Establishing Fair Market Value: Not So Fast

When considering reasonableness of a proposed compensation arrangement, it’s best to take it slow. So says Attorney Joan Feldman of Shipman & Goodwin LLP in this article which was first printed in the Journal of Healthcare Compliance. Read her take on determining Fair Market Value…    

Blonde Woman Reluctant to Ask Question

CMS Proposes Changes to Increase Advisory Opinions

Don’t you love it when you seek someone’s opinion but they go out of their way to make it inconvenient for you to ask for it? Such has been the case with the Centers for Medicare and Medicaid Services (CMS) and its Advisory Opinion process. CMS Advisory Opinions are issued by CMS when hospitals request…

Great Ideas Are Often in the Eye of the Beholder

Healthcare providers need to take off their rose-colored glasses when considering a merger or acquisition. When Sanford Health proposed the acquisition of Mid-Dakota Clinic in North Dakota, it sounded like a good idea.  Sanford Health is the largest health care provider in the Dakotas.  Gosh, they’re even the largest employer in the Dakotas!  Mid-Dakota Clinic…

Sally, Sally, Sally—Gone, but not Forgotten

Sally Yates.  Yes, we all remember her from her landmark termination on January 20, 2017. But, few of us are cognizant of her landmark directive issued on September 9, 2015, titled: Individual Accountability for Corporate Wrongdoing, what we at akiro simply call the Yates Memo. It ushered in a new aggressive stance by the DOJ…

akiro to Facilitate Physician Practice M&A Transactions

New Consulting Practice Joins Growing GPMF Holdings Healthcare Ecosystem HOLYOKE, MA July 25, 2019: Citing OIG and DOJ fines and penalties levied against health care providers for violations of Stark, Anti-Kickback and False Claims Act violations arising from physician acquisitions, GPMF Holdings, a growing healthcare services organization has announced the formation of akiro.  The company…

CMS Publishes New ICD 10 Billing Codes

Coding Changes Have Implications Beyond Just Billing. Every time the Center for Medicare and Medicaid Services (CMS) updates ICD 10 billing codes, the implications for healthcare providers can be far ranging. Think of it as the check engine light on your car. It needs attention. Immediate attention. The coding and billing departments at health care…

Valuing a Medical Practice

There’s a revolution going on in healthcare these days. No, I’m not talking about the mega mergers like CVS and Aetna, or the recently announced “Haven,” the joint venture between Amazon, J.P. Morgan, and Berkshire Hathaway. This headline probably won’t make it above the fold, but it’s a trend that is likely to rewrite the delivery…