Services

Why do most physician practice merger and acquisition transactions fail to reach their financial goals?

Let us count the ways.
  1. Unrealistic expectations of practice value by the physician
  2. Underestimation of cost and financial performance by the purchaser
  3. Integration of EMRs and technology infrastructure
  4. Inadequate operation optimization
  5. Overvaluation of physician accounts receivable
  6. CPT coding issues

Akiro brings together a team of experts to analyze each facet of the transaction because for us, failure is not an option. We break our service offering into four categories.

Let us count the ways.
  1. Unrealistic expectations of practice value by the physician
  2. Underestimation of cost and financial performance by the purchaser
  3. Integration of EMRs and technology infrastructure
  4. Inadequate operation optimization
  5. Overvaluation of physician accounts receivable
  6. CPT coding issues

Akiro brings together a team of experts to analyze each facet of the transaction because for us, failure is not an option. We break our service offering into four categories.

Depositphotos_151251266_l-2015

Financial

Looking into our Crystal Ball

Akiro has the financial firepower to forecast ROI, confirm commercial reasonableness and Fair Market Value (FMV), validate quality of earnings, quality of revenue, and assess a practice’s CPT coding practices.

Current Procedural Terminology or CPT coding is the lifeblood of any medical practice. Under-coding can result in lost revenue while miscoding can leave an organization subject to significant fines and penalties. Review of CPT coding and billing practices during due diligence and ongoing CPT audits to avoid post-transaction compliance issues are integral elements of the akiro service model.

Financial

Businessman forecasting a crystal ball in the office
Looking into our Crystal Ball

Akiro has the financial firepower to forecast ROI, confirm commercial reasonableness and Fair Market Value (FMV), validate quality of earnings, quality of revenue, and assess a practice’s CPT coding practices.

Current Procedural Terminology or CPT coding is the lifeblood of any medical practice. Under-coding can result in lost revenue while miscoding can leave an organization subject to significant fines and penalties. Review of CPT coding and billing practices during due diligence and ongoing CPT audits to avoid post-transaction compliance issues are integral elements of the akiro service model.

Regulatory

Lawyers? We got Lawyers.

Before any Letter of Intent (LOI) is issued, both parties must take a hard look at why the transaction is being considered in the first place. Akiro works with internal and external resources to conduct a cost-efficient, in-depth due diligence review.

Pre-transaction Examination

Review of initial transaction decision and documentation to ensure compliance with Stark laws, Anti-Kickback regulations, and the False Claims Act

Letter of Intent Draft

Set Acquirer and Target expectations and assist in-house counsel with LOI draft and negotiation

Target Practice Review

Evaluation of corporate organization, structure, financial statements, and quality of care benchmarks

Post LOI Analysis

Coordination of in-depth appraisal of target practice benchmarks—Financial audit, Employee roles, responsibilities, and benefits, Insurance claim history, Current compliance programs and government program billing practices, Ancillary services and revenue streams, Property and equipment leases, Ownership and third-party contracts

Regulatory

Lawyers? We got Lawyers.
Pre-transaction Examination

Review of initial transaction decision and documentation to ensure compliance with Stark laws, Anti-Kickback regulations, and the False Claims Act

Letter of Intent Draft

Set Acquirer and Target expectations and assist in-house counsel with LOI draft and negotiation

Target Practice Review

Evaluation of corporate organization, structure, financial statements, and quality of care benchmarks

Post LOI Analysis

Coordination of in-depth appraisal of target practice benchmarks—Financial audit, Employee roles, responsibilities, and benefits, Insurance claim history, Current compliance programs and government program billing practices, Ancillary services and revenue streams, Property and equipment leases, Ownership and third-party contracts

Depositphotos_174273956_l-2015

Security and Technology

Information Technology: Necessary Evil or Strategic Advantage?

Like it or not, the medical world revolves around IT yet rarely are IT experts invited to the table when due diligence and negotiations are underway. How much and how long will it take to integrate two different EHRs?  Is the environment a HIPAA violation waiting to happen (subjecting the acquiring organization to significant financial exposure)? Does the target practice embrace technology or run from it? Answers to those questions can have a bottom-line impact on valuation and the practice’s ability to attract the best young, ambitious, tech-savvy clinicians in the future.

Our IT division has built some of the most sophisticated healthcare networks on the planet and can accurately assess shortcomings and the cost of EHR integration.

Security and Technology

system fail situation in network server room
Information Technology: Necessary Evil or Strategic Advantage?

Like it or not, the medical world revolves around IT yet rarely are IT experts invited to the table when due diligence and negotiations are underway. How much and how long will it take to integrate two different EHRs?  Is the environment a HIPAA violation waiting to happen (subjecting the acquiring organization to significant financial exposure)? Does the target practice embrace technology or run from it? Answers to those questions can have a bottom-line impact on valuation and the practice’s ability to attract the best young, ambitious, tech-savvy clinicians in the future.

Our IT division has built some of the most sophisticated healthcare networks on the planet and can accurately assess shortcomings and the cost of EHR integration.

Post-Transaction Compliance

The party never ends.

After the deal is done, akiro offers continuing FMV support to keep you in Stark, False Claims, and Anti-kickback compliance.

The Centers for Medicare and Medicaid Services (CMS) and the Office of the Inspector General (OIG) require any transaction to be reflective of FMV at the time of closing AND throughout the relationship. Ongoing compliance review is an important element of akiro consulting services, ensuring both parties that the deal terms and parameters continue to comply with applicable laws and regulations.  This includes a post-integration review with principals from both sides to determine if the transaction resulted in “success.”  If either the post-transaction financial analysis or the post-transaction financial review result in issues that need to be re-mediated, we will work with the Client to develop a remediation plan.

Post-Transaction Compliance

The party never ends.

After the deal is done, akiro offers continuing FMV support to keep you in Stark, False Claims, and Anti-kickback compliance.

The Centers for Medicare and Medicaid Services (CMS) and the Office of the Inspector General (OIG) require any transaction to be reflective of FMV at the time of closing AND throughout the relationship. Ongoing compliance review is an important element of akiro consulting services, ensuring both parties that the deal terms and parameters continue to comply with applicable laws and regulations.  This includes a post-integration review with principals from both sides to determine if the transaction resulted in “success.”  If either the post-transaction financial analysis or the post-transaction financial review result in issues that need to be re-mediated, we will work with the Client to develop a remediation plan.

Different balloons on color background. Celebration time