Robust Activity in Healthcare M&A | CFA

<!– start of fb like code

end of fb like code –>

Middle Market PulseThe US health care sector includes more than 830,000 hospitals, doctors’ offices, emergency care units, nursing homes, and social services providers with combined annual revenue of about $2.2 trillion.  M&A activity in the sector has been robust over the past several years as the nation grapples with healthcare reform.  One segment of the sector seems to be of particular interest at present…Healthcare IT.

The Patient Protection and Affordable Care Act, better known as “Obamacare” continues to have far reaching implications across all healthcare subsectors.  Demands for quality healthcare data continue to increase and private equity funds and strategic buyers alike are investing in new segments that improve provider workflows and patient outcomes. Investments span a variety of provider and services assets, including healthcare-related information technology (HCIT) solutions.

The recent passage of the Protecting Access to Medicare Act of 2014, also known as the “doc fix” bill, spared the US health care sector the effects of physician rate cuts and comprehensive medical coding changes for another year. The bill delayed a Medicare physician rate cut based on the sustainable growth rating (SGR) formula and physicians have avoided an approximate 25 percent SGR rate cut for several years by winning reprieves from lawmakers. Another major change for the health care sector, implementation of the ICD-10 medical coding system, was also delayed until October 2015. Adopting the new diagnostic codes, which the AMA opposes, will require significant IT investment.

Some medical entities have already invested in preparing for the ICD-10 change, but Healthcare IT activity should be robust as providers implement these costly programs.  Investors will look to capitalize on this coding change.

Subscribe to the Middle Market Pulse

Georgia Non-Compete and Trade Secret News » House Bill 322: A …

House Bill 322: A Proposal to Balance Competing Concerns with Respect to Physician Restrictive Covenants

By Neal Weinrich and Joshua Joel*, Summer Clerk

Physician non-compete agreements implicate two conflicting public policy considerations: the legitimate business interests of medical practices in protecting against unfair competition and doctors’ ethical obligations with respect to patient care.

With respect to this second consideration, long term stability in a patient’s relationship with his or her doctor can have an impact on the quality of the patient’s medical care. An argument can be made that non-compete agreements in physician employment contracts run the risk of affecting that doctor-patient relationship.

The American Medical Association (AMA) takes issue with physician non-competes if “they are excessive in geographic scope or duration in the circumstances presented, or if they fail to make reasonable accommodation of a patient’s choice of physician” because they “restrict competition, disrupt continuity of care, and deprive the public of medical services.” (American Medical Association: Opinion 9.02 – Restrictive Covenants and the Practice of Medicine). The AMA thus does not entirely reject physician non-competes, but instead identifies potential concerns. These AMA guidelines are merely “guidelines” and are not binding on physicians or medical practices.

Competing with this concern for patient care is the economic interests of medical practices. Medical practices are businesses that wish to be profitable. Such businesses have legitimate interests in ensuring that their employees (including physicians) do not compete unfairly.

States have taken differing views in balancing these interests. Massachusetts, Colorado, and Delaware have enacted statutes which strongly support patient preference and which void non-competes for doctors.  Alabama prohibits non-competes for “professionals” and has interpreted this term to encompass physicians. However, under many states’ laws, physician restrictive covenants are scrutinized under the same analysis as restrictive covenants for employees in other industries.

Georgia’s new restrictive covenant law, O.C.G.A. section 13-8-50 et seq., does not treat physician non-competes any differently than other non-competes. However, in the 2013-2014 legislative session, House Bill 322 was introduced in the Georgia General Assembly. This proposed legislation appears to be an attempt to address the competing interests involved in physician non-competes.

The proposed bill declared it against public policy to “impose unreasonable barriers to patients continuing to use a physician.” Further, it prohibited courts from enjoining a physician from treating a patient who wants to continue using that physician after he leaves his former employment. This bill does not prohibit covered entities from including non-competes in their employment contracts with medical professionals, but it prohibits courts from enforcing those non-competes in a way that prohibits patients from keeping their doctor if the doctor leaves a practice covered by the statute.  Similarly, the bill prohibits a court that is adjudicating an action involving alleged theft of confidential information or trade secrets from entering an order restricting a physician from treating a patient who chooses to remain in his or her care after the doctor leaves a practice covered by the statute.

The bill was limited to hospital authorities or hospitals owned by hospital authorities, but it does not define the terms. It thus appears that the bill was not directed at the entire medical community. (HB 322 LC 33 5009).

Some may view HB 322 as an admirable attempt to improve patient care in Georgia. Others may view HB 322 as potentially limiting a business’s ability to prevent unfair competition in a highly competitive market. Although HB 322 did not make it into committee or onto the floor of the General Assembly, the bill could be reintroduced in a future legislative session. Regardless of whether the bill is reintroduced, the propriety of physician non-competes is an issue that is likely to remain at the forefront of non-compete law for the foreseeable future.

* Joshua Joel is a law clerk at Berman Fink Van Horn P.C. and a third-year law student at Georgia State University College of Law.

Choosing The Right Medical Billing And Coding School

Medical Billing And Coding

Medical Billing Schools

You can find several jobs in the medical field and the one that is becoming increasingly popular nowadays is the medical billing and coding sector. However, before choosing this career, you should regard some points to mind so that you will become successful in this field.

Once you choose this medical accounting career, it is mandatory to learn and understand the kind of work you will have to deal with. Medical billing and coding is actually a profession that works with information about the patients’ health insurance and medical records. Medical accounting staffs assign different codes for the patient’s treatment, and if the patient is insured, they help with the payments from the insurance company.

Every clinic, hospital, and doctor’s office needs to have efficient medical billing and coding specialists, so that they can process the details fast and accurately. They should be versatile in examining and reading codes, hospital invoices, and other data related to the case. In addition, the medical billing staff will deal with insurance companies efficiently, thereby making sure that the claims and related payments are done in a timely manner.

However, the job description of a medical coder is entirely different from that of medical billers. First of all, they do not give any attention to the matters regarding insurance procedures, as since job is to make sure that medical codes are evaluated properly and that the data is appropriate.

Medical Biller

Schools In Medical Billing And Coding

If you want to become an efficient medical biller or a coder, then you will have to study well and undergo thorough training to learn how to track records of every patient. Moreover, to avoid any hassles in grasping the meaning of every billing process and medical codes, it is necessary to learn the medical technologies as well.

Good medical billing and coding schools provide trainings on all these things. Once you complete the training, you will get a certificate within 12 months of course completion. Yet before enrolling for any certification program, it is necessary to check for schools that have proper accreditation in the medical coding and billing sector. Completing your training in medical coding and billing will help you to get a legitimate certificate, which will further help in getting employment in reputed hospitals and medical centers.

So if you are good with numbers and codes, this medical accounting field is a good option to draft your career. Good luck!

CPC and ICD-10 Certified looking for position in Las Vegas area …


Graduate with Health Information Management Associate?s Degree; licensed by the American

Academy of Professional Coders as a Certified Professional Coder and ICD-10 certified. Offering

skills, experience, and/or knowledge in Business Management and Healthcare. Looking for

a position where I can enhance my skills and develop as an outstanding employee.


? Bellevue University  December 2014-Management, Human Resources

? Metropolitan Community College  May 2013

Health Information Management, Medical Coder


Medical Coder at Boys Town National Research Hospital

September 2013 ? June 2014

Analysis of Electronic Medical Record documentation in areas of Lab results,

Psychology, Radiology, Anesthesia, Clinical office visits and Ophthalmology in order

to assign ICD-9 diagnosis and procedure codes as well as appropriate CPT and HCPCS codes.

I have adequate knowledge of medical record content and am able to support medical

code assignment. I adhere to medical coding guidelines and am continuing my

education for ICD-10-CM. I can operate a multi-line phone system, email, internet

research and other office equipment and software such as Excel, Word, and Power Point as


Internship at Spence Counseling  February 2013 ? May 2013

? Conducted insurance verification, documented, and directed to appropriate

Counselor. I implemented projects to organize 12 doctors with medical coding

by creating documents that define codes and modifiers.

Daycare Owner/Operator at Karter?s Playhouse  July 2009 ? September 2013

? Manage all business aspects of sole proprietorship. My responsibilities included

bill and collect charges prior to service, accounting and payroll preparation, hire and

supervise employee. I had to order supplies, plan, organize daily processes and implement

activities. I researched and developed age-appropriate lesson plans and training. Safety

was a concern at all times.

Corporate Travel Agent-September 2006-July 2009

Corporate travel arrangemnts-Air, car, hotel, train, limo and jet accomidations for

several different established corporations. This was a large call center environment

which servied over 60 different comapnys. I was required to learn computer systems

and usage of professional office equipment.


? Medical Terminology, Anatomy/Physiology

? ICD-9 Coding / CPT and HCPCS Coding

? Written and Verbal Communications

? Medicare, Medicaid, HMO, PPO, TRICARE, Gap

? HIPAA Compliance

? NextGen, LabDaq

? Exceptional customer relations skills

? Ability to understand procedures and laws

? Organized and detail oriented

? Microsoft Office ? PowerPoint, Word, Excel

? Providing good judgment and strict confidentiality, strong work

ethic and positive attitude, patient focus, and strategic planning


? ICD-10 Certified April 2014

? Certified Professional Coder Certification, AAPC, May 2013

? Health Information Management Certificate, June 201

Microsoft Technology Associate (MTA) – MCTS … – CPC Study Guide

Microsoft Technology Associate (MTA) certification is an entry-level certification and it is recommended to those people who want to start their career in the field of IT. This certification validates that the candidates have a basic understanding of the IT fundamentals, and that they can pursue their career in IT infrastructure, Database Design or Software Development. This exam can be requested by schools and institutes for their students and it can also be taken by independent individuals: those who are not affiliated with any school/institute.

Microsoft Technology Associate Tracks: Candidates can choose one track from the three tracks available for this exam: IT infrastructure, Database Design and Software Development. Each of these tracks has certain papers and candidates can earn their MTA certification by taking any one of those papers.

MTA IT Infrastructure Track: The available options for this track are:

  • Windows Operating System Fundamentals
  • Windows Server Administration Fundamentals
  • Networking Fundamentals
  • Security Fundamentals

If the candidates want to pursue their careers in desktop or server infrastructure, they can take any one of these exams; they will successfully earn their MTA certification.

Database Design Track: Those candidates, who want to have a career in database designing, database management and business intelligence, are suggested to take this track. This track has only one option: Database Fundamentals. Candidates will have to clear Database Fundamentals exam if they want to get a certification.

MTA Developer Track: The candidates who want a career in software development are suggested to take this track. The available options for this track are:

  • Software Development Fundamentals
  • Windows Development Fundamentals
  • Web Development Fundamentals
  • .NET Fundamentals
  • Mobile Development Fundamentals
  • Gaming Development Fundamentals
  • HTML5 App Development Fundamentals

Software Testing Fundamentals
How do you register for MTA: If you are a student and you want to take MTA exam, ask your teacher if the school is affiliated with Certiport. If it is not, then your teacher will have to register with Certiport first and then you will be able to take the exam. However, if you are an independent candidate: you are not affiliated with any school, then you can take this exam by registering at Prometric website.

How to integrate Microsoft Technology Associate review kits into the curriculum: MTA review kit has 20 lessons and the lessons are designed and listed in a module format. School teachers can choose the lessons according to their study plan and incorporate them into their own curriculum.

Benefits of Passing Microsoft Technology Associate (MTA) Certification Exam:

One advantage of MTA exam is that this certification does not expire: meaning that, unlike other certifications, you do not have to retake this exam. If you get an MTA certification, you will have the title of ‘certified’ for all your life.

Although MTA is not a pre-requisite of any certification but it will help you a great deal if you plan on taking the exams of MCSA or MCSD. After taking this exam, candidates get the access to members-only benefits. For instance, they are given special offers and transcript tools. Signing up for MTA means that your school has to pay less costs yet it gets easy implementation across the campus.

MCTS Training, MCITP Trainnig

Best Microsoft MCTS Certification, Microsoft MCITP Training at


Tags: , , , ,

Both comments and pings are currently closed. | Medical … | CPC – CPC Exam Study

CPC Exam PrepClick Image To Visit SiteSo you have completed your medical coding training. You have big plans to make a career in the medical coding field. Smart move! Your next step is to take either the Certified Professional Coder (CPC) exam or the Certified Coding Specialist-Physician Based (CCS-P) exam.

You were pretty enthusiastic when you first started studying but as the exam draws nearer you are starting to feel “a sense of dread.” Maybe even overwhelm?

… you are basically freaking out with the thought of failing your next attempt at your CPC exam!

Guess what… I was there once before just like you. I remember a time when I was in overwhelm in a hotel room with the test looming just days in the future. I had to pass the test. My job depended on it. Believe me, I feel your pain!

Maybe this is your first time taking the CPC exam. Maybe you have failed before and this is your second or third time trying to get certified. Either way, you are desperate for any method that you could use to improve your chances of passing the exam. Well, I have good news…

My name is Laureen Jandroep (CPC) and I’ve been teaching and coaching medical coders to prepare to be certified coders for the American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) physician based board exams since 1999. I have taken and passed many of the board exams including: CPC, CPC-H, CCS-P, CCS, RCC and OTR.

I started my career in medical coding when I ran my own successful rehab practice in New Jersey that at its zenith served over 17 long term care facilities with 26 therapists, aides and support staff. My company was approved by Medicare and billed over $1.6… Read more…

Change in knee arthroscopy coding?!?!? – AAPC Medical Coding …

Who else saw the CPT Assistant for May 2014?. On page 10, under frequently asked questions, it states the following:
Surgery: Musculoskeletal System
Question: A patient had a medial compartment meniscectomy (29881) and a lateral compartment synovectomy (29875), and both procedures were performed in different compartments of the knee. Would it be appropriate to separately report these procedures?

Answer: No. Code 29875, which describes a limited synovectomy is for a separate procedure. This means that the work associated with this procedure is inclusive to more extensive procedures performed in the same anatomic site (the knee), and is not separately reportable if other arthroscopic knee procedure is performed on the same knee in the same session. This code should only be reported if it is the only procedure performed; separate compartment rules do not apply. Code 29875 is a separate procedure and is not reported with code 29881 when performed.

This directly contradicts the prior guidance from CPT Assistant/AMA given back in August 2001:

“Code 29875 is designated as a “separate procedure.” Codes with the “separate procedure” designation normally would not be additionally reported when the procedure or service is performed as an integral component of another procedure or service. However, when a procedure or service designated as a separate procedure is carried out independently or is considered unrelated or distinct from the other procedure(s) or service(s) provided at that time, then it would be appropriate to report the code in conjunction with the other procedure(s) or service(s). Modifier -59, Distinct Procedural Service, should be appended to the separate procedure code to indicate that the procedure was distinct from the overall procedure. For example, if the knee arthroscopy with limited synovectomy were performed in a different knee compartment than another knee procedure.”

I expect a lot of heated discussion to be raised about this. And since this is new position for CPT Assistant / AMA to take, I am waiting until all the dust settles before I look at changing how I code knee procedures.

What is everyone else doing?