June 2019 Digital Edition

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Outpatient services nearly match inpatient revenue in Houston hospitals

For the third year in a row, the top Houston-area hospitals reported average outpatient revenues that account for nearly half of all revenues, not quite overtaking revenues generated by inpatient services despite the continued focus on outpatient centers and services across the healthcare industry. According to Similarly, the average inpatient revenue ratio also rose from just over 50 percent of total revenues to more than 63 percent since last year. The increase could be due...

Business entertainment and meals under the new tax law: What physicians need to know

By Reed Tinsley, CPA, CVA, CFP, CHBC   Tax reform has had a significant impact on the tax deductions you can now claim for business entertainment and meals.  The new tax law also eliminated business deductions for entertainment. As a result, no deduction is allowed with respect to: (1) an activity generally considered to be entertainment, amusement or recreation; (2) membership dues with respect to any club organized for business, pleasure, recreation or other social purposes; or...

Can peer review result in hospital liability for employment discrimination?

BY Beth Anne Jackson and Allison D. Shelton, Brown & Fortunato, P.C.   Recently, a 7th Circuit Court of Appeals case, Levitin v. Northwest Community Hospital (Levitin), concluded that a physician whose medical staff privileges were terminated could not sue the hospital for discrimination under Title VII because the hospital was  not the physician’s employer.   The physician had claimed that the hospital’s use of the peer review process exerted  sufficient control to grant it “employer”...

Employers should respond deliberately when responding to “No Match” letters

BY Felix Digilov and Kevin Troutman, Fisher Phillips   In 2019, the Social Security Administration (SSA) revived its practice of issuing employers Employer Correction Request notices – also known as “no-match letters.” Over a half-million employers, including many in the healthcare industry, received no-match letters informing them that one or more of their 2018 employee W-2s contained names and Social Security numbers (SSN) that did not match the SSA’s records. These letters instructed employers to...

Emotional First Aid

BY Pradeep K. Pramanik, M.D., UTMB Family Medicine   Sweat glistens across his brow as he searches for his words. He is drenched in a downpour of errant thoughts. He came to our clinic in a panic, understandably. In the past year, he lost a loved one, fought moral battles in the workplace, and was diagnosed with new medical problems. Then, he uttered words commonly spoken in the clinic: “I started worrying about one thing...

The 86th Texas Legislature gavels out: Texas hospitals achieve notable policy wins to protect access to care

BY Ted Shaw, President/CEO, Texas Hospital Association   Every Memorial Day during odd-numbered years, the Texas Legislature adjourns from its 140-day legislative session. But, this Memorial Day was unlike those in the recent past. It was calm, cool and collected. By sine die, the 86th Legislature already had passed the leadership’s priority items—the 2020-2021 budget and property tax reform and school finance bills. Unlike the 140th day of the 2017 legislative session, discussions of a...

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