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We take the business out of healthcare

Every month seems to bring additional complexities to healthcare; new layers of paperwork, new regulations to learn, new policies to develop and implement. You can easily spend as much time caring for your practice as you do for the people who seek your professional help. Is this how you wanted to spend your career?

You care for the patients. We take care of everything else.

Grand Management Group is a closely knit team of financial and practice management specialists who focus on the day-to-day, month-to-month, and year-to-year policy and procedural aspects of your practice so that you can focus on patient care. We support you with efficient, personal service; relevant, reliable information; and effective, innovative solutions that keep pace with your changing needs and the requirements of a dynamic profession. We can help you manage financial priorities, enhance your practice management methods, and take full advantage of new opportunities. We offer accounting, tax, retirement, consulting and practice management services that are healthcare specific and seamlessly integrated.

Count on Grand Management Group to manage your practice
so you can practice medicine.

News & Notices

New Tax Law Repealed

The new tax law repealed the fines under Obamacare’s individual mandate. But only for post- 2018 years. The mandate still applies for 2017 and 2018.

PREVENTING OVERPAYMENTS FROM BECOMING FALSE CLAIMS 
Posted: 05 Jun 2017 09:00 PM PDT
By:  Andrew Sparks
Overpayments to healthcare providers receiving Medicare reimbursements are at risk of civil and criminal enforcement action if not attuned to a particular reimbursement rule and diligent in compliance with the rule’s requirements. In short, the overpayment rule turns potential billing mistakes into fraud. A healthcare provider cannot keep money paid in error. The Government and relator bar are certain to address fully this theory of liability against every healthcare provider who ends up in litigation. If an overpayment is identified and the provider does nothing, then the provider will end up paying significantly more to the Government. It’s the proverbial pay (less for compliance) now or more (to the Government) later. Put differently, healthcare providers should address the smaller problem sooner rather than the bigger problem later.  Last year Centers for Medicare and Medicaid Services (CMS) released its Final Rule concerning overpayment procedures for Medicare Parts A and B. The Rule implements Section 6402(a) of the Affordable Care Act, which addresses the identification, reporting and repayment of overpayments. Healthcare providers reasonably should expect to see increased use of this provision in Government enforcement and whistleblower lawsuits now that the overpayment requirements have been disseminated fully throughout the healthcare community. 
Last year Centers for Medicare and Medicaid Services (CMS) released its Final Rule concerning overpayment procedures  for Medicare Parts A and B. The Rule implements Section 6402(a) of the Affordable Care Act, which addresses the identification, reporting and repayment of overpayments. Healthcare providers reasonably should expect to see increased use of this provision in Government enforcement and whistleblower lawsuits now that the overpayment requirements have been disseminated fully throughout the healthcare community.
Please read the entire article here.
 
Andrew L. Sparks is a Of Counsel in Dickinson Wright’s Lexington office. He can be reached at  859.899.873

 

Prescribing Update: Bona Fide Relationship Provision to be Delayed

The requirement to establish a "bona fide prescriber-patient relationship" prior to prescribing any controlled substances, which was part of the recently enacted opioid and prescribing legislative package, will be delayed pending the Governor's signature. As passed by the Legislature, House Bill 5678, sponsored by Rep. Bronna Kahle (R-Adrian), extends the effective date to March 31, 2019 or upon the promulgation of rules if prior to March 31, 2019. This requirement was originally slated to take effect at the end of this month.Delaying the effective date gives MSMS (Michigan State Medical Society) and other stakeholders the opportunity to work with the Michigan Department of Licensing and Regulatory Affairs through the rules promulgation process to address several concerns with the definition of "bona fide prescriber-patient relationship." The current definition severely restricts the ability to provide quality care to established patients in emergent situations, when another prescriber is providing care when the primary prescriber is unavailable, when another licensed member of the health care team has been delegated to provide care, and during transitions of care such as from a hospital to a nursing home or hospice.MSMS was instrumental in making sure this requirement did not take effect without appropriately addressing these unintended consequences. MSMS appreciates Rep. Kahle for agreeing to use her bill as the vehicle to accomplish this and Sen. Mike Shirkey (R-Clarklake), Chair of the Senate Health Policy Committee, for shepherding the final compromise through to its resolution.Please visit MSMS's BeAWARE - Reversing the Opioid Epidemic website for additional information about the new prescribing laws and related resources. You may also contact Stacey P. Hettiger with questions at 517-336-5766.

The IRS recently announced the 2018 contribution limits for Health Savings Plans. The maximum contribution for individuals is increasing from $3,400 to $3,450 for the coming year. Those with family coverage will be able to contribute $6,900 for 2018, which is up $150 from 2017's limit. For more information, please visit the following:

 

Review your Retirement Plan Beneficiaries

You can help avoid unintended consequences by updating beneficiary designations to account for life changes such as marriage, divorce, new babies or grandchildren, or the death of a spouse or other listed beneficiary. And while you’re doing this, make sure to also review the beneficiaries listed in your will and taxable accounts.

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