Christopher Majdi joins Premier Inc. (NASDAQ: PINC) as Director, Performance Partner – Valuation FMV Services

May 1st, 2017. Christopher Majdi, CVA, CBA has joined Premier Inc. (NASDAQ: PINC) as a Director, Performance Partner in the Los Angeles, CA office.  He will oversee business equity valuation, fair market value, transaction advisory, and physician alignment work for hospital and health system clients nationwide.  Chris is an experienced valuation and merger/acquisition professional with ...

Guest Blog: Q4 2016 Healthcare Services M&A Pulse – Volume, Value, Multiples

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Guest blog from David Lopez, CMAA.  David is a licensed SEC/FINRA registered representative with proven expertise in sell and buy side mergers and acquisitions, private placements, and strategic corporate development to growing and established healthcare services, healthcare IT, and medical device companies. 2016 Ends Strong Despite Lower Volume & Values M&A activity in US Healthcare Services remained ...

Medical coding for transitional care management

Current procedural terminology codes (CPT) are developed by the Relative Value Scale Update Committee (RUC), which is a special subsection of the American Medical Association (AMA). The AMA RUC consists of a panel of health policy experts, physicians, and other diverse stake holders who define the CPT codes, which new ones need to be developed, ...

Long term sustainable growth rates in healthcare equity valuation

Financial trends and growth assumptions. Financial analysts look to make sense of historic information by recognizing and quantifying trends. Trends are convenient because they appear to follow recognizable and potentially predictable patterns. Such patterns may be used to forecast future operations. In the development of assumptions in a forecast model, long-term sustainable growth rates are commonly used. ...

Part II – Medical Coding Modifiers

Modifiers can generally be grouped by function or category. Some modifiers are used for tracking or informational purposes only, while others affect measurement of time, effort, or result in altered reimbursement. Some have multiple functions. An example is modifier "AI"; this is a level II HCPCS modifier which indicates the principal or admitting physician. This ...

Healthcare Transaction activity under a Trump Presidency

A large amount of change in the healthcare market is anticipated with the election of Donald Trump.  The degree to which changes to the Affordable Care Act and its funding mechanisms will have on transaction activity is yet to be seen.  Some experts believe that continued enforcement of antitrust statues is likely to continue.  Others ...

Medical Office Building Valuation & Real Estate Syndication

Medical office building syndication is a common investment and alignment strategy.  This involves the formation of an entity which possesses real estate so that individual investors may be offered fractional ownership.  How these entities are formed, the way in which ownership offering is structured, and control and governance issues can make these entities tricky to value. Two major areas ...

Physician Goodwill & Purchase Price Allocation

In a recent California court case, Monarch Healthcare and physician Margo Jaffe Orr, MD squared off regarding a non-compete issue.  Dr. Jaffe sold her medical practice to Monarch for $34,700 in a deal which purportedly included all tangible and intangible assets.  However, the purchase price allocation afforded all of the purchase consideration to furniture, fixtures, equipment and ...

Use of Modifiers in Medical Coding and Billing

Modifiers in medical coding and claim submission The use of modifiers in coding and billing can be crucial in obtaining proper reimbursement for services.  Proper coding also allows for the remittance of accurate patient encounter data, which is increasingly important in value-based healthcare. Using modifiers can also be an area of risk if not properly documented.  ...

Two-midnight rule discontinued for inpatient payment cuts

The Centers for Medicare and Medicaid has discontinued enforcement of the two-midnight rule.  This move followed a notable court case related to the cuts as well as intense industry criticism.  There will be a one time pay increase as a result, in order to compensate hospitals for previous cuts.  In 2017 hospitals also will see ...