Pinnacle Blog

  • Join Pinnacle Healthcare Consulting at CHSM’s Upcoming Event!

    Colorado’s New Health Benefit Exchange with Patty Fontneau

    The Patient Protection and Affordable Care Act (PPACA) authorized states to set up health benefit exchanges to enable individuals and small businesses to purchase health insurance coverage by 2014. Colorado is leading the way in setting up this new marketplace, providing purchasers with quality choices, comparative information about plans and tax credits, consumer protections, and more control. Regardless of the outcomes of pending court cases challenging PPACA’s individual mandate, Colorado has chosen to move ahead with what could become a new national model. Patty Fontneau, the Executive Director and CEO of the new Colorado Health Benefit Exchange (COHBE), will be our featured speaker. This promises to be a “must attend” event!
    When March 9th, 2012 7:00 AM9:00 AM
    Location
    Doubletree Denver Tech Center – Indigo Room
    7801 E. Orchard Road
    Greenwood Village, CO 80111-2508

    Map This Location

     
    Contact Phone: 303-265-9224
    Email: customer.service@chsm.org
    Program Speaker Patty Fontneau, MBA, is Executive Director and CEO, Colorado Health Benefit Exchange (COHBE)
    Program Details Registration, Breakfast and Networking 7:00 a.m. – 7:45 a.m.
    Presentation 7:45 a.m. – 9:00 a.m.
    Pre Registration Register by March 2, 2012 to save $10.
    About Our Speaker Patty FontneauPatty Fontneau, MBA, is Executive Director and CEO, Colorado Health Benefit Exchange (COHBE). Previously, Ms. Fontneau served as COO at Holme Roberts & Owen LLP. She also served as CAO for The IMA Financial Group Inc. and as VP and General Manager of the Western Service Center of TIAA-CREF, managing the operation of a 1,300-employee office in Denver. Patty serves on the boards of CollegeInvest, the Auraria Foundation, the Downtown Denver Partnership and other organizations. She won the 2007 Outstanding Women in Business Award (banking and finance category) from the Denver Business Journal, and the Leadership Award from the Alumni Association of the University of Colorado at Denver Business School. 

    Click Here to Register Now

    About Pinnacle Healthcare Consulting

    Pinnacle Healthcare Consulting provides a range of strategic, financial and operational services to improve clinical and business performance for hospitals, health systems, physician groups and other healthcare organizations.  Pinnacle Healthcare Consulting is a nationally recognized leader in business valuation, physician compensation, medical staff planning, performance improvement and compliance support.  Other divisions of Pinnacle provide physician practice management, medical bill/coding, and technology/integration support services.  Pinnacle’s array of specialized and highly responsive client services promote advanced innovation while our dynamic team solidifies strong client relationships and assists in solving your most complex challenges. 

    Contact Pinnacle Healthcare Consulting Today – 303.801.0123 or kberkey@pinnaclegrouphc.com

    Visit: www.PinnacleGroupHC.com & www.PhysicianFMV.com

     

     
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  • Save the Date! Envisioning the Future of Healthcare – April 12th, 2012

     Envisioning the Future of Healthcare

    Where are we going and how do we get there?

    With an aging and increasingly sick patient population triggering skyrocketing healthcare costs and changes to delivery and reimbursement systems, the future of the healthcare industry is as complicated as ever.
      
    Please join Husch Blackwell, Pinnacle Healthcare Consulting and guest speaker Ford Koles, Executive Director of The Advisory Board Company, for a half-day seminar discussing strategies for mapping out a plan for your healthcare organization’s future. 

    Date & Time  
    Thursday, April 12, 2012
    7:30 a.m. – Registration and continental breakfast
    8 a.m. – Noon Program

      ADD TO CALENDAR |

    Registration
    The program is complimentary; however, registration is required. Please reply to Shana Hoy at 816.983.8809 by April 5, 2012.

    Location 
    Warwick Denver Hotel, 1776 Grant Street, Denver, CO 80203
     
    DIRECTIONS |  

     

    About Husch Blackwell LLP

    Husch Blackwell LLP is a full-service litigation and business law firm with 600 attorneys in locations across the United States and in London, serving clients with domestic and international operations.

    http://www.huschblackwell.com/firm-overview/

     

    About Pinnacle Healthcare Consulting

    Pinnacle Healthcare Consulting provides a range of strategic, financial and operational services to improve clinical and business performance for hospitals, health systems, physician groups and other healthcare organizations.  Pinnacle Healthcare Consulting is a nationally recognized leader in business valuation, physician compensation, medical staff planning, performance improvement and compliance support.  Other divisions of Pinnacle provide physician practice management, medical bill/coding, and technology/integration support services.  Pinnacle’s array of specialized and highly responsive client services promote advanced innovation while our dynamic team solidifies strong client relationships and assists in solving your most complex challenges. 

    Contact Pinnacle Healthcare Consulting Today – 303.801.0123 or kberkey@pinnaclegrouphc.com

    Visit: www.PinnacleGroupHC.com & www.PhysicianFMV.com

    Continue reading →

  • Join Pinnacle Healthcare Consulting at the Upcoming Colorado HFMA – Compliance Conference 2012

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Join Pinnacle Helathcare Consulting at the Upcoming HFMA – Compliance Conference

    Denver Marriott South at Park Meadows

    Feb 23, 2012 – feb 24, 2012 – Denver, CO

    Click here to register!

     

    February 23rd Agenda:

    Keynote Presentation: The Hunting of the Snark: Focus on Vision
    Speaker: Ralph Lawson, FHFMA, CPA, Executive Vice President and Chief Financial Officer, Baptist Health South Florida, Coral Gables, FL

    The United States consumes more healthcare than any other country in the world while individuals, governments and employers struggle to pay the bill. The U.S. recession has exacerbated the problem for providers and payers alike. With an industry wide focus on increasing quality and decreasing costs, providers must implement innovative value based strategies to survive and thrive in the “new normal” for U.S. healthcare. As the one year anniversary of the passage of historic healthcare reform legislation has come and gone, many believe that the healthcare financing system remains unsustainable as the “Snark” continues to elude capture or even definition.

    In addition to providing an understanding of the current state of U.S. healthcare economics and insights into the inevitable changes that will be required over the coming years for providers to survive and prosper under reform, this presentation focuses on current and historical attempts in the healthcare industry to identify, increase, and communicate value to patients, providers, employers. As healthcare providers shift from volume based to value based strategies, key healthcare megatrends will also be identified. The presenter’s views on the “winners and losers” under the “new normal” will also be discussed, providing insights about what the future U.S. healthcare system may eventually look like.

    So You Have An EHR… But Are You Operationally Ready for Meaningful Use?
    Speakers: Thomas Felch, Manager, ECG Management Consultants, Arlington, VA and David Watson, MD, CMO, Physician Group, Centura Health, Englewood, CO

    Now that you have an EHR, do you know who is responsible for what is documented in your patient’s chart? Can your nurse enter that medication? What about the surgery consent forms? How does information entered in the EHR affect your liability and ability to meet Meaningful Use requirements?

    1. Who must assume ultimate responsibility for the  patient’s medical record in a multi-practice, integrated electronic health record?

    2. How will P&P be set up to ensure people are collecting and inputting the clinical information needed to meet Meaningful Use criteria?

    3. How are the CMO and others in a leadership position monitoring the timely completion of provider documentation while ensuring that the appropriate items are captured discretely in the electronic chart?

    Collaboration Between Physicians and Hospitals
    Speakers: Amy Kolczak, Associate General Counsel, Poudre Valley Health System, Fort Collins, CO and Wallis Stromberg, Of Counsel, Davis, Graham & Stubbs, LLP, Denver CO 

    This interactive presentation will focus on compliance considerations for both physicians and hospitals/health systems related to several types of collaborative ventures and new federal rules prompted by accountable care organizations and other reform developments. Practical advice on avoiding pitfalls and achieving a level of integration that will lead to a successful physician-hospital relationship will be covered.

    Presentation Take-a-ways:

    1. Compliance considerations in forming physician-hospital relationships

    2. Keys to successful collaboration between physicians and hospitals

    3. How federal rules help or hinder collaborative efforts

     Continuous Government Audit Preparedness: Risk Based Compliance, Auditing and Outcomes –
    Speakers: Christine Newgren, FHFMA, Chief Compliance Officer/Director Internal Audit, University of Colorado Hospital, Aurora, CO and Catherine Hicks. Compliance Manager, University of Colorado Hospital, Aurora, CO 

    Just when you think you’ve done all the government  audit preparation you can, they change the game and add more issues.  This session will provide information on how to stay ahead of the game by developing a proactive, well-managed auditing program and response plan for government audits and auditors. A useful tool for identifying high risk areas and ideas for  audit-related communication, training/education and governance will be provided. Elements of the Federal Sentencing Guidelines for Compliance Programs will also be discussed. 

    Program Take-a-ways:

    • Tools for identifying high risk audit areas

    • Comprehensive audit process

    • Ideas for communications, training/education and governance

    Sales and Use Tax Audits and Compliance Related Issues and Property Tax Applications and Appeals
    Speakers: Ellen Stewart, FHFMA, JD, Partner, Berenbaum & Weinshienk, PC, Denver, CO and Christine Forkner, CFO, National Jewish Medical and Research Center, Denver, CO 

    This session will cover the following:

    • Recent sales and use tax audits conducted by the Colorado Department of Revenue and issues related to appeals.  

    • Compliance aspect of sales and use tax as well as HIPAA concerns related to such audits.  

    • Property tax exemptions, compliance with state law and opportunities for appeals for missed

    deadlines along with an overview of the tax exempt property laws in Colorado.

    Presentation Take-a-ways:

    1. Understanding the scope of sales and use tax compliance

    2. Understanding the scope of property tax exemption and appeal rights

    3. Examples of an actual sales and use tax audit and appeal issues.

    Identify Theft Panel
    Panelists: Nima Williams, VP Corporate Responsibility, Centura Health, Denver, CO , Lynel Vallier, CCO Privacy Officer, Boulder Community Hospital, Boulder, CO and Gregg Fanselau, Compliance Officer and Manager, Managed Care, Platte Valley Medical Center, Brighton, CO

    What would you do if an identity theft was perpetrated against some of your organization’s patients? Hear three compliance officers discuss how they addressed this nightmare.

    Presentation Take-a-ways:

    1. What other professionals have learned from experiencing a patient identity theft episode

    2. Ways to reduce the risk of identity theft occurring

    3. Ways to mitigate the damage of the identity theft episode

    4. How identity theft cases work their way through the legal and regulatory system.

     

     

    February 24th Agenda:

     
    What’s New with RAC, MAC and Medicaid Audits: Always Fun
    Speaker: Day Egusquiza, President, AR Systems, Twin Falls, ID

     This operational focused session will provide national updates on government audits with audit findings and better practice ideas to reduce vulnerabilities.  

    Presentation Take-a-ways:

    1. Actual audit results and action oriented ideas to improve the process

    2. Teaching ideas to attack the vulnerability

    3. Practical concepts as they relate to audit focus areas 

    ePHI in a Mobile World
    Speaker: Stig Ravdal, Principal, Information Security Consultant, Allegheny Digital, Denver, CO

    Does your organization permit tablet computers and Smartphone’s for business? Have you been considering how to harness the power of mobile apps? This talk looks at the issues and risks that follow when introducing mobile computing devices and apps in a complex, regulated healthcare organization. By examining the threats, weaknesses and issues with the use of mobile devices, you will learn how you can better prepare for and protect your organization and avoid the potentially severe consequences that can affect ePHI privacy and HIPAA compliance

    Presentation Take-a-ways:

    • Threats and vulnerabilities of mobile devices and apps.

    •  ePHI and compliance risk implications.

    •  Criteria for reducing the risk to ePHI when considering the use of mobile devices

    Privacy and Security Scenarios: An Interactive Discussion
    Speaker: Rich Cohan, MBA, FACHE, CHC, CCEP, System Director, Integrity, Compliance and Privacy.

    Enterprise Risk Management Services, Providence Health & Services, Renton, WA

    This will be an interactive session using several complex privacy case studies to determine what approach an organization might use in analyzing the facts when  all of the facts might not be known or might be a bit unclear.  How to respond to an incident will also be explored.

    Presentation Take-a-ways:

    • It looks like a breach…smells like a breach and we will understand what to do when we have an unconfirmable breach

    • Responding to a breach in a way that promotes calm and increases support for a privacy program.

    • Know how to analyze your duty to notify when in the obscure areas of HIPAA

     

    About The Colorado Chapter of the Healthcare Financial Management Association

    HFMA Colorado is a chapter of the Healthcare Financial Management Association (HFMA), which is the premiere professional membership organization for individuals engaged in the financial management of healthcare organizations. HFMA serves and represents members by:

    • Providing professional development through education, information, certification, peer interaction, and leadership training.
    • Influencing healthcare financial management and accounting policy decisions, principles, and practices through advocacy and dissemination of information.
    • Establishing and promoting the highest standards of professional and ethical conduct.

    To find out more about the Colorado HFMA Chapter, visit  Chapter Information area.

     

    About Pinnacle Healthcare Consulting

    Pinnacle Healthcare Consulting provides a range of strategic, financial and operational services to improve clinical and business performance for hospitals, health systems, physician groups and other healthcare organizations.  Pinnacle Healthcare Consulting is a nationally recognized leader in business valuation, physician compensation, medical staff planning, performance improvement and compliance support.  Other divisions of Pinnacle provide physician practice management, medical bill/coding, and technology/integration support services.  Pinnacle’s array of specialized and highly responsive client services promote advanced innovation while our dynamic team solidifies strong client relationships and assists in solving your most complex challenges. 

    Contact Pinnacle Healthcare Consulting Today – 303.801.0123 or kberkey@pinnaclegrouphc.com

    Visit: www.PinnacleGroupHC.com & www.PhysicianFMV.com

    Continue reading →

  • Join Pinnacle Healthcare Consulting at the Upcoming American Health Lawyers Association (AHLA) Physicians and Physician Organizations Law Institute and Hospitals and Health Systems Law Institute

    Join Pinnacle Healthcare Consulting at the upcoming American Health Lawyers Association (AHLA) Physicians and Physician Organizations Law Institute and Hospitals and Health Systems Law Institute: February 8-10, 2012 at the Lowes Portofino Bay Hotel in Orlando, FL!

     

     

     

    Physicians and Physician Organizations Law Institute

    February 8-9, 2012
    Loews Portofino Bay Hotel
    Orlando, FL
    HORNE LLP has provided sponsorship in support of this program.
     

    Program Description

    Sessions at the Physicians Law Institute will provide a focused analysis of the legal challenges faced by physicians and their counsel. Some of the topics on this year’s program include:

    • Physician-Hospital Syndication Unwind Exploratory – A Primer on the Gross Anatomy of a Complicated Surgery
    • Current Antitrust Issues Relating to Physician Mergers, Acquisitions and Combinations
    • Special Real Estate Issues for Practice Management Real Estate Tenant and Landlord
    • The Latest and Greatest about ACOs and Other Physician Integration Models
    • Hospital Physician Affiliations – The Good, The Bad and The Ugly
    • The Perils and Pitfalls of Careful Drafting: How Stark has Changed the Risk Calculus
    • HIPAA Breach Notification – Case Studies on What to Do and When to Report

    The program will also include the Top Legal Developments for Hospitals and Physicians with Jack Schroder and Cindy Wisner.

    Attendees can register for just one of the programs or add-on the Hospitals and Health Systems Law Institute and attend three days of programming (February 8-10). The Physicians and Hospitals Law Institutes provide in-house and outside counsel with the latest information needed to advise clients in these two segments of the healthcare industry. The programs are scheduled so that you can attend either the Physicians program or the Hospitals program if your practice focuses on a particular provider or you can register for both for a more comprehensive curriculum that will prepare you to address legal issues facing both segments and gain a better understanding of their distinct legal challenges.

    Hospitals and Health Systems Law Institute

    February 9-10, 2012
    Loews Portofino Bay Hotel
    Orlando, FL
    HORNE LLP has provided sponsorship in support of this program.
     

    Program Description

    Sessions at the Hospitals Law Institute will provide a focused analysis of the legal challenges faced by hospitals and health systems and their counsel. The program will kick-off with a plenary session on the Top Legal Developments for Hospitals and Physicians with Jack Schroder and Cindy Wisner. Some of the topics on this year’s program include:

    • On-Call Compensation: Market Trends, FMV and Commercial Reasonableness and Governance Oversight
    • Hospital Physician Affiliations – The Good, The Bad and The Ugly
    • The Perils and Pitfalls of Careful Drafting: How Stark has Changed the Risk Calculus
    • HIPAA Breach Notification – Case Studies on What to Do and When to Report

    Practice Group Luncheons

    The following Practice Groups will be holding a luncheon presentation at the Physicians and Hospitals programs:

     

    Program Materials

    All materials will be available on a website prior to the program and handed out on CD at the program. For those who still do want the binder they will be available for an additional fee; please order on the registration form.

    CLE Information

    This program will be worth approximately 13.0 credits (including 1.0 ethics credit) for 60-minute states and approximately 15.6 credits (including 1.2 ethics credit) for 50-minute states. Participants will be given CLE Request forms at the program. Forms must be completed and returned to AHLA staff to receive credit. The sessions, unless otherwise designated, are intermediate to advanced in level. There are no prerequisites required to register for this program.

    This seminar will be worth approximately 15.0 CPE credits. AHLA is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be addressed to the National Registry of CPE Sponsors, 150 Fourth Avenue North, Suite 700, Nashville, TN 37219-2417. NASBA’s web site is located at http://www.nasba.org.

    This program is designed to be an update on developments in the area of physicians and physician organizations. There are no prerequisites or advanced preparations required to register for this group live program. Those seeking accounting credits should be familiar with the basic concepts of law and terminology associated with this area in order to obtain the full educational benefit of this program.

    Hotel Information

    Loews Portofino Bay Hotel at Universal Orlando Hotel
    5601 Universal Blvd.
    Orlando, FL 32819
    Reservations: (888) 430-4999
    Online Reservations

    Room Rates: $210 single or double occupancy
    Hotel Cut-off Date: Friday, January 20, 2012
    Hotel accommodations are not included in the registration fee. When making reservations, please indicate that you are with the American Health Lawyers Association; the room block may sell out prior to hotel cut-off date.

    Travel Information

    Official Travel Provider – ATC (Association Travel Concepts)

    Discounts and Services:

    • 5% off applicable classes of service for tickets purchased more than 30 days prior to the meeting. Restrictions apply and not all classes of service apply for the 5% discount. (United Airlines, American Airlines).
    • Personalized services.
    • Low fare options.
    • Discounted meeting rates (Enterprise, Hertz)
    • Advanced seat assignment and special meal requests. Frequent flier program updates

    Some restrictions may apply. Discounts apply between February 5-13. *Service fees apply to ticketed reservations. You may also call your own agency or the vendors directly and refer to the ID numbers.

    Cancellation/Substitutions
    Cancellations must be received in writing by February 1, 2012. Refunds will not be issued for cancellations received after the cut-off date. Registration fee, minus the $125 administrative fee, will be refunded approximately 3-4 weeks following the program. If you wish to send a substitute, need more information regarding refund, complaint and program cancellation policies please call (202) 833-1100 prompt #5. Note that the registration fee is based on the AHLA membership status of the individual who actually attends the program.

    About Pinnacle Healthcare Consulting

    Pinnacle Healthcare Consulting provides a range of strategic, financial and operational services to improve clinical and business performance for hospitals, health systems, physician groups and other healthcare organizations.  Pinnacle Healthcare Consulting is a nationally recognized leader in business valuation, physician compensation, medical staff planning, performance improvement and compliance support.  Other divisions of Pinnacle provide physician practice management, medical bill/coding, and technology/integration support services.  Pinnacle’s array of specialized and highly responsive client services promote advanced innovation while our dynamic team solidifies strong client relationships and assists in solving your most complex challenges. 

    Contact Pinnacle Healthcare Consulting Today – 303.801.0123 or kberkey@pinnaclegrouphc.com

    Visit: www.PinnacleGroupHC.com & www.PhysicianFMV.com

     

     

    About The Physician FMV Program

    Determining appropriate and compliant physician fair market value (FMV) is complicated.  Diverse factors like the Stark Law and inconsistent internal payment policies make it difficult to confidently approach physician compensation negotiations.  Until now.

    –          Access Physician Fair Market Value (FMV) Data anywhere there’s an Internet connection
    –          Generate tailored Physician Fair Market Value (FMV) Reports for individual physician relationships
    –          Track all physician arrangements and payment terms
    –          Research hospital-physician relationships around the country
    –          Manage access to the Physician Fair Market Value (FMV) data for others within your organization
     

    The Physician Fair Market Value (FMV) Program dramatically reduces the complexity of determining fair market value for physician compensation.  It builds internal capacity and gives hospitals more control over the process by providing proprietary tools and powerful information to help make defensible decisions about physician relationships.

    Over 200 hospitals and healthcare organizations have found that the Physician Fair Market Value (FMV) Program empowers users to make smart and supportable decisions with regard to physician compensation and fair market value mattes.  The Physician Fair Market Value (FMV)Program’s key benefits include:

    –          Elevated compliance through broader application of Physician Fair Market Value (FMV) payment terms and greater consistency across physician contracts
    –          Significant time savings – where resources can be redirected to other matters (strategy, operations, etc.)
    –          Immediate return on investment after just two to three uses (i.e., avoiding fees for focused consulting reports)
    –          Enhanced organizational capacity to address physician compensation, contracting and compliance
     

    Hospitals using the Physician Fair Market Value (FMV) Program immediately possess greater knowledge on which to base physician contracting decisions, the reliability of a proven physician fair market value analytical methodology and improved capacity to manage / document compensation and other contractual terms.  Furthermore, Physician Fair Market Value (FMV) Program support includes: training, ongoing coaching, technical support and focused consulting (if necessary). 

    Visit: www.physicianfmv.com or contact us today for more information: 303.801.0123
    Continue reading →

  • A Note From Pinnacle Healthcare Consulting’s Business Valuation Team

    A Note From Pinnacle Healthcare Consulting’s Business Valuation Team

     As we begin a new year, the Business Valuation experts at Pinnacle Healthcare Consulting would like to take this opportunity to thank our friends, colleagues and business partners for a fun and successful 2011!

     Featured below are some examples of Pinnacle’s most unique, complex, and creative business valuation solutions of 2011.  These case studies represent how we continue to assist clients meet their most challenging needs and reduce compliance risk.

     

     We look forward to the opportunity to work with your organization in 2012!

    Sincerely,

    The Business Valuation Team of Pinnacle Healthcare Consulting

    Please visit: www.PinnacleGroupHC.com or contact Pinnacle Healthcare Consulting for any of your business valuation needs: kberkey@pinnaclegrouphc.com or  (303) 801-0123.

    About Pinnacle Healthcare Consulting

    Pinnacle Healthcare Consulting provides a range of strategic, financial and operational services to improve clinical and business performance for hospitals, health systems, physician groups and other healthcare organizations.  Pinnacle Healthcare Consulting is a nationally recognized leader in business valuation, physician compensation, medical staff planning, performance improvement and compliance support.  Other divisions of Pinnacle provide physician practice management, medical bill/coding, and technology/integration support services.  Pinnacle’s array of specialized and highly responsive client services promote advanced innovation while our dynamic team solidifies strong client relationships and assists in solving your most complex challenges.

    Valuation & Financial Services

    Fair market value (FMV) opinions
    Pinnacle Healthcare Consulting performs FMV reviews of over 300 physician service arrangements per year for clients that range from large, multi-state health systems to independent physician practices. Our extensive database of hospital-physician relationships can be quickly tapped to evaluate a range of client transaction needs, speeding up the physician contracting process and eliminating unnecessary compliance costs.

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    Business and strategic valuation services
    Pinnacle Healthcare Consulting specializes in healthcare business valuations for buy-sell and joint venture (JV) transactions. We provide valuation services that support transactional healthcare fair market value (FMV) requirements with a process that includes:

    • Detailed situational assessments
    • In-depth fact-finding and interviews
    • Market analysis
    • Extensive financial modeling
    • Rigorous valuation methodologies

    Our knowledge of the broader healthcare industry adds valuable insight to the risks and benefits of either a sale or acquisition. We ensure that you enter a transaction fully informed.

    Fair value for financial reporting (FAS compliance)
    Pinnacle provides a potent combination of in-depth healthcare industry knowledge with a strong understanding of the nuances and best practices surrounding fair value in a GAAP reporting environment, including purchase price allocations, intangible asset and goodwill impairment testing, not-for-profit entities, and other assets, liabilities and equity securities.

    Physician compensation/Stark compliance
    Stark Law and Anti-kickback compliance are some of the most challenging issues in physician compensation today. Pinnacle Healthcare Consulting can conduct a full audit of your billing and compensation process to determine the effectiveness of your Medicare and IRS compliance efforts. We are adept at working with counsel and financial managers to identify problem areas and create compliant billing, compensation and compliance solutions. Our consultants have also supported a number of Stark self-disclosure audits to assist hospital management and counsel in conducting internal investigations and preparing reports to government authorities.

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    Physician compensation/productivity analysis
    Refine and reinforce your approach to physician compensation with pay and productivity analysis from Pinnacle Healthcare Consulting. Be confident that your compensation methods and contracts produce results, achieve your goals, and are backed by impartial market intelligence.

    Health plan contract analysis/negotiation
    Make sure your payer contracts support your business and financial goals. Pinnacle Healthcare Consulting will profile your clinical activities and ensure proper coding to establish equitable contract terms and management systems. It’s a crucial part of bottom line success.

    Physician practice assessment
    Master the key operational, financial and strategic systems needed for physician practice success. Pinnacle Healthcare Consulting works for hospital and physician practice managers. We evaluate processes and performance against industry best practices and recommend business-building improvements.

    Billing/coding audits
    Effective billing/coding practices mean more than optimized revenue. They can mean the difference between compliance and fraud. Pinnacle owns and operates a medical billing company with certified coders on staff that can be tapped to evaluate your revenue cycle management program. Our deep experience and expertise can help you enhance both revenue and compliance.

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    Strategic & Operational Services

    Hospital/Physician strategy development
    The rapidly changing healthcare environment is again pushing hospitals and physicians to streamline care delivery methods. Pinnacle helps devise strategies and operational solutions to create high performing, integrated organizations. Importantly, we have the ability to partner with health systems to create and manage the necessary infrastructure to successfully operate integrated practices.

    Market research and strategic analysis
    A successful healthcare business needs clear, detailed strategies and a deep knowledge of your specific business environment. We help hospitals and physician practices develop innovative and sound solutions that improve performance and business development.

    Financial analysis and planning
    Pinnacle Healthcare Consulting brings a balanced perspective to business valuation, needs assessments, and feasibility in all financial transactions involving physician practices or ancillary clinics. We have extensive experience in dialysis clinics but can offer our real-world expertise to anyone looking to add physicians, acquire practices, create unique professional service arrangements and more.

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    Group formation and mergers
    Launching a group is a complex process but one we’ve completed many times. Our proven project management plan helps create or integrate individual practices, form a smaller group from a larger one, or add physicians to hospital integration initiatives. Plus, once we’ve helped create your group, we can provide on-going practice management services to get your doors open as quickly as possible.

    Healthcare association strategy and analysis
    Pinnacle Healthcare Consulting partners currently sit on the board or advisory panels of several healthcare associations and have worked internally at some leading organizations. If your association needs experienced guidance on membership, management, or strategic issues, we can help with project engagements, executive retreats, industry research and more.

    New physician/new manager education
    We can help physicians and staff better understand the business of healthcare. In fact, we regularly teach residents at hospitals, demonstrating effective management techniques for running successful practices. If you have new hires, position them to succeed with our training programs.

    Continue reading →

  • Pinnacle’s Pick: Husch Blackwell Legal Alert: Missouri Medicaid Proposes Its Provider-Preventable Conditions Policy

    Pinnacle’s Pick: Husch Blackwell Legal Alert: Missouri Medicaid Proposes Its Provider-Preventable Conditions Policy – January 12, 2012, Contributing Authors: Robert L. Hess II

    Missouri’s Medicaid agency is proposing to expand the current payment prohibition to include healthcare acquired conditions as defined by Medicare and to require hospitals and ambulatory surgical centers to bill for provider-preventable conditions as the method for reporting such incidents to the state. Providers have 30 days from January 3, 2012, to file comments on the proposed rule.

     Read full article

     

    About Husch Blackwell LLP

    Husch Blackwell LLP is a full-service litigation and business law firm with 600 attorneys in locations across the United States and in London, serving clients with domestic and international operations.

    Read more about Husch Blackwell LLP

     

    About Pinnacle Healthcare Consulting

    Pinnacle Healthcare Consulting provides a range of strategic, financial and operational services to improve clinical and business performance for hospitals, health systems, physician groups and other healthcare organizations.  Pinnacle Healthcare Consulting is a nationally recognized leader in business valuation, physician compensation, medical staff planning, performance improvement and compliance support.  Other divisions of Pinnacle provide physician practice management, medical bill/coding, and technology/integration support services.  Pinnacle’s array of specialized and highly responsive client services promote advanced innovation while our dynamic team solidifies strong client relationships and assists in solving your most complex challenges. 

    Contact Pinnacle Healthcare Consulting Today – 303.801.0123 or kberkey@pinnaclegrouphc.com

    Visit: www.PinnacleGroupHC.com & www.PhysicianFMV.com

     

    Continue reading →

  • Pinnacle’s Pick: Becker’s Hospital Review – 13 Recent Hospital Mergers & Acquisitions

    * Content directly quoted from Becker’s Hospital Review – Business & Legal Issues for Health System Leadership To view the direct link, please visit Becker’s Hospital Review. Written by Molly Gamble | January 03, 2012 and directly quoted from Becker’s Hospital Review.

    The following hospital mergers and acquisitions took place within the past two weeks, beginning with the most recent.

    1. Kentucky Gov. Steve Beshear Rejects 3-System Merger
    Kentucky Gov. Steve Beshear has rejected a proposed three-system merger between public University Hospital in Louisville with Jewish Hospital & St. Mary’s HealthCare in Louisville and St. Joseph Health System in Lexington, which would have combined a public safety-net hospital with a Catholic healthcare company to create a statewide system. 

    To view the direct link and the rest of the article, please visit Becker’s Hospital Review.

    About Pinnacle Healthcare Consulting

    Pinnacle Healthcare Consulting provides a range of strategic, financial and operational services to improve clinical and business performance for hospitals, health systems, physician groups and other healthcare organizations.  Pinnacle Healthcare Consulting is a nationally recognized leader in business valuation, physician compensation, medical staff planning, performance improvement and compliance support.  Other divisions of Pinnacle provide physician practice management, medical bill/coding, and technology/integration support services.  Pinnacle’s array of specialized and highly responsive client services promote advanced innovation while our dynamic team solidifies strong client relationships and assists in solving your most complex challenges. 

    Contact Pinnacle Healthcare Consulting Today – 303.801.0123 or kberkey@pinnaclegrouphc.com

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  • Holiday Greetings & Best Wishes in 2012 – Pinnacle Healthcare Consulting

     

     

    Season’s Greetings From

    Pinnacle Healthcare Consulting!

     

    From all of us at Pinnacle Healthcare Consulting, At this holiday season, our thoughts turn gratefully to those who have made our progress possible. In lieu of gifts, a donation will be made to United Way and Urban Peak. Thank you for your continued support and best wishes in 2012!

     

     

    About Pinnacle Healthcare Consulting

    Pinnacle Healthcare Consulting provides a range of strategic, financial and operational services to improve clinical and business performance for hospitals, health systems, physician groups and other healthcare organizations. Pinnacle Healthcare Consulting is a nationally recognized leader in business valuation, physician compensation, medical staff planning, performance improvement and compliance support. Other divisions of Pinnacle provide physician practice management, medical bill/coding, and technology/integration support services. Pinnacle’s array of specialized and highly responsive client services promote advanced innovation while our dynamic team solidifies strong client relationships and assists in solving your most complex challenges.

    Contact Pinnacle Healthcare Consulting Today – 303.801.0123 or kberkey@pinnaclegrouphc.com

    Continue reading →

  • Pinnacle Healthcare Consulting Congratulates Jana Sizemore – Accredited Member with the American Society of Appraisers

     Congratulations to Jana Sizemore who recently earned her Accredited Member designation with the American Society of Appraisers in the business valuation discipline!  Advancement to Accredited Member is granted after completion of education requirements and approval of full-time appraisal experience, educational background and an appraisal report reviewed by the ASA’s Board of Examiners. 

     Pinnacle Healthcare Consulting’s Business and Strategic Valuation Services

    Pinnacle Healthcare Consulting specializes in healthcare business valuations for buy-sell and joint venture (JV) transactions. We provide valuation services that support transactional healthcare fair market value (FMV) requirements with a process that includes:

     • Detailed situational assessments

    • In-depth fact-finding and interviews

    • Market analysis

    • Extensive financial modeling

    • Rigorous valuation methodologies

     Our knowledge of the broader healthcare industry adds valuable insight to the risks and benefits of either a sale or acquisition. We ensure that you enter a transaction fully informed.

    About Pinnacle Healthcare Consulting

    Pinnacle Healthcare Consulting provides a range of strategic, financial and operational services to improve clinical and business performance for hospitals, health systems, physician groups and other healthcare organizations.  Pinnacle Healthcare Consulting is a nationally recognized leader in business valuation, physician compensation, medical staff planning, performance improvement and compliance support.  Other divisions of Pinnacle provide physician practice management, medical bill/coding, and technology/integration support services.  Pinnacle’s array of specialized and highly responsive client services promote advanced innovation while our dynamic team solidifies strong client relationships and assists in solving your most complex challenges. 

    Contact Pinnacle Healthcare Consulting Today – 303.801.0123 or kberkey@pinnaclegrouphc.com

    Visit: www.PinnacleGroupHC.com and www.PhysicianFMV.com

     

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  • Join Pinnacle Healthcare Consulting at CHSM’s – Integrated Delivery Systems: The Right Choice For Quality Healthcare?

     Pinnacle Healthcare Consulting is pleased to announce our recent participation as Silver-Level Sponsors for Colorado Healthcare Strategy and Management (CHSM). Though our sponsorship, we continue to support CHSM’s mission to bring outstanding educational opportunities to the Rocky Mountain healthcare community.

    Join Pinnacle Healthcare Consulting at CHSM’s next event:  Integrated Delivery Systems: The Right Choice For Quality Healthcare?

    Registration:   http://www.chsm.org/civicrm/event/info?id=33&reset=1

     Healthcare reform and modern-day economics are sparking a renewed drive toward integration of care into one seamless team providing the right help at the right time. While integrated delivery systems (IDS) promise higher quality care, lower costs, and competitive advantages, the results have been mixed. In Colorado, however, three organizations have been operating successful integrated healthcare systems for more than a decade. Join us as executives from Colorado Springs Health Partners, New West Management Services Organization and University Physicians discuss clinical integration strategies, key success factors, and the challenges they face in the brave new world of healthcare reform. Don’t miss this important event!

     When:   November 11th, 2011 7:00 AM   –   9:00 AM 

     Location: Doubletree Denver Tech Center – Indigo Room, 7801 E. Orchard Road, Greenwood Village, CO 80111-2508

     Contact Phone: 303-265-9224

     Email: customer.service@chsm.org

     

     Program Speakers

     Ruth N. Benton, MBA, CEO, New West Management Services Organization, Inc. and New West Physicians, P.C. 

     Deborah L. Chandler, MBA, CMPE, EVP/CEO, Colorado Springs Health Partners

     Elizabeth D. Kissick, MBA, Director of Health Plan Development at University Physicians, Inc.

     

    Program Details

     Registration: Breakfast and Networking 7:00 a.m. – 7:45 a.m.

     Presentation: 7:45 a.m. – 9:00 a.m.

     

    About Our Speakers

     Ruth N. Benton, MBA, CEO, New West Management Services Organization, Inc., New West Physicians, P.C. (collectively, New West) is the founder and owner of New West, a primary care group practice.  The company has grown to $50 million in revenue with 300 employees in 17 locations in the Denver area.  Previously, Ruth served as the vice president for HealthOne, HealthCare United, and HMO Colorado.  For the past five years, she has been one of Denver Business Journal’s “Most Influential Health Care Leaders in Colorado”.

     Deborah L. Chandler, MBA, CMPE, EVP/CEO, Colorado Springs Health Partners, has over 25 years experience in multi-specialty group management and administration, including over 10 years as CEO for Anchor Heatlh Centers in Florida.  Debbie serves on the boards of Colorado Springs Regional Economic Development, the Greater Colorado Springs Chamber of Commerce, Community Health Partners, Pikes Peak Workforce, and Southern Colorado American Heart Association.

     Elizabeth D. Kissick, MBA, Director of Health Plan Development at University Physicians, Inc., a not-for-profit corporation supporting medical services operations for the clinical practice of the University of Colorado School of Medicine.  She oversees all commercial contract transactions, rental network development and management, and business activities associated with population management within a faculty practice plan.  Previousy, Liz served as Senior Manager for Managed Care at Johns Hopkins Medical Services Systems.

    LEARN MORE & REGISTER ONLINE NOW! For additional information about CHSM, please visit: http://www.chsm.org/

    Pinnacle Healthcare Consulting provides a range of strategic, financial and operational services to improve clinical and business performance for hospitals, health systems, physician groups and other healthcare organizations. Pinnacle Healthcare Consulting is a nationally recognized leader in business valuation, physician compensation, medical staff planning, performance improvement and compliance support. Other divisions of Pinnacle provide physician practice management, medical bill/coding, and technology/integration support services. Pinnacle’s array of specialized and highly responsive client services promote advanced innovation while our dynamic team solidifies strong client relationships and assists in solving your most complex challenges.

    Contact Us Today – 303.801.0123 or kberkey@pinnaclegrouphc.com

    or visit: www.PinnacleGroupHC.com

    Continue reading →