, 16 Feb 2026 14:32:00 +0000

Does banning physician-owned hospitals worsen shortages?

The post Is the Prohibition on Physician-Owned Hospitals Worsening the Hospital-Based Specialist Shortage? appeared first on Wisdom. Applied..

Fraud on Fridays: Shocking Double Stack Fraud

Mark — Fri, 13 Feb 2026 12:44:00 +0000

A former CEO and COO are accused of healthcare fraud used to drive securities fraud. Learn the lessons for healthcare leaders and investors.

The post Fraud on Fridays: Shocking Double Stack Fraud appeared first on Wisdom. Applied..

“You Can Trust Us” Is Not a Contract Term

Mark — Mon, 09 Feb 2026 16:53:49 +0000

Time and again, physician group leaders, smart, experienced, and otherwise hard-nosed, regularly fall prey to a simple proposition when dealing with hospitals: “You can trust us.”

The post “You Can Trust Us” Is Not a Contract Term appeared first on Wisdom. Applied..

Fraud On Fridays: The Fake Doctor Will See You Now

Mark — Fri, 06 Feb 2026 12:52:00 +0000

A Connecticut physician is accused of knowingly employing a fake doctor for years. Learn the risks of credential misuse and how identity‑based fraud ensnares practices.

The post Fraud On Fridays: The Fake Doctor Will See You Now appeared first on Wisdom. Applied..

Protecting the Group from Distracted Doctoring

Mark — Mon, 02 Feb 2026 17:54:49 +0000

When distraction in patient care leads to criminal charges, medical groups face serious risk. Learn how distracted doctoring exposes physicians and groups alike.

The post Protecting the Group from Distracted Doctoring appeared first on Wisdom. Applied..

Fraud on Fridays: Brace Yourself

Mark — Fri, 30 Jan 2026 12:36:00 +0000

A Florida LNA built a layered $11.4M DME fraud scheme involving hidden ownership, kickbacks, and structuring.

The post Fraud on Fridays: Brace Yourself appeared first on Wisdom. Applied..

How To Use Scenario Surveys To Strengthen Strategy

Mark — Mon, 26 Jan 2026 17:35:02 +0000

How can physicians plan for uncertain futures? Learn how scenario surveys strengthen strategy, protect profits, and reduce risk in medical practices.

The post How To Use Scenario Surveys To Strengthen Strategy appeared first on Wisdom. Applied..

Fraud on Fridays: From Telehealth to Telefraud

Mark — Fri, 23 Jan 2026 13:38:00 +0000

Another week. Another fraud.
This Friday’s case shows how telehealth can quietly turn into federal wire fraud—without physicians realizing the risk until it’s too late.

The post Fraud on Fridays: From Telehealth to Telefraud appeared first on Wisdom. Applied..

Five Ophthalmology Practices See Eye to Eye in False Claims Act Settlement

Mark — Mon, 19 Jan 2026 16:44:08 +0000

Five ophthalmology practices agreed to pay nearly $6M over alleged kickbacks and unnecessary testing. Learn the FCA risks every physician group must understand.

The post Five Ophthalmology Practices See Eye to Eye in False Claims Act Settlement appeared first on Wisdom. Applied..

Fraud on Fridays: Bogus Billing for Botox?

Mark — Sat, 17 Jan 2026 08:15:00 +0000

Learn why poor documentation and bad fixes can turn mistakes into criminal exposure—and how one physician allegedly blurred the lines of Botox billing.

The post Fraud on Fridays: Bogus Billing for Botox? appeared first on Wisdom. Applied..

When Is a Letter “Mailed”? Postmarks, Contracts, and a Quiet USPS Change with Real Consequences

Mark — Mon, 12 Jan 2026 18:28:32 +0000

USPS postmark delays can make timely contract notices look late. Learn why this matters to protect deadlines and reduce legal risk.

The post When Is a Letter “Mailed”? Postmarks, Contracts, and a Quiet USPS Change with Real Consequences appeared first on Wisdom. Applied..

Fraud on Fridays: DME and Dummies

Mark — Fri, 09 Jan 2026 13:52:00 +0000

The $1 billion telemedicine scam that finally caught up with its CEO.

The post Fraud on Fridays: DME and Dummies appeared first on Wisdom. Applied..

Inside the 2026 Medicare Physician Fee Schedule: What Healthcare Leaders & Clinicians Need to Know

Mark — Wed, 07 Jan 2026 08:56:00 +0000

Mark Weiss and Jason Almiro break down what’s new, what’s gone, and what it means for entrepreneurial physicians and medical groups.

The post Inside the 2026 Medicare Physician Fee Schedule: What Healthcare Leaders & Clinicians Need to Know appeared first on Wisdom. Applied..

Physicians Fooled into the Ruse of Health System Reform (or, Cows Can’t Reform a Farm Because Farmers Will Never Eat Grass)

Mark — Mon, 05 Jan 2026 17:39:40 +0000

Hospitals can’t be reformed. Committees create the illusion of influence, not authority. The real solution? Exit—and build independence.

The post Physicians Fooled into the Ruse of Health System Reform (or, Cows Can’t Reform a Farm Because Farmers Will Never Eat Grass) appeared first on Wisdom. Applied..

A $995 Sneaker and Its Lessons for Your Business

Mark — Mon, 29 Dec 2025 16:24:15 +0000

Physician services aren’t a commodity, they’re a value proposition. Learn how mindset shifts and premium positioning can transform your practice and attract high-value patients.

The post A $995 Sneaker and Its Lessons for Your Business appeared first on Wisdom. Applied..

Fraud on Fridays: Pink Slipped

Mark — Fri, 26 Dec 2025 10:30:00 +0000

From sell-mates to cellmates? Used car salesmen/financiers and the lesson for healthcare leaders.

The post Fraud on Fridays: Pink Slipped appeared first on Wisdom. Applied..

Off to Prison. An Update on How to Almost Make Half a Billion Dollars: The Arizona Wound Graft Fraud

Mark — Mon, 22 Dec 2025 16:41:12 +0000

Now that they’ve been sentenced to prison, I can reveal the fate of the healthcare power couple, Alexandra Gehrke and her husband, Jeffrey King, whose wound care graft graft put close to $615,000,000 in their pockets, albeit temporarily.

The post Off to Prison. An Update on How to Almost Make Half a Billion Dollars: The Arizona Wound Graft Fraud appeared first on Wisdom. Applied..

Fraud on Fridays: Deceit Was in His Genes

Mark — Fri, 19 Dec 2025 12:25:00 +0000

Perhaps he should have genetically tested himself for the propensity to commit fraud.

The post Fraud on Fridays: Deceit Was in His Genes appeared first on Wisdom. Applied..

Hospitals and the Return of the Company Town

Mark — Mon, 15 Dec 2025 18:11:12 +0000

Are hospitals becoming modern company towns for physicians? Explore the parallels, risks, and emerging alternatives for independence.

The post Hospitals and the Return of the Company Town appeared first on Wisdom. Applied..

Fraud on Fridays: Upcoding to Infinity and Beyond

Mark — Fri, 12 Dec 2025 14:13:00 +0000

If we could call it upcoding, it would be an understatement to call it upcoding to infinity.

The post Fraud on Fridays: Upcoding to Infinity and Beyond appeared first on Wisdom. Applied..

Cognitive Biases and Contracting

Mark — Mon, 08 Dec 2025 18:01:29 +0000

When you’re negotiating for any agreement, any deal, especially one that is creating an ongoing relationship, which is the hot molten center of services agreements such as exclusive contracts, you not only want to, but you need to, play to human cognitive biases in establishing that relationship.

The post Cognitive Biases and Contracting appeared first on Wisdom. Applied..

Fraud on Fridays: Fraud on Physicians in the ASC Setting

Mark — Fri, 05 Dec 2025 09:54:00 +0000

When you think about fraud at an ASC, you tend to think about fraud on payers, from Medicare to well, Blue Cross. You know, cases that never happened, patients who didn’t suffer from any medical issue, and the like. But what about fraud on physicians at an ASC? Because physicians hardly think about it, it...

The post Fraud on Fridays: Fraud on Physicians in the ASC Setting appeared first on Wisdom. Applied..

Supermodel Your Way to Healthcare Industry Success

Mark — Mon, 01 Dec 2025 18:08:56 +0000

Few doubt that things need fixing in healthcare. But many, from DIYer docs to industry leaders, suffer from being inside an echo chamber.

The post Supermodel Your Way to Healthcare Industry Success appeared first on Wisdom. Applied..

Fraud on Fridays: $10.6 Billion – Does Crime Pay?

Mark — Fri, 28 Nov 2025 15:46:55 +0000

In a healthcare billing and payment system that’s so complex, it’s sad to say that criminals can stay a few steps ahead of the Feds. With $10.6 billion in bogus billing, some cutouts got caught, but the masterminds appear to have escaped with close to $1 billion.

The post Fraud on Fridays: $10.6 Billion – Does Crime Pay? appeared first on Wisdom. Applied..

How to Use the Law Before it Uses You.

Mark — Mon, 24 Nov 2025 17:06:24 +0000

Some laws derive from morality and others are purely the result of politicking and protectionism.

The post How to Use the Law Before it Uses You. appeared first on Wisdom. Applied..

Fraud on Fridays: The Four Legs of Fraud

Mark — Fri, 21 Nov 2025 13:38:00 +0000

The DOJ kicked back when it secured a conviction against compounding pharmacy executive Sam Glover for a six-year drug alteration and misbranding conspiracy involving free flowing prescription forms and, well, racehorses.

The post Fraud on Fridays: The Four Legs of Fraud appeared first on Wisdom. Applied..

Leadership Succession: The Hole You Never Notice Until You Fall Into It

Mark — Mon, 17 Nov 2025 16:56:50 +0000

Medical groups don’t usually collapse because their revenue dropped 3% last quarter.

The post Leadership Succession: The Hole You Never Notice Until You Fall Into It appeared first on Wisdom. Applied..

Fraud on Fridays: The Case of Dr. Jorge Zamora-Quezada

Mark — Sat, 15 Nov 2025 17:52:41 +0000

Dr. Jorge Zamora-Quezada, a Texas rheumatologist, was sentenced earlier this year to ten years in federal prison for a healthcare fraud so brazen it left even seasoned prosecutors shaking their heads. Read the full DOJ press release.

The post Fraud on Fridays: The Case of Dr. Jorge Zamora-Quezada appeared first on Wisdom. Applied..

The Healthcare Deal Partner Who Can End Your Career

Mark — Mon, 10 Nov 2025 16:50:13 +0000

In healthcare deals, one bad partner—or one bad flip—can end the game.

The post The Healthcare Deal Partner Who Can End Your Career appeared first on Wisdom. Applied..

Fraud on Fridays: The BS MSO: Kickbacks Disguised as Investments Snare Another Round of Settlements

Mark — Fri, 07 Nov 2025 14:24:00 +0000

The Department of Justice just announced more than six million dollars in settlements with a former lab CEO, seven marketers, and two physicians. Their alleged wrong? Turning the concept of the “Management Services Organization” into a pay-to-play operation.

The post Fraud on Fridays: The BS MSO: Kickbacks Disguised as Investments Snare Another Round of Settlements appeared first on Wisdom. Applied..

THE TIME TO ESTABLISH A BANKING RELATIONSHIP (NOT WHAT YOU LIKELY HAVE NOW) IS TODAY, NOT WHEN YOU NEED ONE

Mark — Mon, 03 Nov 2025 17:15:17 +0000

Is your medical group’s bank just holding your money—or helping you grow?
Strategic banking relationships can unlock leverage, improve deal flow, and strengthen your group's financial position.

The post THE TIME TO ESTABLISH A BANKING RELATIONSHIP (NOT WHAT YOU LIKELY HAVE NOW) IS TODAY, NOT WHEN YOU NEED ONE appeared first on Wisdom. Applied..

Surprise: The No Surprises Act Is Working, Just Not How Insurers Planned

Mark — Mon, 27 Oct 2025 15:49:04 +0000

The No Surprises Act wasn’t about patients. The fine print told a different tale: it was an insurer-protection law.

The post Surprise: The No Surprises Act Is Working, Just Not How Insurers Planned appeared first on Wisdom. Applied..

Why You Must Understand that the Law is Not Necessarily Your Reality

Mark — Mon, 20 Oct 2025 17:55:33 +0000

The law isn’t physics—it’s power, people, and positioning. For physicians and medical groups, the best legal outcomes start with smart planning.

The post Why You Must Understand that the Law is Not Necessarily Your Reality appeared first on Wisdom. Applied..

Do You Know What Block Can’t be Pulled From the Deal?

Mark — Mon, 13 Oct 2025 15:52:16 +0000

Contracts in healthcare are built like block towers—each deal-point matters. Remove the wrong one, and the entire structure may collapse.

The post Do You Know What Block Can’t be Pulled From the Deal? appeared first on Wisdom. Applied..

Signaling During Medical Group Negotiations. Dogs and Humans Aren’t So Different.

Mark — Mon, 06 Oct 2025 17:20:57 +0000

Dogs wag their tails. Humans do too—just not the same way. In negotiations, your counterpart is sending signals you might be missing. Learn how to spot the “tail tells,” control your own, and use them to your advantage.

The post Signaling During Medical Group Negotiations. Dogs and Humans Aren’t So Different. appeared first on Wisdom. Applied..

Preparation Wins Games and Negotiations

Mark — Mon, 29 Sep 2025 16:46:11 +0000

Most healthcare negotiations fail before they begin—because leaders don’t prepare. Learn how physician groups can approach contract talks like elite athletes: with strategy, rehearsal, and a winning mindset.

The post Preparation Wins Games and Negotiations appeared first on Wisdom. Applied..

Non-Competes After the FTC’s Pivot: A Balancing Act for Medical Group Leaders

Mark — Mon, 22 Sep 2025 16:56:02 +0000

Medical group leaders: the FTC may have buried its noncompete ban, but it’s sharpening its knives. Your contracts are now targets. Don’t wait to be caught off guard—rethink your agreements now. Tailor them to your market, protect your referral streams, and stay out of the FTC’s crosshairs. Strategic action isn’t optional—it’s survival.

The post Non-Competes After the FTC’s Pivot: A Balancing Act for Medical Group Leaders appeared first on Wisdom. Applied..

The FTC Buries Its Ban on Non-Competes, But Sharpens its Aim on Violations

Mark — Mon, 15 Sep 2025 15:57:21 +0000

FTC ditches a full non-compete ban, but healthcare employers still face targeted crackdowns. Physician groups, take note.

The post The FTC Buries Its Ban on Non-Competes, But Sharpens its Aim on Violations appeared first on Wisdom. Applied..

From Kings to Contracts: No Love Lost

Mark — Mon, 08 Sep 2025 17:20:19 +0000

Even the strongest physician-hospital relationships are transactional. Survival depends on diversification, not loyalty myths.

The post From Kings to Contracts: No Love Lost appeared first on Wisdom. Applied..

Laboring On [About] Labor Day

Mark — Mon, 01 Sep 2025 11:03:00 +0000

Some claim that there is a thing called "work-life balance." My opinion is that we have only one life (I'm not betting on reincarnation) and that work is an essential part of it. It's a main driver in why we're here. Work gives us a purpose in life.

The post Laboring On [About] Labor Day appeared first on Wisdom. Applied..

The Anti-RFP: Forward and Reverse Auctions for Physician Services

Mark — Mon, 25 Aug 2025 16:41:02 +0000

Several years ago, it would’ve been difficult to write too much about the strategy of responding to an RFP, i.e., a request for proposal, for physician services. Today, however, with an extreme shortage of physicians, RFPs are not so much a thing.

The post The Anti-RFP: Forward and Reverse Auctions for Physician Services appeared first on Wisdom. Applied..

$500 Million in Alleged Phony Charges and the Dangers of Medical Directorship

Mark — Mon, 18 Aug 2025 16:39:26 +0000

A $500M medical directorship fraud case exposes how physicians can be exploited. Protect your practice from legal and financial fallout.

The post $500 Million in Alleged Phony Charges and the Dangers of Medical Directorship appeared first on Wisdom. Applied..

The Prevailing Healthcare Business Model is Upside Down

Mark — Mon, 11 Aug 2025 16:22:36 +0000

Some models were once useful, but no longer are. How’s the “reliant on Medicare”, or even the “reliant on commercial payors”, model working out for you?

The post The Prevailing Healthcare Business Model is Upside Down appeared first on Wisdom. Applied..

Will Your Business Walk Back in in the Morning?

Mark — Mon, 04 Aug 2025 16:32:24 +0000

Your business exists and interfaces on multiple planes and, therefore, the far smarter approach is to explore and adopt protection on each.

The post Will Your Business Walk Back in in the Morning? appeared first on Wisdom. Applied..

Double Trouble: Prosecuted and Sued for the Same Scam

Mark — Mon, 28 Jul 2025 15:57:50 +0000

Out of state. Still billing for in-person care.
A physician submitted claims while vacationing in Hawaii—and now faces criminal sentencing and a $500k civil payout.

The post Double Trouble: Prosecuted and Sued for the Same Scam appeared first on Wisdom. Applied..

You Can’t Lipstick That Pig: Why Physicians Must Carefully Vet Deals

Mark — Mon, 21 Jul 2025 16:45:19 +0000

Deals involving management services agreements, consulting contracts, or similar structures can appear completely legal at first glance. But dig deeper, and they might turn out to be elaborate covers for kickbacks or bribes.

The post You Can’t Lipstick That Pig: Why Physicians Must Carefully Vet Deals appeared first on Wisdom. Applied..

Healthcare Fraud and the Physician as Victim

Mark — Mon, 14 Jul 2025 16:06:05 +0000

The majority of healthcare fraud schemes center on fraud perpetrated by physicians, but what about schemes orchestrated to victimize physicians?

The post Healthcare Fraud and the Physician as Victim appeared first on Wisdom. Applied..

The Nation’s Largest Health Care Fraud Bust, Plus Bureaucratic Negligence

Mark — Mon, 07 Jul 2025 15:52:01 +0000

It’s been said that people read published lists of disciplined fellow professionals out of a sense of schadenfreude, the pleasure derived from another’s misfortune.

The post The Nation’s Largest Health Care Fraud Bust, Plus Bureaucratic Negligence appeared first on Wisdom. Applied..

Your Independence Day

Mark — Fri, 04 Jul 2025 14:33:00 +0000

July 4th, Independence Day in the United States, celebrates the original 13 colonies’ declaration, in 1776, of their independence from Great Britain. But July 4th wasn’t the day of actual separation: The separation came into effect on July 2nd, 1776, the date on which the Second Continental Congress approved a resolution declaring the “united States...

The post Your Independence Day appeared first on Wisdom. Applied..

Why Fail at Optionality?

Mark — Mon, 30 Jun 2025 15:41:31 +0000

Although dollars are a lubricant, the real issue is freedom or optionality.

The post Why Fail at Optionality? appeared first on Wisdom. Applied..

Speak Truth to Numbers

Mark — Mon, 23 Jun 2025 16:06:25 +0000

Bureaucratic sorts are drawn to numbers because numbers can be gathered and processed and manipulated, all with the goal of lifetime employment for those bean counters.

The post Speak Truth to Numbers appeared first on Wisdom. Applied..

Leasing Out Your Medical License? From a Few Bucks to a Felony

Mark — Thu, 19 Jun 2025 16:17:40 +0000

As physicians get squeezed by insurers and other payers, including Medicare, and as the costs of operating a medical practice increase, more are looking for ways to supplement their income.

The post Leasing Out Your Medical License? From a Few Bucks to a Felony appeared first on Wisdom. Applied..

A Ban on PE in Medical Practice and a Gutting of Practice Value

Mark — Mon, 16 Jun 2025 15:51:56 +0000

Certainly, Oregon is a small state in terms of medical practice, but what’s happened in Oregon could, and some say will, spread across the country.

The post A Ban on PE in Medical Practice and a Gutting of Practice Value appeared first on Wisdom. Applied..

Pain Doc Likely in Pain After Settling Allegations That Billed Procedures Weren’t Performed

Mark — Wed, 11 Jun 2025 15:07:47 +0000

Was it a scam or an error? A settlement is just that and there’s been no determination of liability.

Neither you nor I can know for sure what went on, but either way, there’s a lesson here about billing compliance.

The post Pain Doc Likely in Pain After Settling Allegations That Billed Procedures Weren’t Performed appeared first on Wisdom. Applied..

Why Hospital-Based Medical Groups Must Exploit Honey Bee Strategy

Mark — Tue, 10 Jun 2025 15:00:44 +0000

Considering honey bees have been on earth for between 40 to 150 million years, it pays to consider their hive strategy for success, especially because it maps perfectly onto medical groups.

The post Why Hospital-Based Medical Groups Must Exploit Honey Bee Strategy appeared first on Wisdom. Applied..

14 Month Prison Term in “Doctor Chasing” Scam

Mark — Mon, 02 Jun 2025 16:01:27 +0000

There’s huge danger in any arrangement in which you put your prescribing imprimatur on any script or order for any item, especially those reimbursed by Medicare.

The post 14 Month Prison Term in “Doctor Chasing” Scam appeared first on Wisdom. Applied..

DOJ to Focus on Criminal Healthcare Fraud and Prosecuting the Individuals Involved

Mark — Mon, 19 May 2025 15:49:03 +0000

In real life healthcare compliance, there's no get out of jail free card.

The post DOJ to Focus on Criminal Healthcare Fraud and Prosecuting the Individuals Involved appeared first on Wisdom. Applied..

Avoid the Second Biggest Mistake Medical Group Leaders Make

Mark — Mon, 12 May 2025 16:07:09 +0000

It’s imperative that you get started now and that you become willing to invest in your own future.

The post Avoid the Second Biggest Mistake Medical Group Leaders Make appeared first on Wisdom. Applied..

You Must Know the No. 1 Mistake in Exclusive Contract Negotiation

Mark — Mon, 05 May 2025 15:49:37 +0000

Here’s the number 1 mistake, the Achilles’ heel of the negotiations between a medical group, for example, an anesthesiology group or a radiology group, and a hospital in connection with the terms of an exclusive contract, including related stipend negotiations. I previously shared the 7 Key Steps to Successful Hospital-Based Group Stipend Negotiations. Let’s travel back...

The post You Must Know the No. 1 Mistake in Exclusive Contract Negotiation appeared first on Wisdom. Applied..

What Every Physician Must Know About Gilead Sciences’ $202 Million Kickback Settlement

Mark — Wed, 30 Apr 2025 15:42:03 +0000

The settlement resolved civil claims against Gilead. The deal did not include any resolution of potential criminal liability. Will the feds pursue Gilead criminally?

The post What Every Physician Must Know About Gilead Sciences’ $202 Million Kickback Settlement appeared first on Wisdom. Applied..

How Medical Group Collaboration Creeps into Fraud—Pass-Through Billing

Mark — Mon, 28 Apr 2025 15:39:40 +0000

Hospital-based medical groups, notably anesthesiology and radiology groups, are increasingly turning to creative means to provide coverage and to improve collections.

The post How Medical Group Collaboration Creeps into Fraud—Pass-Through Billing appeared first on Wisdom. Applied..

Did They Sell Their Seoul? The $62+ Million Settlement

Mark — Mon, 21 Apr 2025 16:59:54 +0000

There’s a reason why Medicare Advantage is fertile ground for fraud enforcement.

The post Did They Sell Their Seoul? The $62+ Million Settlement appeared first on Wisdom. Applied..

When Teenagers Mix $15 Creams Sold for $16,000: A Lesson in Arrogance, Greed—and Consequences

Mark — Fri, 18 Apr 2025 11:49:00 +0000

Imagine a pharmacy operation so brazen that it paid doctors millions in kickbacks to prescribe compound creams mixed in the backroom by untrained teenagers—then billed the government as much as $16,000 per tube.

The post When Teenagers Mix $15 Creams Sold for $16,000: A Lesson in Arrogance, Greed—and Consequences appeared first on Wisdom. Applied..

Why Bigger Hospitals May Actually Be More Fragile

Mark — Mon, 14 Apr 2025 15:10:56 +0000

In healthcare, size used to signal strength. Bigger meant more services, more specialists, more veritas. But what if all that bulk is actually a liability?

The post Why Bigger Hospitals May Actually Be More Fragile appeared first on Wisdom. Applied..

Don’t Be the Next Headline: What a $405 Million Pharmacy Fraud Case Should Teach Physicians

Mark — Wed, 09 Apr 2025 19:14:18 +0000

Why doctors must prioritize compliance—and legal advice—before signing anything.

The post Don’t Be the Next Headline: What a $405 Million Pharmacy Fraud Case Should Teach Physicians appeared first on Wisdom. Applied..

An Algorithmic Conspiracy? DOJ Weighs In on MultiPlan Case

Mark — Mon, 07 Apr 2025 16:37:50 +0000

As healthcare payers, tech platforms, and pricing vendors increasingly collaborate through sophisticated analytics, this case is a clear reminder: if you're coordinating decisions that competitors used to make...

The post An Algorithmic Conspiracy? DOJ Weighs In on MultiPlan Case appeared first on Wisdom. Applied..

The Latest on H.R. 2191 Revising Stark’s Prohibitions on Physician Ownership of Hospitals

Mark — Wed, 02 Apr 2025 20:12:10 +0000

Here’s the latest on H.R. 2191, the legislation to amend the Stark Law in regard to physician investment in or ownership of hospitals.

The post The Latest on H.R. 2191 Revising Stark’s Prohibitions on Physician Ownership of Hospitals appeared first on Wisdom. Applied..

Advanced Practice Providers Aren’t Necessarily the Grout For the Physician Gap

Mark — Mon, 31 Mar 2025 15:43:40 +0000

Supervisory requirements aren’t just administrative niceties; they’re the difference between compliant practice and a lawsuit waiting to happen.

The post Advanced Practice Providers Aren’t Necessarily the Grout For the Physician Gap appeared first on Wisdom. Applied..

Physician Ownership of Hospitals

Mark — Sat, 29 Mar 2025 17:30:11 +0000

New bill in Congress seeks to amend prohibitions on physician ownership of hospitals.

The post Physician Ownership of Hospitals appeared first on Wisdom. Applied..

BOI: The Latest

Mark — Mon, 24 Mar 2025 19:20:39 +0000

On March 21, 2025, the Treasury Department’s Financial Crimes Enforcement Network (“FinCEN”), the agency charged with enforcing the CTA, issued a new interim final rule removing the requirement for U.S. companies and U.S. persons to report beneficial ownership information under the Corporate Transparency Act.

The post BOI: The Latest appeared first on Wisdom. Applied..

Medical Group Growth Without Recruiting

Mark — Mon, 24 Mar 2025 17:18:35 +0000

It’s not news to you that there’s a huge shortage of physicians in many medical specialties, such as in anesthesiology and radiology. With the overall aging of the physician population, shortages in other medical specialties, including those that are office-based, will intensify.

The post Medical Group Growth Without Recruiting appeared first on Wisdom. Applied..

The $4 Million Pee Test Scam: How One Lab Owner Flushed His Future

Mark — Mon, 17 Mar 2025 15:41:27 +0000

There are dumb crimes, and then there are crimes so dumb they come with a built-in paper trail leading straight to prison.

The post The $4 Million Pee Test Scam: How One Lab Owner Flushed His Future appeared first on Wisdom. Applied..

Have You Mistakenly Sold Out Your Future for Stipend Support?

Mark — Mon, 10 Mar 2025 16:03:32 +0000

Even in the face of the provider shortage, during which you think that you have substantial negotiating leverage, when a significant chunk of your revenue comes from the hospital, you’re no longer just a contractor. You’re an appendage.

The post Have You Mistakenly Sold Out Your Future for Stipend Support? appeared first on Wisdom. Applied..

BOI Rollercoaster: Government Pauses Enforcement of BOI Filing Deadlines

Mark — Tue, 04 Mar 2025 20:37:51 +0000

FinCEN states that it will issue a new interim final rule by March 21st that extends BOI reporting deadlines, provides new guidance and clarity, and reduces the regulatory burden.

The post BOI Rollercoaster: Government Pauses Enforcement of BOI Filing Deadlines appeared first on Wisdom. Applied..

On Strike. Physician Unionization and the Further Commoditization of Medical Practice.

Mark — Mon, 03 Mar 2025 17:14:38 +0000

Over the past several weeks, I’ve seen multiple posts and comments on LinkedIn about the horrors of practicing as a cog in the wheel of Big Medicine, employment schemes facetiously referred to as “medical groups” by their health system or insurance company owners.

The post On Strike. Physician Unionization and the Further Commoditization of Medical Practice. appeared first on Wisdom. Applied..

BOI oh BOI: Reporting Under the Corporate Transparency Act is Back On . . . Sort Of

Mark — Tue, 25 Feb 2025 11:16:00 +0000

Is the government hard of hearing? Business likes certainty. Apparently, the government heard that as business likes uncertainty. So, although, as I’ll mention in a moment, mandatory BOI reporting under the Corporate Transparency Act is now back on, it might not be for long. The immediately prior nationwide injunction against mandatory BOI reporting, in place...

The post BOI oh BOI: Reporting Under the Corporate Transparency Act is Back On . . . Sort Of appeared first on Wisdom. Applied..

From Insurance Watchdog to Prisoner: A Cautionary Tale for Healthcare Professionals

Mark — Mon, 24 Feb 2025 18:04:50 +0000

From insurance commissioner to healthcare fraudster to federal prison inmate.

The post From Insurance Watchdog to Prisoner: A Cautionary Tale for Healthcare Professionals appeared first on Wisdom. Applied..

First, Let’s Kill All the Healthcare Systems.

Mark — Mon, 17 Feb 2025 16:31:37 +0000

According to Bain & Co, nearly one-quarter of physicians employed in health-system-led organizations are considering switching employers.

The post First, Let’s Kill All the Healthcare Systems. appeared first on Wisdom. Applied..

How to Almost Make Half a Billion Dollars: The Arizona Wound Graft Fraud

Mark — Mon, 10 Feb 2025 15:58:37 +0000

If you thought health care fraud required medical knowledge, think again.

The post How to Almost Make Half a Billion Dollars: The Arizona Wound Graft Fraud appeared first on Wisdom. Applied..

Nudge Triggers a $17 Million False Claims Act Settlement

Mark — Mon, 03 Feb 2025 17:47:04 +0000

A fraud by any other name would smell as bad.

The post Nudge Triggers a $17 Million False Claims Act Settlement appeared first on Wisdom. Applied..

What’s Lurking in Your Business Acquisition? Nearly $60 Million in Lessons from Pfizer and Biohaven

Mark — Mon, 27 Jan 2025 16:27:38 +0000

Buying a healthcare business, from a medical practice to a medicine manufacturer, is a lot like buying a house—you hope for the best, but sometimes, there’s wood rot hiding under that fresh paint.

The post What’s Lurking in Your Business Acquisition? Nearly $60 Million in Lessons from Pfizer and Biohaven appeared first on Wisdom. Applied..

Will the Whistleblower Law Be Whistled Out?

Mark — Mon, 20 Jan 2025 15:59:58 +0000

Is the False Claims Act’s whistleblower provision illegal?

The post Will the Whistleblower Law Be Whistled Out? appeared first on Wisdom. Applied..

Aetna Health v. Radiology Partners and the Danger of Pass-Through Billing

Mark — Mon, 13 Jan 2025 19:18:22 +0000

There are, depending upon the particular arrangement, potential end runs around contractual pass-through billing prohibitions, but they are highly fact specific and technical.

The post Aetna Health v. Radiology Partners and the Danger of Pass-Through Billing appeared first on Wisdom. Applied..

The Crisis Caused By the Lack of Crisis Planning.

Mark — Mon, 06 Jan 2025 16:21:42 +0000

Although any particular crisis can’t be predicted, classes of crisis are capable of prediction and, even if that is not true of a specific situation, the way in which your group or business will respond to a crisis can, should, and must be planned far in advance.

The post The Crisis Caused By the Lack of Crisis Planning. appeared first on Wisdom. Applied..

Lesson from McKinsey – Avoiding Consultants from Hell

Mark — Mon, 30 Dec 2024 17:00:55 +0000

Are you sure those consultants are helping to improve your business? Or are they potentially sending you to jail?

The post Lesson from McKinsey – Avoiding Consultants from Hell appeared first on Wisdom. Applied..

More On Overturning the No Surprises Act

Mark — Mon, 23 Dec 2024 17:40:21 +0000

It you haven’t yet read it, see my December 16, 2024, post, Now’s The Time to Overturn the No Surprises Act, for part 1 of this thread.

When that post was published on LinkedIn, my friend James Prudden commented, asking me how patients would be protected if the No Surprises Act were repealed. Here’s my response to James.

The post More On Overturning the No Surprises Act appeared first on Wisdom. Applied..

Now’s The Time to Overturn the No Surprises Act

Mark — Mon, 16 Dec 2024 16:22:49 +0000

Re-frame the issue for what it really is: Surprise physician services stealing. Now’s the time for the No Surprises Act, and each state counterpart, to go.

The post Now’s The Time to Overturn the No Surprises Act appeared first on Wisdom. Applied..

Probably the Most Valuable Anti-Kickback Lesson of All Time

Mark — Mon, 09 Dec 2024 17:16:29 +0000

Although no one is going to do time as a result of thinking that wet sidewalks cause rain, in the case of the federal Anti-Kickback Statute, confusion over correlation can put you in jail.

The post Probably the Most Valuable Anti-Kickback Lesson of All Time appeared first on Wisdom. Applied..

How to Use the Four Circles as a Strategy Tool

Mark — Mon, 02 Dec 2024 18:28:37 +0000

After having represented medical groups with a particular emphasis on hospital-based groups for 30 years, it has become strikingly clear that what distinguishes the most successful groups, from the great majority of the mediocre.

The post How to Use the Four Circles as a Strategy Tool appeared first on Wisdom. Applied..

Thanksgiving — Be Grateful for Competitors Like This.

Mark — Mon, 25 Nov 2024 15:43:24 +0000

There are stupid questions. And there are certainly stupid statements. But even so, they often present a kernel of wisdom for your taking.

The post Thanksgiving — Be Grateful for Competitors Like This. appeared first on Wisdom. Applied..

Who Really Needs Whom? Hospitals and Employed Physicians.

Mark — Mon, 18 Nov 2024 16:52:46 +0000

By the early years of the 20th Century, hospitals became large healthcare factories due to the size and expense of what was then cutting edge technology...

The post Who Really Needs Whom? Hospitals and Employed Physicians. appeared first on Wisdom. Applied..

Switzerland as a Thinking Tool for Medical Group Structure

Mark — Mon, 11 Nov 2024 16:15:03 +0000

Medical group organizers generally confine their entity's business structure to a corporate or partnership type entity and then proceed to conduct business through it.

The post Switzerland as a Thinking Tool for Medical Group Structure appeared first on Wisdom. Applied..

Why You Must Understand Inter-Contractual Dissonance and the Shifting of Power

Mark — Mon, 04 Nov 2024 15:32:09 +0000

People are internally inconsistent. Many contracts in the healthcare sphere are inconsistent, too. The first causes grief, the second shifts power.

The post Why You Must Understand Inter-Contractual Dissonance and the Shifting of Power appeared first on Wisdom. Applied..

Federal Trade Commission Seek to Reimpose Nationwide Ban on Non-Competes

Mark — Mon, 28 Oct 2024 15:26:31 +0000

The volleys in this battle move slowly--think pendulum as opposed to ping-pong. And right now, despite the appeal, the pendulum is still on the side of “state law controls”.

The post Federal Trade Commission Seek to Reimpose Nationwide Ban on Non-Competes appeared first on Wisdom. Applied..

Federal District Court Finds Whistleblower Actions Unconstitutional

Mark — Mon, 21 Oct 2024 14:53:53 +0000

What if someone blows the whistle but it makes no sound?

The post Federal District Court Finds Whistleblower Actions Unconstitutional appeared first on Wisdom. Applied..

Leaving Big Medicine? Look Before You Leap.

Mark — Mon, 14 Oct 2024 17:12:38 +0000

Fueled by the failure of large medical groups, the disappointments of hospital employment, and the ratcheting down of care by private equity...

The post Leaving Big Medicine? Look Before You Leap. appeared first on Wisdom. Applied..

“I Thought They Loved Me!” Is No Defense For the Spurned and Burned “Friendly Physician”

Mark — Mon, 07 Oct 2024 14:42:41 +0000

The “friendly physician.” Boy, is that’s a term of art or, perhaps better said, of artifice.

The post “I Thought They Loved Me!” Is No Defense For the Spurned and Burned “Friendly Physician” appeared first on Wisdom. Applied..

What Might Be the No. 1 Mistake in Exclusive Contract and Stipend Negotiation.

Mark — Mon, 30 Sep 2024 15:58:02 +0000

There is no such thing as static demand for services over a contract’s multi-year term, and it’s a fool’s bet, yet one many take, to believe that one can place a set value on total fair market value.

The post What Might Be the No. 1 Mistake in Exclusive Contract and Stipend Negotiation. appeared first on Wisdom. Applied..

Why Reverse Kickbacks Can Send You Back Up the River

Mark — Mon, 23 Sep 2024 15:24:37 +0000

Cars go in reverse. So do ceiling fans and electric drills. But did you know that kickbacks go in reverse, too, and that there’s no safe harbor for that?

The post Why Reverse Kickbacks Can Send You Back Up the River appeared first on Wisdom. Applied..

The Better Way For Medical Groups To Look At Covenants Not To Compete

Mark — Mon, 16 Sep 2024 17:02:21 +0000

There’s a good chance that you can accomplish some or all of what a covenant not to compete addresses, even if the “law” says you can’t.

The post The Better Way For Medical Groups To Look At Covenants Not To Compete appeared first on Wisdom. Applied..

7 Key Steps to Successful Hospital-Based Group Stipend Negotiations

Mark — Mon, 09 Sep 2024 15:58:45 +0000

It’s no secret that hospital-based medical groups, particularly anesthesia and radiology groups, are experiencing significant trouble recruiting and retaining their professional staff due to increasing compensation demands combined with declining reimbursement.

The post 7 Key Steps to Successful Hospital-Based Group Stipend Negotiations appeared first on Wisdom. Applied..

Labor Day: Labor of Love or Just Labor? Some Thoughts on Work, Burnout, and Opportunity

Mark — Mon, 02 Sep 2024 15:00:00 +0000

Many people identify with the concept of “work-life balance,” and it’s valid for them...

The post Labor Day: Labor of Love or Just Labor? Some Thoughts on Work, Burnout, and Opportunity appeared first on Wisdom. Applied..

You Need to Know What the Order Striking the FTC’s Ban on Non-Competes Means for You

Mark — Mon, 26 Aug 2024 16:44:04 +0000

Despite the fact that some states have strong prohibitions against the enforcement of non-competes, there are still ways to create agreements functioning as proxies for non-competes.

The post You Need to Know What the Order Striking the FTC’s Ban on Non-Competes Means for You appeared first on Wisdom. Applied..

Beware of Bogus Medicare and Medicaid Billings

Mark — Mon, 19 Aug 2024 15:22:37 +0000

Certifying to Medicare that you’re here when you’re really there is a ticket to nowhere, or maybe to jail.

The post Beware of Bogus Medicare and Medicaid Billings appeared first on Wisdom. Applied..

What’s Not in Your Wallet? Preventing Fraud Perpetrated Against Your Medical Practice.

Mark — Mon, 12 Aug 2024 15:51:41 +0000

It’s a no-brainer that you can be more effective at finding and correcting potential fraud by conducting periodic audits on both internal and outsourced operations.

The post What’s Not in Your Wallet? Preventing Fraud Perpetrated Against Your Medical Practice. appeared first on Wisdom. Applied..

Why You Must Know How Framing Changes Value – Podcast

Mark — Thu, 08 Aug 2024 13:02:00 +0000

I'm going to share a secret with you today. There's no such thing as value. At least not in the fixed sense. In fact, value is as malleable as clay.

The post Why You Must Know How Framing Changes Value – Podcast appeared first on Wisdom. Applied..

It’s Not Hotel California, But Many Physicians Feel Trapped. – Medical Group Minute

Mark — Wed, 07 Aug 2024 10:51:00 +0000

According to 2023 reports, by 2021, nearly 70% of physicians were employed by hospitals or investor-owned corporations.

The post It’s Not Hotel California, But Many Physicians Feel Trapped. – Medical Group Minute appeared first on Wisdom. Applied..

What Do You Do When Your Hospital Goes Bankrupt? – Success in Motion

Mark — Tue, 06 Aug 2024 10:26:00 +0000

Ride along with Mark on a tour of bankrupt facilities and broken physician dreams.

The post What Do You Do When Your Hospital Goes Bankrupt? – Success in Motion appeared first on Wisdom. Applied..

Making the Bet Without Knowing the Odds – The Risk of “Large” – Podcast

Mark — Thu, 01 Aug 2024 08:05:00 +0000

In your search to understand risk, don’t fall for the simple heuristic that bigger is better.

The post Making the Bet Without Knowing the Odds – The Risk of “Large” – Podcast appeared first on Wisdom. Applied..

Conviction for $70 Million in Fake Medicare Claims Likely Sending Doc to Big House – Medical Group Minute

Mark — Wed, 31 Jul 2024 08:24:00 +0000

Although health care fraud doesn’t require the involvement of telemedicine, with advances in telemedicine come “advances” in criminal schemes.

The post Conviction for $70 Million in Fake Medicare Claims Likely Sending Doc to Big House – Medical Group Minute appeared first on Wisdom. Applied..

What if No One Wants to Buy the Hospital Before it Closes? 2 More MA Hospitals to Shutter Soon

Mark — Mon, 29 Jul 2024 15:19:43 +0000

No matter what you think the odds are that the hospital at which you practice or office next to will survive for another 50 years, it would be wise to hedge your bet.

The post What if No One Wants to Buy the Hospital Before it Closes? 2 More MA Hospitals to Shutter Soon appeared first on Wisdom. Applied..

Snoop Doc Takes The Rap For HIPAA Hop – Faces 5 Years in Pen For Illegally Accessing Medical Records – Podcast

Mark — Thu, 25 Jul 2024 08:04:00 +0000

You’re signed in to the hospital’s electronic medical record system. What’s the harm in just typing in the name of a friend to see what pops up?

The post Snoop Doc Takes The Rap For HIPAA Hop – Faces 5 Years in Pen For Illegally Accessing Medical Records – Podcast appeared first on Wisdom. Applied..

Avoid This Error of Measuring Leadership Success – Medical Group Minute

Mark — Wed, 24 Jul 2024 09:32:00 +0000

In an organization we tend to be judged for what we do - not for the decisions that we make not to do something.

The post Avoid This Error of Measuring Leadership Success – Medical Group Minute appeared first on Wisdom. Applied..

Trust but Document – Success in Motion

Mark — Tue, 23 Jul 2024 09:08:00 +0000

Ride along with Mark as he discusses the importance in ensuring verbal assurances are documented.

The post Trust but Document – Success in Motion appeared first on Wisdom. Applied..

Financial Support to Anesthesia Groups

Mark — Mon, 22 Jul 2024 14:42:49 +0000

In a very real sense, this is a trip down “experience lane” (it’s like “memory lane”, only better) to my work on behalf of clients in the 1980s as well as in the 2000s, when similar waves of stipend support washed funds from facilities to anesthesia groups...

The post Financial Support to Anesthesia Groups appeared first on Wisdom. Applied..

Hamburger or Health Care? Why You Must Understand the Dilemma. – Podcast

Mark — Thu, 18 Jul 2024 10:06:00 +0000

Many medical groups have come to expect that their businesses run like vending machines. Push the button and out comes collections.

The post Hamburger or Health Care? Why You Must Understand the Dilemma. – Podcast appeared first on Wisdom. Applied..

“Loco Tenens” and Agency Pay $700K to Settle Alleged Telemedicine Kickback Scheme – Medical Group Minute

Mark — Wed, 17 Jul 2024 09:31:00 +0000

With physician shortages in many specialties opening up lucrative opportunities for locums work, temporary staffing is undergoing a boom.

The post “Loco Tenens” and Agency Pay $700K to Settle Alleged Telemedicine Kickback Scheme – Medical Group Minute appeared first on Wisdom. Applied..

Snoop Doc Takes The Rap For HIPAA Hop – Faces 5 Years in Pen For Illegally Accessing Medical Records

Mark — Mon, 15 Jul 2024 15:07:07 +0000

You’re signed in to the hospital’s electronic medical record system. What’s the harm in just typing in the name of a friend to see what pops up?

The post Snoop Doc Takes The Rap For HIPAA Hop – Faces 5 Years in Pen For Illegally Accessing Medical Records appeared first on Wisdom. Applied..

Telehealth Plus Tell a Lie Means Likely End Up in Prison for Telefraud – Podcast

Mark — Thu, 11 Jul 2024 10:15:00 +0000

Telehealth can be used to vastly improve patients’ access to medical care. At the same time, it can be used to vastly improve criminals’ access to Medicare dollars. It shouldn’t be that difficult for physicians to assess the bona fides of their proposed participation in a telehealth “business model” when the ones doing the proposing are telemarketers.

The post Telehealth Plus Tell a Lie Means Likely End Up in Prison for Telefraud – Podcast appeared first on Wisdom. Applied..

Hamburger or Health Care? Why You Must Understand the Dilemma. – Medical Group Minute

Mark — Wed, 10 Jul 2024 09:27:00 +0000

Many medical groups have come to expect that their businesses run like vending machines. Push the button and out comes collections.

The post Hamburger or Health Care? Why You Must Understand the Dilemma. – Medical Group Minute appeared first on Wisdom. Applied..

Free isn’t Free When It Costs Close to $10 Million in AKS Settlements – Success in Motion

Mark — Tue, 09 Jul 2024 09:33:00 +0000

Ride along with Mark while he discusses a recent AKS statute settlement that proves that free isn’t always free.

The post Free isn’t Free When It Costs Close to $10 Million in AKS Settlements – Success in Motion appeared first on Wisdom. Applied..

Supreme Court Declares Chevron Out of Gas – Better or Worse for You?

Mark — Mon, 08 Jul 2024 15:59:59 +0000

You’d think there’d be far and wide celebration over freedom from the yoke of administrative tyranny, but it turns out that more than a few don’t want to be free...

The post Supreme Court Declares Chevron Out of Gas – Better or Worse for You? appeared first on Wisdom. Applied..

Compounding the Kickback Problem – Medical Group Minute

Mark — Wed, 03 Jul 2024 09:50:00 +0000

Compounding pharmaceuticals, specific drugs for specific patients, offers tremendous benefit. The problems arise when the benefit is for the prescribing physician.

The post Compounding the Kickback Problem – Medical Group Minute appeared first on Wisdom. Applied..

In-Home Emergency Care Will Contribute to Putting Hospitals on Life-Support

Mark — Mon, 01 Jul 2024 15:07:45 +0000

What will be left after many more services are pulled out of the hospital?

The post In-Home Emergency Care Will Contribute to Putting Hospitals on Life-Support appeared first on Wisdom. Applied..

“Loco Tenens” and Agency Pay $700K to Settle Alleged Telemedicine Kickback Scheme – Podcast

Mark — Thu, 27 Jun 2024 10:25:00 +0000

With physician shortages in many specialties opening up lucrative opportunities for locums work, temporary staffing is undergoing a boom.

The post “Loco Tenens” and Agency Pay $700K to Settle Alleged Telemedicine Kickback Scheme – Podcast appeared first on Wisdom. Applied..

Perhaps “Change Healthcare” Was Always A Cry For Help? The Two Real Lessons of the Change Healthcare Cyber Attack Debacle. – Medical Group Minute

Mark — Wed, 26 Jun 2024 14:02:00 +0000

The financial impact was immediate and momentous: Neither new nor existing claims, nor payment for them, could be processed.

The post Perhaps “Change Healthcare” Was Always A Cry For Help? The Two Real Lessons of the Change Healthcare Cyber Attack Debacle. – Medical Group Minute appeared first on Wisdom. Applied..

Diamonds in the Rough – Doctors Vs. Substitutes – Success in Motion

Mark — Tue, 25 Jun 2024 08:51:00 +0000

Ride along with Mark as he discusses why physicians have a lab-grown diamond problem.

The post Diamonds in the Rough – Doctors Vs. Substitutes – Success in Motion appeared first on Wisdom. Applied..

Making the Bet Without Knowing the Odds – The Risk of “Large”

Mark — Mon, 24 Jun 2024 11:43:00 +0000

In your search to understand risk, don’t fall for the simple heuristic that bigger is better.

The post Making the Bet Without Knowing the Odds – The Risk of “Large” appeared first on Wisdom. Applied..

Commercial Building Foreclosures Foretell Healthcare Financing Woes – Prepare Now – Podcast

Mark — Thu, 20 Jun 2024 08:42:00 +0000

Physician practices, ASCs and other small to medium healthcare business entities, many of which have had only deposit relationships with banks, or which have had relatively low lines of credit, need to actively work to establish relationships with multiple potential lenders.

The post Commercial Building Foreclosures Foretell Healthcare Financing Woes – Prepare Now – Podcast appeared first on Wisdom. Applied..

Telehealth Plus Tell a Lie Means Likely End Up in Prison for Telefraud – Medical Group Minute

Mark — Wed, 19 Jun 2024 09:13:00 +0000

The post Telehealth Plus Tell a Lie Means Likely End Up in Prison for Telefraud – Medical Group Minute appeared first on Wisdom. Applied..

Does Your Medical Group Need a CBSO?

Mark — Mon, 17 Jun 2024 15:25:56 +0000

Ask yourself this: How many people should actually report directly to your organization’s chief executive officer?

The post Does Your Medical Group Need a CBSO? appeared first on Wisdom. Applied..

Surprise Hospital Billing – Podcast

Mark — Thu, 13 Jun 2024 16:45:12 +0000

What’s a hospital surprise bill? Well, it’s something slightly different from the concept applied to physicians.

The post Surprise Hospital Billing – Podcast appeared first on Wisdom. Applied..

Commercial Building Foreclosures Foretell Healthcare Financing Woes – Prepare Now – Medical Group Minute

Mark — Wed, 12 Jun 2024 14:46:19 +0000

The post Commercial Building Foreclosures Foretell Healthcare Financing Woes – Prepare Now – Medical Group Minute appeared first on Wisdom. Applied..

I Know You Need Help but That Locum Could Kill Your Practice – Success in Motion

Mark — Tue, 11 Jun 2024 08:43:00 +0000

Ride along with mark and learn about killer locums.

The post I Know You Need Help but That Locum Could Kill Your Practice – Success in Motion appeared first on Wisdom. Applied..

Is Your Medical Group Governed or Governed?

Mark — Mon, 10 Jun 2024 13:11:00 +0000

The Greek language root of the word govern means to direct, rule, guide or steer.

The post Is Your Medical Group Governed or Governed? appeared first on Wisdom. Applied..

Perhaps “Change Healthcare” Was Always A Cry For Help? The Two Real Lessons of the Change Healthcare Cyber Attack Debacle. – Podcast

Mark — Fri, 07 Jun 2024 08:57:00 +0000

The financial impact was immediate and momentous: Neither new nor existing claims, nor payment for them, could be processed.

The post Perhaps “Change Healthcare” Was Always A Cry For Help? The Two Real Lessons of the Change Healthcare Cyber Attack Debacle. – Podcast appeared first on Wisdom. Applied..

Speak Truth to Numbers – Medical Group Minute

Mark — Wed, 05 Jun 2024 07:34:00 +0000

Don’t get your medical group or healthcare business lost in big data.

The post Speak Truth to Numbers – Medical Group Minute appeared first on Wisdom. Applied..

Conviction for $70 Million in Fake Medicare Claims Likely Sending Doc to Big House

Mark — Mon, 03 Jun 2024 14:44:00 +0000

Although health care fraud doesn’t require the involvement of telemedicine, with advances in telemedicine come “advances” in criminal schemes.

The post Conviction for $70 Million in Fake Medicare Claims Likely Sending Doc to Big House appeared first on Wisdom. Applied..

You Didn’t Go to Medical School to Be in Business! Let Us Run It Into the Ground. – Podcast

Mark — Thu, 30 May 2024 08:05:00 +0000

Many predicted that the financial behemoths run by the smartest guys in the room would swallow up every physician on the planet.

The post You Didn’t Go to Medical School to Be in Business! Let Us Run It Into the Ground. – Podcast appeared first on Wisdom. Applied..

How to Use Red Teams to Strengthen Your Business – Medical Group Minute

Mark — Wed, 29 May 2024 08:22:00 +0000

I planned to buy, but as soon as I walked 13 feet into the car showroom, I knew that they’d make no sale.

The post How to Use Red Teams to Strengthen Your Business – Medical Group Minute appeared first on Wisdom. Applied..

Are Medicare Recovery Auditors Submitting False Claims? – Success in Motion

Mark — Tue, 28 May 2024 08:14:35 +0000

Ride along with Mark as he muses over whether Medicare recovery auditors are themselves committing fraud.

The post Are Medicare Recovery Auditors Submitting False Claims? – Success in Motion appeared first on Wisdom. Applied..

From CrossFit to Crossing Over from Pure Medical Practice to Lifestyle Business – Podcast

Mark — Thu, 23 May 2024 08:01:00 +0000

Barbers cut hair. Farmers farm. And, doctors practice medicine. Why?

The post From CrossFit to Crossing Over from Pure Medical Practice to Lifestyle Business – Podcast appeared first on Wisdom. Applied..

You Didn’t Go to Medical School to Be in Business! Let Us Run It Into the Ground. – Medical Group Minute

Mark — Wed, 22 May 2024 08:15:00 +0000

Many predicted that the financial behemoths run by the smartest guys in the room would swallow up every physician on the planet.

The post You Didn’t Go to Medical School to Be in Business! Let Us Run It Into the Ground. – Medical Group Minute appeared first on Wisdom. Applied..

Money Likes Speed. Has Your Group’s Governance Put the Brakes on Your Future?

Mark — Mon, 20 May 2024 15:45:47 +0000

That may be true on the highway, but it’s patently untrue in terms of your group’s business. In business you need to be able to make decisions quickly and then act on them.

The post Money Likes Speed. Has Your Group’s Governance Put the Brakes on Your Future? appeared first on Wisdom. Applied..

Intended Obfuscation or Lazy Drafting, The Outcome’s The Same: You’re Screwed. – Podcast

Mark — Thu, 16 May 2024 07:54:00 +0000

Most people don’t like throwing good money after bad in a contract dispute.

The post Intended Obfuscation or Lazy Drafting, The Outcome’s The Same: You’re Screwed. – Podcast appeared first on Wisdom. Applied..

The Use of Banned Messaging Apps Cost Wall Street Banks Close to $2 Billion. What Will it Cost Your Medical Group or Facility? – Medical Group Minute

Mark — Wed, 15 May 2024 08:06:00 +0000

Banks, brokerages, and your medical group or facility’s potential violation of HIPAA?

The post The Use of Banned Messaging Apps Cost Wall Street Banks Close to $2 Billion. What Will it Cost Your Medical Group or Facility? – Medical Group Minute appeared first on Wisdom. Applied..

Another Hospital Chain Files for Bankruptcy – Success in Motion

Mark — Tue, 14 May 2024 11:10:00 +0000

Ride along with Mark while he discusses the failure of another hospital chain.

The post Another Hospital Chain Files for Bankruptcy – Success in Motion appeared first on Wisdom. Applied..

Commercial Building Foreclosures Foretell Healthcare Financing Woes – Prepare Now

Mark — Mon, 13 May 2024 15:25:14 +0000

The post Commercial Building Foreclosures Foretell Healthcare Financing Woes – Prepare Now appeared first on Wisdom. Applied..

The Use of Banned Messaging Apps Cost Wall Street Banks Close to $2 Billion. What Will it Cost Your Medical Group or Facility? – Podcast

Mark — Thu, 09 May 2024 08:00:00 +0000

Banks, brokerages, and your medical group or facility’s potential violation of HIPAA?

The post The Use of Banned Messaging Apps Cost Wall Street Banks Close to $2 Billion. What Will it Cost Your Medical Group or Facility? – Podcast appeared first on Wisdom. Applied..

Intended Obfuscation or Lazy Drafting, The Outcome’s The Same: You’re Screwed. – Medical Group Minute

Mark — Wed, 08 May 2024 07:24:00 +0000

Most people don’t like throwing good money after bad in a contract dispute.

The post Intended Obfuscation or Lazy Drafting, The Outcome’s The Same: You’re Screwed. – Medical Group Minute appeared first on Wisdom. Applied..

Telehealth Plus Tell a Lie Means Likely End Up in Prison for Tele-fraud

Mark — Mon, 06 May 2024 13:30:00 +0000

The post Telehealth Plus Tell a Lie Means Likely End Up in Prison for Tele-fraud appeared first on Wisdom. Applied..

Does Selling to Private Equity Increase Your Risk of Liability For Healthcare Fraud? – Podcast

Mark — Thu, 02 May 2024 08:03:00 +0000

The first purchase price is the one that the seller receives. The second purchase price is the one that the seller pays by having sold to the wrong buyer.

The post Does Selling to Private Equity Increase Your Risk of Liability For Healthcare Fraud? – Podcast appeared first on Wisdom. Applied..

McDonald’s and Delivering Medical Group Value – Medical Group Minute

Mark — Wed, 01 May 2024 09:34:00 +0000

Value is what’s important to your customer. Not to you.

The post McDonald’s and Delivering Medical Group Value – Medical Group Minute appeared first on Wisdom. Applied..

CVS Announces Plan to Steal Your Patients – Success in Motion

Mark — Tue, 30 Apr 2024 07:20:00 +0000

Try to enjoy the ride while Mark tells you about a pharmacy’s plan to steal your patients.

The post CVS Announces Plan to Steal Your Patients – Success in Motion appeared first on Wisdom. Applied..

Deal School: Control the Document to Control the Deal

Mark — Mon, 29 Apr 2024 13:00:00 +0000

When you control the contract, you are controlling the discussion and you are framing the issues.

The post Deal School: Control the Document to Control the Deal appeared first on Wisdom. Applied..

She Said, He Heard – A Lesson From Insider Trading to Prevent Your HIPAA Violation – Podcast

Mark — Thu, 25 Apr 2024 08:16:00 +0000

What policies does your group have? How are they enforced . . . or even, how can they be enforced?

The post She Said, He Heard – A Lesson From Insider Trading to Prevent Your HIPAA Violation – Podcast appeared first on Wisdom. Applied..

Showing Up On Time and Negotiation – Medical Group Minute

Mark — Wed, 24 Apr 2024 08:30:00 +0000

Don’t make the mistake of thinking that being late signals your importance or your power.

The post Showing Up On Time and Negotiation – Medical Group Minute appeared first on Wisdom. Applied..

Pharmacies Plan to Take Your Patients

Mark — Mon, 22 Apr 2024 15:48:34 +0000

Physicians, think that your competitor is Dr. Smith across the street or the hospital and its 185 captive docs? Think longer term.

The post Pharmacies Plan to Take Your Patients appeared first on Wisdom. Applied..

Showing Up On Time and Negotiation – Podcast

Mark — Thu, 18 Apr 2024 07:48:00 +0000

Don’t make the mistake of thinking that being late signals your importance or your power.

The post Showing Up On Time and Negotiation – Podcast appeared first on Wisdom. Applied..

Does Selling to Private Equity Increase Your Risk of Liability For Healthcare Fraud? – Medical Group Minute

Mark — Wed, 17 Apr 2024 08:18:00 +0000

The first purchase price is the one that the seller receives. The second purchase price is the one that the seller pays by having sold to the wrong buyer.

The post Does Selling to Private Equity Increase Your Risk of Liability For Healthcare Fraud? – Medical Group Minute appeared first on Wisdom. Applied..

For Rent – One Slightly Used DEA Number – Success in Motion

Mark — Tue, 16 Apr 2024 10:40:00 +0000

Ride along with Mark for a cautionary tale.

The post For Rent – One Slightly Used DEA Number – Success in Motion appeared first on Wisdom. Applied..