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Ask the Experts: Your Top Questions Answered<
by: Pamela L. Moore, PhD
Closing shop; ancillaries; patient privacy CLOSING A PRACTICE Q: After two and half years of trying to do solo practice, I have had enough. This is not for me. Ideally, I want to sell my practice. If I can’t and I have to close it, what are the steps that I should take to ensure a smooth closing? A: To close the practice, you need to consider all the logistics based on your practice situation. For example, what will you do with your building? Do you rent, lease, or own? If you rent, you need to notify your landlord about your intentions. If you own, do you plan to sell? Find a real estate agent and start your preparations. Also, determine what you need to do to move your equipment, files, and furniture — and where you will put them. If you lease your equipment, notify your leaser. If you want to sell the equipment you own, find a seller, have a yard sale, put your equipment up for sale on eBay, or find another way to locate a buyer. Give your staff adequate notification. You’ll want to retain at least one staff member for 30 to 60 days after the close to follow up on your final outstanding accounts. Most physicians find a part-timer for 60 days to be adequate, but it depends on the volume and how many of your accounts are still to be collected. Remember that a physician has an ethical obligation to notify her patients when she moves or closes her practice to allow them to obtain copies of their medical records or have their records transferred to another practice. Ideally, a physician should notify each patient by letter at least 60 days in advance of closing. Often a physician supplements these written notices with a published notice in her local newspaper scheduled to appear on three or more occasions. The American Medical Association’s Ethics Opinion 7.03, Records of Physicians Upon Retirement or Departure From a Group, states in part: “A patient’s records may be necessary to the patient in the future not only for medical care but also for employment, insurance, litigation, or other reasons. When a physician retires or dies, patients should be notified and urged to find a new physician and should be informed that upon authorization, records will be sent to the new physician. Records which may be of value to a patient and which are not forwarded to a new physician should be retained, either by the treating physician, another physician, or such other person lawfully permitted to act as a custodian of the records.” Finally, if you have privileges at a hospital — and especially if you take emergency call — you’ll want to give that hospital at least 90 days notice, if not more. ANCILLARIES IN INTERNAL MEDICINE Q: What are the best ancillaries for internal medicine groups? A: That depends on what you like to do, what your market’s needs are, and what your payers are willing to cover. Here are some of the ideas we’ve seen of late:
Some keys to success include:
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