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Healthcare Services Overview


RubinBrown’s Healthcare Services Group provides a broad array of services to a diverse group of clients in the healthcare industry including hospitals, physician practices, multi-site medical groups and not-for-profit health organizations. Our clients benefit from our many resources and our diverse experience in healthcare. Our services include healthcare consulting, traditional tax and audit services, business valuation and assistance with healthcare disputes.

As the healthcare landscape continues to evolve and grow even more complex, we are increasing our expertise in this area with particular emphasis on technology consulting. Our technology consulting services include the areas of predictive analytics, data systems and processes, continuous monitoring, IT risk services and system implementation.

In addition, we continue to focus on effective practice management and income tax, retirement, personal financial, estate and fringe benefit planning.

The RubinBrown Healthcare Services Group provides customized services as follows:

Assurance Services

  • Audits, reviews and compilations of financial statements
  • ViewPoints Report

Accounting & Financial Management

  • Budgeting
  • Forecasting
  • Cash flow analysis and projections
  • Billing and collections
  • Billing and overhead rate development and analysis
  • Accounting systems and functions
  • Financing and capital needs
  • Statistical comparisons
  • Buy/lease analysis
  • Outsourcing of accounting functions

Tax Consulting

  • Mergers and acquisitions
  • Tax planning and compliance
  • Retirement plans – design and administration
  • Tax structuring
  • Personal wealth management

State & Local Tax Consulting

  • Corporate income and franchise taxes
  • Property taxes
  • Credits and incentives
  • Sales and use taxes

Practice Management

  • Start-up assistance
  • Structure of entity
  • Office reviews
  • Employee policies, benefits and compensation
  • Satisfaction surveys – client, employee and patient
  • Policy and procedure manuals
  • Educating associates and stakeholders
  • Insurance analysis
  • Strategic planning
  • Internal control/operational reviews
  • Organizational and operational benchmark studies
  • Technology consulting

Technology Consulting

  • Data and analytics
  • Continuous auditing/monitoring
  • IT risk services
  • System implementation support

Other Consulting

  • Business valuations
  • Insurance claims
  • Lost profits quantification
  • Government claims and audits
  • Mergers and acquisitions, including due diligence
  • Expert witness testimony
  • Succession planning

11/30/2016

Focus on Healthcare: Relief for Small Practices Under Final MACRA Ruling


In 2015 the Medicare Access and CHIP Reauthorization Act (MACRA) was passed which was a bipartisan agreement to move towards a value-based system of care. The Act would create a new approach to paying clinicians for the value and quality of care they provide. At the time of the Act’s passage nearly a year ago, it was unknown how it would be implemented or the exact details of how it would work.

07/25/2016

Focus on Healthcare: MACRA – A Move to a Value-Based System of Care


In 2015 the Medicare Access and CHIP Reauthorization Act (MACRA) was passed which was a bipartisan agreement to move towards a value-based system of care. Prior to MACRA, physicians providing care to Medicare patients were subject to a reimbursement formula known as the Sustainable Growth Rate (SGR). The SGR was established to help control the rate of increases in physician spending and compared total spending among all Medicare-participating physicians to an overall budgeted target.

01/18/2016

Focus on Healthcare: CMS Releases 2016 Calendar Year Changes to the Medicare Physician Fee Schedule


In November, the Centers for Medicare & Medicaid Services (CMS) released the new Physician Fee Schedule (PFS). The PFS sets forth the payments physicians and other practitioners receive for their various services, including but not limited to, office visits, surgical procedures, diagnostic tests and certain preventative services. Payments are based on the relative resources that are typically necessary to provide a service. Relative value units are applied to each service provided by the physician, in addition to factoring in practice expense and malpractice.

All Healthcare News

The Impact of the Affordable Care Act & Transaction Accounting Issues for Not-For-Profit Hospitals

With the implementation of the Affordable Care Act (ACA), the healthcare industry has changed and continues to change dramatically. The new rules have created uncertainty in the industry, which has led to hospitals and healthcare centers consolidating to effectively compete.

The Impact of the Affordable Care Act and Transaction Accounting Issues for Not-For-Profit Hospitals provides a resource for any hospital or healthcare center to use when considering an acquisition.

The publication details:

  • The rising rate of merger and acquisition activity in the industry
  • The relevant points of Accounting Standard Codification 958-805 which governs the reporting requirements for not-for-profit hospital transactions
  • Intangible assets commonly recorded in hospital transactions
  • A unique summary of the asset allocation of hospital and healthcare center transactions throughout 2012 and 2013

Click here to view the publication