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Corporate medicine in 21st century health care

States need to reevaluate the prohibition on the corporate practice of medicine and recognize that in order to truly move toward a health care system that encourages technological advancement, improved patient care, and cost-efficiencies, corporate medicine not only has a place in the system, but could ultimately benefit such a system.

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Physician-hospital gainsharing

A practice that violates the federal anti-kickback statute, the Stark physician self-referral law and the civil monetary penalties provision of the Social Security Act is gaining legitimacy as a catalyst for physician-hospital collaboration and clinical quality improvement.

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Use and abuse of modifiers

Modifiers are an essential part of coding and can not only cause delays and denials in reimbursement, but can also be considered abuse by some carriers. It is imperative that these modifiers are understood and correctly appended to the service and procedure codes.

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Physician demographics and turnover rates

Compensation and a desirable work schedule are typically discussed in great detail during recruitment. But a practice’s ability to clearly assess cultural fit and family needs is becoming even more important in determining if a physician will stay beyond those critical first three years with the practice.

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