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Healthcare Coding for the Noncoder

As past installments of our Healthcare Symposium have shown, the proper analysis of healthcare-sector income streams rests upon a sound understanding of Medicare and insurance billing codes. In tracking, collecting, and analyzing revenues, providers of medical care use these codes to define the services they provide and the fees they collect. In this program, the first of our 2013 Online Symposium on Healthcare Valuation, industry expert Frank Cohen and series curator Mark Dietrich explain the use ...

Valuing Professional Practices

In a service-based economy, it can be difficult to place a value on a company whose product is intangible and whose workforce is possibly its only asset. Despite their ubiquity, these businesses carry enough issues relating to goodwill and key-person value to make their valuations a challenge for even the most experienced appraiser. In this webinar, expert appraiser Kevin Yeanoplos joins BVR to discuss the numerous valuation challenges inherent in valuing professional practices and how ...

Valuing Clinical Co-Management Arrangements

Perhaps the greatest change to the American healthcare system over the past few decades has been the increased use of clinical co-management arrangements by hospitals to help the challenges of increasing competition, changing reimbursement structures, and shifting operational paradigms. As noted in the AHLA/BVR Guide to Healthcare Valuation, these arrangements are so unique and often so new that many valuation techniques are insufficient to assess their value. In Part 6 of BVR's Online Symposium on Healthcare ...

The Devil in the Valuation Details: Top 10 Questions Lawyers and Healthcare Organizations Ask

© 2019 Business Valuation Resources, LLC. All Rights Reserved. July 31, 2019 Webinar Handbook The Devil in the Valuation Details: Top 10 Questions Lawyers and Healthcare Organizations Ask Part of BVR’s Special Series presented by the BVR/AHLA Guide to Healthcare Industry Finance and Valuation Featuring: Denise Palencik, CVA, Veralon Jessica Stack, MBA, Veralon The Devil in the Valuation Details: Top 10 Questions Lawyers and Healthcare Organizations Ask Please note: This Handbook does not qualify for ...

Healthcare Valuation: Approaches to Value and Common Pitfalls

Driven by governmental enforcement actions on hospitals, physicians, and other industry participants, compliance-related healthcare valuation has developed into a significant niche within the appraisal industry over the past 20 years. Appraisals performed in this environment are subject to certain limitations and challenges that do not impact work performed in other industries. Join Fred Lara and Nick Janiga for an overview of the healthcare regulatory environment and how it impacts the approaches to value in the ...

Ambulatory Surgery Centers: Current Valuations, Benchmarking and Forecasting

A growing part of a fast-changing industry, ambulatory surgery centers (ACSs) are becoming an increasingly important part of the healthcare landscape. As Todd Sorensen notes in the AHLA/BVR Guide to Healthcare Valuation: "As patient care continues to migrate from an inpatient setting to an outpatient setting, surgery-center transactions have become one of the most popular joint-venture relationships involving both for-profit and not-for-profit healthcare providers and surgeons who perform outpatient surgery." In Ambulatory Surgery Centers: Current Valuations ...

Valuing Hospitals

In the ongoing consolidation trends in the healthcare sector, hospitals are functioning as both acquirer and acquiree. For the business appraiser, this represents tremendous opportunity—opportunity that requires a thorough understanding of these trends as well as knowledge of the new regulations that drive them. In Part 7 of BVR's 2014 Online Symposium on Healthcare Valuation, experts Don Barbo and Robert Mundy delve into the changing world of hospital economics, regulations, and valuations to show how ...

Catch Me If You Can: Mitigating Compliance Risk Related To Provider Compensation

With ongoing regulatory changes and an evolving healthcare environment, it is likely that the Department of Justice (DOJ) will maintain its focus on enforcing actions against healthcare providers who prioritize their financial gains over patient well-being and unlawfully siphon funds from government programs. In this presentation, we will discuss recent enforcement actions and highlight themes related to specialty and methodology. We will also describe how organizations should manage Stark law and antikickback violations when prevention ...

Healthcare Valuation (Part 1 of 3)

Healthcare Valuation (Part 1 of 3) Teleconference Handbook January 30, 2009 Moderator: Mark Dietrich, CPA, ABV Panelists: Alan Simons, CPA/ABV, CFF, CMPE, DABFA, Jim Pinna, J.D., and Todd Sorensen, MBA ...

Valuing Timeshares and Unique Provider-Based Arrangements in Healthcare

As costs increase, healthcare companies and professionals are getting creative with unique provider agreements, and you need to make sure your healthcare valuation skills are as up-to-date and dynamic as your healthcare clients are. Join experts Schaeffer Smith and Brooke Pierce as they tackle the subject of timeshares and other unique provider arrangements. Learn about Stark impacts and regulatory considerations you need to be aware of. See a case study and be better prepared to ...

Valuing Covenants Not To Compete in Healthcare

Though not uncommon in healthcare transactions, noncompete clauses can exacerbate the already difficult task of analyzing the incomes of professional staff. In Part 10 of BVR's Online Symposium on Healthcare Valuation, expert Jason Ruchaber addresses how covenants not to compete are created and what this means for their valuation.

The Stark Law and Anti-Kickback Statute

By preventing remuneration for referrals, the federal anti-kickback statute and physician self-referral law, or Stark Law, have created a prohibition on assigning value to prior or anticipated referrals in healthcare valuations. In this webinar, Part 2 of BVR's 2013 Online Symposium on Healthcare Valuation, expert attorneys James Pinna and Matthew Jenkins explore the framework these laws created and some of the specific valuation contexts in which healthcare providers and their advisors should be attentive to ...

Cost of Capital in Healthcare

Estimating cost of capital when valuing healthcare entities can be challenging due to (among other factors) the regulatory environment, the impact of changes in reimbursement, the size of the entities, the lack of guideline public companies, and other entity-specific risks. Kate Morris and Matt Warren will establish a logical framework for developing cost of capital in such entities within the context of the spectrum of market returns and the observed rates of return in capital ...

Imaging Centers: Developing a Value

Due to recent actions in the health insurance market, as well as continued increasing regulatory initiatives and consolidation and integration in the healthcare delivery system, imaging center transactions continue to be in play. Trends in the healthcare economy are leading to alliances with, and acquisitions of, imaging centers by a variety of suitors. Things have changed. Valuation challenges abound, requiring the professional valuator to be able to demonstrate a strong understanding of the factors of ...

Valuation of Healthcare Enterprises in a Dynamic Market Economy

December 2, 2004 Teleconference Transcript; Panel: Robert Cimasi (Moderator), Dexter Braff, Ken Hawkins, Brooke Hollis, Paul Martin, and Charles Wilhoite ...

Valuing Imaging Centers

Imaging centers are in demand. As the technology on which these entities rely continues to advance, drawing in patients and referrals, consolidation trends in the healthcare economy are leading to alliances and acquisitions of imaging centers. In either case, valuation challenges abound, requiring of the appraiser a strong understanding of imaging center operations, economics, and regulations, as well as trends in the wider healthcare marketplace. Part 8 of BVR's 2014 Online Symposium on Healthcare Valuation ...

Practical Considerations for Valuing Imaging Centers

One thing consistent in healthcare is change. With continued increasing regulatory initiatives and consolidation and integration in the healthcare delivery system, imaging centers continue to be an area of focus for healthcare valuations. Trends in the healthcare economy are leading to alliances with, and acquisitions of, imaging centers by a variety of suitors. Valuation challenges abound, requiring the professional valuator to be able to demonstrate a strong understanding of the factors of influence on imaging ...

Hospital Valuations: Issues and Perspectives

As consolidation trends continue in the healthcare sector, hospitals are functioning as both acquirer and acquiree in a multitude of transactions and joint ventures. For the business appraiser, a thorough understanding of these trends is crucial to the appraisal of hospitals. Healthcare valuation experts Don Barbo and John Meindl provide an in-depth perspective into hospital valuations and share their insights on the current state of the hospital industry. An extensive overview of hospital transaction activity ...

The Dental Valuation Revolution

The valuation landscape for dental practices is changing rapidly. Private equity funds and dental service organizations have entered the industry in force. Experts Matthew Howard and Kam McQuay will engage in discussions around what is the definition of “any given buyer” for practices and how to include this relevant buyer in your valuations. They will also discuss industry-specific considerations for valuations concerning the officer compensation adjustment and typical and some not-so-typical income statement and balance ...

The Due Diligence Imperative in the Era of Value-Based Reimbursement

With the emergence of value-based reimbursement, such as accountable care organizations (ACOs), clinically integrated networks (CINs), and bundled payment models, which rely on achieving the “Triple Aim” of healthcare at lower cost, U.S. hospitals and other service providers are increasingly looking to change how services are being delivered by seeking more collaborative relationships with physicians. The rise of these emerging healthcare organizations (EHOs) to address value-based reimbursement initiatives has led to a growing number of ...

Veterinary Practice Valuation: Transactions and Transitions in Today's Markets

Veterinary Practice Valuation: Transactions and Transitions in Today’s Markets Veterinary Practice Valuation: Transactions and Transitions in Today’s Markets Teleconference Handbook September 2, 2009 Panelists: Cindy Eddins Collier, MHA, MSA, C ...

Retail, Urgent Care, Micro Hospitals and Beyond: Alternative Care Settings and Valuation

Alternative care access points—retail clinics, urgent care centers, freestanding emergency departments, and micro hospitals—have proliferated. In many cases, these programs are thriving in a consumer-focused, value‐based healthcare environment. Hospitals and health systems are recognizing the potential value of developing and integrating these alternative care sites. In addition to supporting population health management, these access points can be profitable and can provide a relatively low‐cost approach to new patient acquisition and the potential for downstream revenue.

HIPAA, Valuation and Litigation: Civil and Criminal Implications for the Unaware

Amidst the attention given to the latest U.S. federal healthcare law, BVR's 2014 Online Symposium on Healthcare Valuation begins with a look at the still-prevalent consequences of a previous statute: the 1996 Health Insurance Portability and Accountability Act (HIPAA), which was extensively modified in 2009 as part of the American Recovery and Reinvestment Act (ARRA) and its constituent Health Information Technology for Economic and Clinical Health (HITECH) Act. While the law's protections for the privacy ...

Imaging Centers: Lessons From an Industry Expert

As with any healthcare valuation assignment, diagnostic imaging centers rely on a complicated mix of payment schemes, organizational structures, and regulatory oversight for operation. Given their complexity and ubiquity within the healthcare field, understanding these arrangements can be imperative when appraising an imaging center or related entity. In the second installment of BVR's Online Symposium on Healthcare Valuation, Douglas Smith, the foremost expert on diagnostic imaging consulting and analysis, explains the intricate workings of imaging centers ...

The Myth of the Healthcare Multiple

For most, the concept of a valuation multiple is easy for market participants to understand. Unfortunately, this simplicity of concept leads to widespread misapplication of valuation multiples and often results in sellers having unreasonable expectations. In the myth of the multiple, healthcare valuation expert Jason Ruchaber, CFA, ASA, will separate fact from fiction and explore the real financial and compliance considerations that drive FMV and purchase price in healthcare transactions.

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