Reflections on the 9-Year Anniversary of My Practice

This month, my practice turns nine. Back when I first began, I was not quite sure where the business would lead me — and I am happy to say that the opportunities I have had surpass anything that I could have imagined.

Practitioners: Define and Clarify Your Outside Activity Limitations

When a practitioner joins a new practice, the employer wants the employee to dedicate all of their professional time to the practice. They generally do not want practitioners to engage in outside activities — even though it is on their own time — such as teaching, consulting, expert witness review or providing medical services outside the scope of the practice.

First Job? Protect Your Career By Asking the Right Questions

Practitioners who are close to completing their residency or fellowship often have many questions about their first employment contract and the various clauses within it. I regularly provide educational seminars to residents and fellows at metropolitan hospitals in numerous specialty departments about what to expect when interviewing for that first job and what will be included in the written agreement.

Tele-Health and Compliance: Important Considerations You Need to Consider

Tele-practice is becoming increasingly common. Consultations, as well as tele-health care, are provided via Skype, Zoom or other video-conferencing platforms that preclude the need for geographical proximity between doctor and patient.

For practitioners who choose to utilize this type of treatment, they should be aware of some important considerations:

Ready to Buy a Practice? 3 Guidelines for Practitioners

Practitioners who are ready for the next phase of their career — or eager to hit the ground running — may consider purchasing an existing practice. If you are weighing that option, here are some questions and negotiable points to consider:

Your Malpractice Insurance: Who Owns the Policy?

This past October, MLMIC Insurance Company, one of the largest providers of medical malpractice in New York, became part of Berkshire Hathaway. As a result of becoming a stock company, a sum of money was to be paid out to policyholders who had policies between the years 2013-2016.

Practitioners and Social Media: My Selfie Could Be a HIPAA Breach??

Social media has become prevalent in every aspect of life. Given this, it is important that practitioners are careful about how they and their employees use social media so as not to violate any HIPAA regulations.

The obvious solution is to enforce a no cell phone use policy for employees. This will prevent any employee from taking photos, videos or using social media on their personal phone during work hours. However, this may not be practical.

Starting a Private Practice? Get Familiar with Insurance Carriers First

Healthcare providers who start a private practice have the option to apply for in-network status with insurance carriers or remain as an out-of-network provider.

Out-of-Network Coverage

A provider can elect to provide a super bill to their patients, in order for their patients to directly submit a claim to their insurance for out-of-network coverage. The insurance carrier will then cover whatever their out-of-network rate is for the particular service. However, for all out-of-network services, the patient is always responsible for the full amount charged by the provider. It is up to the provider if they will accept, as partial payment the insurance coverage or not.

Dissolving Your Practice: Be Careful, Not Hasty

When dissolving your practice is time-sensitive, and you need to expediently move on, there are some important things to pay attention to in order to ensure it is done correctly.

First and foremost, you can never abandon your patients. There needs to be ample notice of at least 30 days and appropriate referrals for continuity of care.

Second, you will need to examine any contracts that you have in place with landlords, third parties, and employees, to ensure that you are not in breach of any of the terms and to give the appropriate notice of termination.

MSO Partnership for Physicians: Be Careful of the Wording in Your Agreement!

Practitioners often look to establish Management Service Organizations (MSOs) to help run the business end of a medical practice. Some of these services may include the following: handling payments for office space, providing equipment and supplies, or managing the practitioner’s insurance payments. The MSO can be a partnership between a number of physicians or between a physician and a non-physician. It is important to remember that any medical practice, which provides the actual medical services, may only be owned by licensed practitioners in New York.

How does a Management Service Organization get paid?