Healthcare
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Fair Market Value Physician Compensation Fails
Determining fair market value (FMV) compensation in a healthcare setting generally requires the use of multiple, objective data points and an understanding of how to apply that information given the...
IPPS Final Rule FY 2020 — 3 Main Takeaways
There are two things I know will happen at the beginning of August: Football is about to begin and the newest updates on the next fiscal year payment system will...
Nonprofit Hospitals: At the Intersection of Compliance Efforts Lies Revenue Opportunity
Compliance is a fact of life for hospitals and health systems, and it’s only getting more complex. But what if I told you that by coordinating the time and effort...
Revenue Recognition Standard Is Here. It’s Time to Fix Your AR Model
Here’s a cautionary tale: It’s early 2020 and Joe the CFO is sitting down with his hospital’s board of directors and independent auditors. Next up on the agenda: Presentation of...
BPCI Advanced – To Apply, or Not to Apply?
With mandatory programs on the horizon, the voluntary Bundled Payments for Care Improvement Advanced (BPCI-A) program offers early access to data and valuable experience in redesigning patient care. But with...
Do Your Real Estate Activities Qualify for the New Pass-Through Deduction?
199A deduction regulations address what rental activities qualify for the deduction. The IRS issued Notice 2019-07, establishing a proposed safe harbor for real estate enterprises.
Tax Reform: Do Final 199A Regulations Help or Hurt Healthcare Entities?
We have been monitoring and reporting on tax reform for several months, including one of the most complicated areas of the new law – Section 199A, commonly known as the...
Tax Reform: Are Your Parking Expenses Deductible?
A recent notice from the Internal Revenue Service has provided additional guidance regarding changes that the Tax Cuts and Jobs Act (TCJA) made to the tax treatment of parking fringe...
Forks in the Road to BPCI-A Participation
“We want to pay for outcomes, not process ... We need results, American patients need change, and when we need mandatory models to deliver it, mandatory models are going to...
Here’s What to Expect in Year 3 of MIPS
As we move into the third performance year of the Quality Payment Program (QPP), CMS is starting to take the training wheels off the Merit-based Incentive Payment System (MIPS). The...
Physicians: There’s Still Time for 2018 Year-End Tax Planning
Almost exactly one year ago, Tax Cuts and Jobs Act (TCJA) brought about the most significant tax reform in 30 years. It was a good news, bad news situation. The...
Tax Reform Guidance for Pass-Throughs is Here
Section 199A—commonly referred to as the “20% pass-through deduction,” provides a deduction of up to 20% of income from a domestic business operating as a sole proprietorship or through a partnership, S corporation, trust or estate.
Physician Compensation
It's time to change the way you pay your physicians. Here's why. To succeed in the healthcare industry, you need to attract and retain the most talented physicians. The U.S. faces a shortage of up to 120,000 physicians by 2030*, which means that competition for talent will be fiercer than ever.
Managing FMV/CR Risk
Mitigating the risk of a qui tam relator should be a top priority for healthcare risk management systems.
What Can't Go On Forever...Won't.
The current healthcare system is headed for a crash. Are you adapting?
Value-Based Compensation
8 Considerations in Moving Employed Physicians from Volume to Value-Based Compensation
Payment Model Reform Infographic
Are You Prepared For Success In The Ever-Changing World Of Healthcare Reimbursements?
6 Considerations in Choosing a Healthcare Valuation Appraiser
Trusting HORNE for healthcare valuation counsel is the first step in successfully managing operations toward clinical excellence. Here are six considerations in choosing your organization's valuation appraisal.
Healthcare Revenue Recognition
The new revenue recognition standard is a fundamental change in how healthcare providers recognize patient revenue. It’s likely you will recognize revenue earlier or later than you would under the current revenue recognition standard, and that impacts your financial health.
Healthcare Hard Trends and Opportunities
No industry has seen such monumental changes as healthcare has in the past decade—changes in the regulatory environment, the populations we serve, as well as the technology used to deliver care and improve operational processes. In the course of our work advising healthcare organizations, we have observed the following trends and challenges.