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Practice & Liability Consultants will perform a comprehensive Practice Assessment for you. This assessment will encompass all areas of practice. Your major areas of concern will be emphasized.
The areas typically covered in the Practice Assessment are:
A comprehensive written report summarizes the findings and recommendations of Practice & Liability Consultants. Our Practice Assessment Report is frequently 35-50 pages in length. Practical, cost-effective solutions along with forms are provided for problem areas that have been identified. Frequently, several options will be provided, with the benefits/costs of each option summarized. Practice & Liability Consultants strongly believe that follow-up is important for you to obtain the full value of any practice assessment. Included as a part of the Practice Assessment are two follow-up visits, at quarterly intervals, to assure that you are on target with your implementation goals. Clients not located in the Bay Area have the option of telephone follow-up or in person follow-up. Airfare is additional. Any problems with implementation that have arisen can be discussed at these meetings.
They don’t teach you the business skills to run a company in medical school.
Our services make business easy, helping providers open, expand, and improve successful practices that they are proud to own.
Most medical training programs do not feature sufficient business management curriculum, resulting in graduates who are ill equipped to establish a practice from scratch. Practice & Liability Consultants can assist in establishing the systems and staffing to assure a smooth functioning medical office for a physician who wishes to start a new practice.
A summary of tasks to be assumed would include, but not be limited to:
Our 20 page New Practice Decision Grid outlines all the detailed tasks it takes to establish your practice. This provides an organized countdown or time line of tasks which need to be accomplished before your practice opens. The New Practice Decision Grid is also available for purchase as a separate product.
Practice and Liability Consultants also offers fully custom website design and maintenance, professional logo, print and marketing material designed to help your practice present a professional image. Click here for more information.
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:
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.
Medical Practices USA, a joint venture between Debra Phairas and Gary Ware, provides practice brokerage services to the medical community throughout the United States. Medical Practices USA assists sellers of practices and buyers seeking practices. In addition to practice brokerage, Medical Practices USA provides a full range of appraisal and practice management consulting services.
If a sale or partial sale is contemplated, we will:
analyze the market value
along with you, determine an asking price
market the practice
screen responses
negotiate the transaction with the buyer
manage the development of all necessary documents (sales contract, covenant to not compete, promissory note, security agreement, etc.)
guide the parties through the transaction, including explaining due dilligence
coordinate all escrow and legal services for the parties
perhaps most importantly, we take the burden of the sales process off your shoulders so you can concentrate on your practice
For more information, please visit: http://www.medicalpracticesusa.com/
Expense Analysis Overhead Reduction
Budget Development
Management Reports
Fee Structure Productivity Analysis
Practice & Liability Consultants can analyze the practice financial information to determine if additional revenue is needed to support practice expenses, if expenses are within norms or can be reduced. We have access to practice benchmark comparison data for all specialties and use this as a guideline to determine how to increase gross revenues or decrease practice expenses that can result in increased net income for the physician.
Our services also include:
• Pro forma revenue and expense projections to:
• Establish a new practice
• Obtain bank loans
• Merge practices or form new groups
Budget Development:
• Working capital
• Capital expenditures
• EXCEL spreadsheet for future use by the office manager
• Preparation of Management Reports to Monitor Practice Financial Health:
• Accounts Receivable and Collection Ratios
• Profit Loss Reports
Productivity Analysis:
• Specialty specific
• Office hours worked
• Office visits per week/per year
• Hospital visits
• Surgical procedures per year
Practice & Liability Consultants is the perfect choice 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 closely with physicians, and provide excellent documentation for demonstrating community need to provide recruitment assistance. Knowledge of Stark laws regarding physician recruitment and hospital loans is our forte.
A. New Recruit Joining an Expense Sharing Practice or Joining a Group Practice:
B. New Recruit Establishing a New Solo Practice
All of the above plus:
Our services also include:
• Pro forma revenue and expense projections to:
• Establish a new practice
• Obtain bank loans
• Merge practices or form new groups
Budget Development:
• Working capital
• Capital expenditures
• EXCEL spreadsheet for future use by the office manager
• Preparation of Management Reports to Monitor Practice Financial Health:
• Accounts Receivable and Collection Ratios
• Profit Loss Reports
Productivity Analysis:
• Specialty specific
• Office hours worked
• Office visits per week/per year
• Hospital visits
• Surgical procedures per year
Personnel Policy Development
Morale Building
Hiring and Interviewing
Complete Personnel Manual
Successful personnel management is an art and science just like medicine. Knowledge of management science and theory as well as experience in “the art” of personnel management is what sets Practice & Liability Consultants apart from other consulting and recruiting firms. Personnel Policy Development utilizing our generic personnel policies and procedures manual developed by nationwide experts who are human resources consultants and attorneys, our firm can provide the peace of mind to the practice to protect physicians from typical employment liability. This product can be customized for the practice or purchased as a generic manual.
Analysis of Staffing Pattern: Practice & Liability Consultants can analyze the present staffing pattern in the practice and recommend changes for greater productivity and utilization of staff. Staff is the largest practice expense category and effective management of staff is essential in today’s medical practice.
Analysis and comparison to specialty norms:
• Full time equivalents to MD
• Staffing expense to collections ratios
• Job descriptions
• Wage levels
Recruiting: Our firm performs recruiting, interviewing and hiring services to free the physician from this time consuming task. Selecting the right staff for the right position is a skill honed over years of experience. Practice & Liability Consultants is particularly skilled at recruitment of practice administrators and office managers. Many physicians are not aware of federal anti-discrimination interviewing questions. Typical recruiting firms charge 25-30% of first year salary. We charge 10-15% depending on the position.
Services include:
• Writing and placement of advertisements
• Postcard notification of receipt of resumes
• Screening of resumes
• Preliminary interviewing
• Interviewing final candidates with physicians
• Reference checks and complete background checks
• Salary and benefits recommendations
• Employment contracts
• Notification to applicants of filled position
Morale and Team Building: Disgruntled and unhappy staff members can cause the practice to lose patients, lose excellent staff members, increase malpractice exposure and cause compliance problems. Rejuvenation of staff morale and effective team building can attract new patients, new referral sources, retain valuable staff and create a harmonious, pleasant work environment.
Services include:
• Interview staff members to determine problem areas
• Summary report to the physicians
• Team building, morale and motivation exercises
Need an interim medical practice manager? Debra Phairas has direct hands-on medical practice administration experience, recruiting of over 150+ office managers, practice administrators, Executive Directors, COO and CEOs, she can also help recruit for the practice during the interim management. Her practice management consulting including complete practice assessments in over 2,000 medical practices of every specialty enables her to quickly learn the practice and be able to step in to administer all aspects of the practice including; financial, operations, human resources and business development.
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-Screening 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:
• Communication, 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
Defining Goals
Terms and Agreements
Distribution Formulas
In consulting with over 1400 practices of all sizes and specialties, we are familiar with the elements that lead to successful group or partnership practices and the conflicts that can lead to disharmony and practice dissolution. Utilizing this knowledge, we can facilitate the decisions physicians must make on the necessary tasks prior to group formation.
Steps to take:
Qualified Expert Witness in California, Arizona and Washington. Expertise includes Medical Practice/Surgery Center valuations for divorce or shareholder/partner disputes, medical malpractice, medical office risk management, economic loss of income for physicians, hospital loan guarantees, WRVU compensation and practice management. Experience includes: Litigation Support, Depositions, Arbitration, Mediation and Trial Testimony.
Categories include Physician’s Business, Marketing and Patient Relations, Liability and Regulations, as well as Practice Management. Hundreds of seminars have been presented nationally and internationally by Debra Phairas at Harvard, California Medical Group Management Association, Kaiser Foundation, The California Society of Facial Plastic Surgery Conference, Northwestern, Stanford, Georgetown, Scripps, UC Los Angeles, UC San Diego, UC Davis, UC San Francisco, University of Texas, University of Colorado, and many more.
See the Seminars, Webinars, and Workshops page to learn more.
Titles Include:
Click here to view the Calendar of Upcoming Seminars, Webinars, and Workshops