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Physician Practice Management and
Malpractice Prevention Specialists
Debra Phairas, President
   SERVICE ______________________________________________________________


PRACTICE ASSESSMENTS

MANAGED CARE CONTRACTING

NEW PRACTICE ESTABLISHMENT PRACTICE VALUATION
FINANCIAL ANALYSIS HOSPITAL PHYSICIAN RECRUITING SUPPORT
PERSONNEL MANAGEMENT MALPRACTICE PREVENTION SERVICES
MERGERS / NETWORK FORMATION  

PRACTICE VALUATION

Valuation of Practice for Purchase / Sale / Buy-in

Negotiation of Terms

Expert Witness & Litigation Support

Practice & Liability Consultants will perform a valuation of your practice to estimate its financial worth in today's changing healthcare marketplace. Valuations or Appraisals are needed for the following:

  • Sale of the practice
  • Buy-out of partnership
  • Buy-ins to partnership
  • Mergers to equalize assets
  • Sales to integrated delivery systems, practice management companies, management services organizations
  • Property tax or insurance
  • Divorce

The comprehensive written report outlines the factors and methodologies used in arriving at the final recommended figure. The valuation consists of an on-site review and analysis financial of information. A written report is provided with the rationale for valuation. We also provide a comparison to norms by specialty. The reports are produced in both bound and unbound formats to provide a mechanism for distribution to potential buyers. Advice on structuring the sale or purchase and negotiation of terms can also be provided. Assistance in acquiring legal services can also be arranged through our network of experts.

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HOSPITAL PHYSICIAN RECRUITING SUPPORT

Practice & Liability Consultants is the best firm for assisting hospitals with physician recruitment support due to reputation, proven experience and expertise with a solid track record for establishment of new practices, merging new physicians into existing practices, ability to successfully work with physicians, and provide excellent documentation for demonstrating community need to provide recruitment assistance.


A. New Recruit Joining an Expense Sharing Practice or Joining a Group Practice:

  • Proforma revenue and expense comparison spreadsheet to demonstrate viability of bringing in an associate and to inform hospital of recruitment expense for overhead share, breakeven point and dollar outlay for support.
  • Documentation to support Hospital Recruitment Community Need
  • Charges, Adjustments, Collections, Line Item Expense/Overhead ratio, Net Income comparisons to national and local benchmark norms for the specialty.
  • Accounts receivable ratio analysis with comparison norms
  • Staffing ratios – Payroll to gross collections ratios by staffing type and Full time equivalent ratios per staffing type
  • Recommendations to improve all of the above financial, productivity and staffing ratios
  • Valuation of practice tangible and intangible assets
  • Recommendations for structuring an incentive program for the associate and structuring any buy-in to the practice
  • Summary session with the practice to discuss improvements
  • Advice to practice for successful long term arrangement including terms of employment or expense sharing
  • Credentialing for insurance plan participation if needed

B. New Recruit Establishing a New Solo Practice

  • All of the above plus:
  • Provision of a Capital Budget for start up equipment, furniture, computers and medical instrumentation
  • New Practice Establishment utilizing our NEW PRACTICE DECISION GRID with steps to start a practice from scratch.
  • Advice, task assignment, timelines and monitoring.
  • Consultation to establish all practice systems such as medical charts, telephone, scheduling, back and front office procedures, Medicare Compliance, Personnel Policies and Procedures, OSHA Compliance and risk management.
  • Insurance plan credentialing and follow-up
  • Interview and assist with hiring office staff

MALPRACTICE PREVENTION SERVICES

Development of Claims Prevention Programs
On-Site Loss Prevention Survey Programs
Seminar Development and Presentation
Audiovisual Materials Development



Our consultants have developed claims prevention programs for many state and national malpractice insurance companies. Highly acclaimed seminars and lectures incorporating claims prevention information, motivational behavioral change strategies, actual claims examples and practical solutions have been presented nationwide for physicians.

Development of Claims Prevention Program

  • Program organization including staff, interaction with underwriting, claims and data processing
  • Analysis of claims for trends
  • Evaluation of existing programs
  • Licensing of survey programs, handouts and materials and staff training
  • Communication with insured via newsletters, handouts, written materials
  • Program implementation
  • Evaluation and tracking to assure successful results

Loss Prevention Survey of Ambulatory Facilities and Physician Practice

  • Pre-creening survey
  • On-site review of all departments and functions
  • Specialty specific risk analysis
  • Summary meeting
  • Educational session for physicians and staff
  • Confidential written report with recommendations to reduce risk
  • Seminars and Lectures to Physicians, Mid-level providers, Managers, and Staff
  • Development of seminars based on claims
  • Creative handouts and materials to accompany seminars
  • Case study summaries for seminars
  • Mock deposition and trial formats
  • Scripts for patient, doctor, lawyer, claims representative case examples

Lectures on common claims prevention topics including:

  • Comunication, Patient Relations and Rapport
  • Handling Unexpected Outcomes
  • Informed Consent, Informed Refusal
  • Avoiding Failure to Diagnose, Treat and Refer Claims
  • Managed Care Risks
  • Documentation, Medical Records, Release of information
  • Practice systems- Recall, abnormal results, tracking, referral/consultation process

Individual Risk Assessment Program

  • Self study- Home study risk management
  • Audio, video, internet programs
  • CME test
  • Audiovisual Development, video, audiocassette, slide/tape, PowerPoint production
  • Award winning video productions - $2,000-$500,000 budgets
  • Four camera, live on tape production for seven set video production
  • Documentary style interviews of doctors
  • Actual delivery on camera as expert
  • Concept, script development, casting, direction, editing and production

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