ASC

Fraud on Physicians in the ASC Setting

As the shift of surgeries from the hospital setting to the ASC setting accelerates, we’re seeing more fraud at the ASC level. No, I’m not talking about the significant amount of fraud that comes from the “usual suspects,” criminal operators who bill for medically unnecessary procedures, for procedures that never occurred, and so on. Instead, […]

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Manage Your Practice

CVS, Aetna and Your Practice

The Wall Street Journal portrays it as causing panic in the streets. I’m taking about the pending acquisition of Aetna by CVS Healthcare. It’s stoking fear of the combination of a ubiquitous retail delivery platform, CVS, with the health insurance, managed care, and huge patient database of Aetna. More traditional health insurers and large scale […]

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RFP

How Not Letting Go Leads to Medical Group Management Messes

A few weeks ago on the blog, I wrote about The Medical Group Governance Matrix™. I have a good friend who says, in the context of a physical skill, that prehistoric humans initially developed the strong, instinctual dominant-hand grip to be able to grab onto tree limbs and quickly climb in order to escape predators […]

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Governance

The Medical Group Governance Matrix

We all hear, and most of us say, that the pace of change in healthcare is quickening. That means that the pace of required decision-making is increasing, too. Unless, that is, you want to take the “default” route. That’s the one is which you let someone else make the decisions that impact you; you’re just […]

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