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At Private Medical, we’re regularly reading the latest medical research to help our members live healthier lives every day. The Inside Medicine podcast brings together physicians from the practice in conversation with the world's leading doctors and scientists from our Expert Network to explore and breakdown the newest insights.
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I discuss everything you always wanted and absolutely need to know about start, running and growing a private medical practice. I'll also talk about how to leverage your private practice by adding additional providers, satellite offices and ancillary services. And, vertically integrating other medical businesses like adding an ambulatory surgery center, imaging center, physical therapy and more. I will be sharing my 30+ years of experience as a physician and entrepreneur. After being an empl ...
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show series
 
Understanding your obligations surrounding employee taxes is crucial for operating a successful business, whether you're an employer or an aspiring entrepreneur. In this episode, we explore the four primary types of employee taxes: • Federal and State income tax Withheld by employer Employer responsible for submitting • FICA Funds Social Security a…
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Private Medical physicians Dr. Natalie Walsh and Dr. Tatiana Ivan. Dr. Michelle Cardel, an obesity and nutrition scientist, registered dietitian, and the Head of Clinical Research & Nutrition at WeightWatchers. In this interview, she uncovers misconceptions about weight loss, including the truth about GLP-1 inhibitors, most commonly known under bra…
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The Stark Law prohibits physicians from referring patients to entities in which they have a financial interest to prevent financial incentives from driving medical decision-making. The Anti-Kickback Statute prohibits the exchange of anything of value in exchange for referrals for services. Examples of Stark Law violations: A cardiologist refers pat…
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Private Medical physicians Dr. Jordan Shlain and Dr. Natalie Walsh are joined by Raja Dhir, co-founder and co-CEO of Seed Health, a microbiome science company pioneering innovations in probiotics and living medicines. Dhir discusses the future of the microbiome’s role in preventive medicine, the truth about how to have a healthy gut, and the bacter…
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Private Medical physicians Dr. Jordan Shlain and Dr. Justin Lotfi are joined by Dr. Jud Brewer, professor at the Schools of Public Health & Medicine at Brown University, and author of the best-selling book Unwinding Anxiety. He is also the creator of the step-by-step program for the app of the same name. As an expert in mindfulness training for add…
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Private Medical physicians Dr. Jordan Shlain and Dr. Hadi Halazun are joined by Dr. Josh Woolley, the Director of UCSF’s Translational Psychedelic Research (TrPR) Program. Dr. Woolley discusses the program’s work to understand how psilocybin and related compounds impact the brain and other organ systems to treat depression, trauma, and other ailmen…
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Private Medical physicians Dr. Jordan Shlain and Dr. Justin Lotfi are joined by Dr. Jay Sanguinetti, assistant professor at Center for Consciousness Studies at the University of Arizona. Dr. Sanguinetti tells us how to gain more control over your brain state, whether or not there’s a shortcut to being more mindful, and the concept of meditating any…
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Private Medical physicians Dr. Jordan Shlain and Dr. Kellen Glinder are joined by Dr. Jamshid Ghajar, the board certified neurosurgeon known for founding the Brain Trauma Foundation and NeuroSync and its EyeSync AR/VR technology, which is revolutionizing the way we measure attention, learning, and performance. The doctors discuss prediction timing,…
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Private Medical physicians Dr. Jordan Shlain and Dr. Sarah Greene are joined by Nora LaTorre, CEO of Eat Real, a nonprofit that’s expanding access to healthier and greener meals in schools. By 2025, Eat Real is on track to shift $1 billion of school food purchasing power to solve the root cause of the health crisis facing children. The doctors disc…
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Private Medical physicians Dr. Jordan Shlain and Dr. Hela Barhoush are joined by David Light, founder and CEO of Valisure. Started to investigate batch variability in pharmaceuticals, the independent lab has found carcinogens in brand name drugs like Zantac, aerosols like antiperspirants and dry shampoo, and other everyday products. The doctors dis…
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Insurance is one of those things you never want to need or use. But, unfortunately, when life happens having insurance can save you. Some types are pretty obvious but there are some you probably haven’t thought yet. That doesn’t mean you don’t need them. In this episode, I'll tell you the types of insurance your practice needs to mitigate its risks…
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Owning a private medical practice is a journey. Initially, you're focused on how to get the practice up and running. The next phase is how to best run the practice. Over time, you transition to how to grow and leverage the practice. And, at some point, you will want to leave the practice that you started. Having a roadmap definitely makes the journ…
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More patients equals more money. Right? Not necessarily. If you want to grow your practice, you're probably thinking how do I get more patients. But is that really the right question to ask? In today's episode, I had the pleasure of having Zed Williamson from TrackableMed back with me to address what you should be asking. For starters, increasing y…
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You've probably heard me say that medicine is a business. It takes work to run a successful business. There are good days and bad days. And, no matter how hard you try, like all business owners, you'll make mistakes. That's the truth. But with mistakes comes experience. The key to running a successful private medical practice, or any business for t…
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Private Medical physicians Dr. Jordan Shlain and Dr. Natalie Walsh are joined by Dr. Marion Nestle, professor emeritus of nutrition, food studies and public health at New York University and the author of a dozen books on nutrition, including the award winning What to Eat, Food Politics. The doctors discuss fighting the profit-driven food industry …
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In this episode, I'll outline the key steps you need to develop your practice's strategic plan for the new year. The first step: doing a review of the past year. For this you will need a few things: 2022 Profit and Loss statement 2021 Profit and Loss statement (so you can look at the year-over-year changes) Year end billing reports To develop this …
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You never know when your mother-in-law will turn out to be a valuable asset to your practice. Mine was a lab technologist who had started up and ran multiple medical labs. When we told her that I had decided to start my own practice, one of her first questions was "what labs are you planning to do?" followed by you need a CLIA Waiver. Say what? I h…
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Finding space for your medical practice can seem very intimidating. So when someone asked me for a consultant in the Dallas-Ft. Worth area to help them figure out where to look for space for their new office I realized that I need to address this topic head on. You don't need to pay a consultant for this. You need a commercial realtor. That's why I…
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Drug and Device reps often drop into medical offices--usually uninvited. And they seem to always to be there at the most inopportune times. Most annoying is when they camp out in the back waiting for you. It's no wonder that many physicians have disdain for Drug and Device reps. If this is your attitude, you're missing out on a great (free) opportu…
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I’m frequently asked about the benefits of hiring employees versus having independent contractors. Many physicians are under the impression that hiring someone as an independent contractor is going to be less expensive than as an employee. But not so fast. The IRS has rules. The employer is responsible for determining if the new hire meets the crit…
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Private Medical physicians Dr. Jordan Shlain and Dr. Hadi Halazun are joined by Dr. Eric Verdin, the president and CEO of the Buck Institute for Research on aging. The doctors discuss biological age vs. chronological age, the science of aging cells and its role in chronic disease, and Dr. Verdin’s optimism for our ability to live healthy lives to a…
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When I started my medical practice I quickly learned that there's much more to accounting than quickbooks. My CPA firm, with its extensive healthcare experience, has served a phenomenal business advisors. In this episode of The Private Medical Practice Academy, Jeremy Klibert CPA and I discuss some of the pressing questions that private practice ph…
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You want to offer a service to a patient but you aren’t sure that Medicare will reimburse you. Is there something you can do to increase the chances of getting paid? The answer is an advanced beneficiary notice of non-coverage (ABN). You use an ABN when you are offering a service that is usually reimbursed by Medicare but may not be reimbursed by M…
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We've all heard, "First impressions matter." Calling your office to schedule an appointment is your patient's first interaction with you and your practice. That call defines whether the patient schedules an appointment. And, their attitude toward future interactions with you and your office. Today, Zed Williamson from TrackableMed joins me to discu…
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One of my greatest frustration with practicing medicine is poor patient compliance. You spend time educating the patient and discussing the treatment plan. When you see them back in follow up you discover they haven't followed through. If you are lucky, they are the same. Unfortunately, sometimes they are worse. Using FDA-approved devices, remote m…
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Are you afraid of getting audited by insurance companies or Medicare? Do you get anxious when one of the payers sends you a request to audit 5 of your charts? Have you heard horror stories of the Feds knocking on a physician's door? Don't worry--you are not alone. But not all audits are created equal. Today David Vaughn joins me to discuss what you…
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In 2015, the Centers for Medicare & Medicaid Services (CMS) introduced Chronic Care Management (known as CCM) with the intent of improving the care of patients with chronic conditions. CCM offers physicians an opportunity to be compensated for the work that they were doing between office visits including but of course, not limited to calls, educati…
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Private Medical physicians Dr. Jordan Shlain, Dr. Natalie Walsh, and Dr. Hadi Halazun are joined by Dr. Amy Kruse, general partner of Prime Movers Lab, where she leads their life sciences investments. They discuss what constitutes good sleep hygiene, how to engineer our sleep as we age, and the new neuroscience therapeutics toolkit that taps into o…
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Private Medical physicians Dr. Jordan Shlain, Dr. Hadi Halazun and Dr. Natalie Walsh are joined by Dr. Charles Brenner, the Alfred E. Mann Family Foundation Chair in Diabetes and Cancer Metabolism at City of Hope National Medical Center. They discuss the role of the popular longevity coenzyme nicotinamide adenine dinucleotide, NAD, and how it maint…
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If you are an employed physician, chances are your employer purchases malpractice insurance for you. Your first introduction to the complexities of malpractice insurance may come when you leave that employer and have to buy a "tail." And, if when you start your own practice you'll need to understand how to get the best malpractice insurance. Today,…
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Today I had a great chat with Dr. John Lin about how to think about choosing to be In-Network vs. Out-of-Network. We all know that dealing with health insurance companies can be very frustrating. But reimbursement rates are only a part of what makes dealing with these companies a headache. Trying to decide whether it makes sense for you and your pr…
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Private Medical physicians Dr. Jordan Shlain, Dr. Natalie Walsh, and Dr. Hadi Halazun are joined by Dr. Robert Waldinger, professor of psychiatry at Harvard Medical School and director of the Harvard Study for Adult Development. The doctors discuss how longevity is determined by the quality of your relationships, what we’re learning about digital c…
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You’re a Medicare provider. And you know that the Centers for Medicare and Medicaid Services (CMS) runs Medicare. But did you know that CMS is just the umbrella organization? The actual administration is done by a Medicare Administrative Contractor (MAC.) What is a MAC? A MAC is a private health care insurer that’s been awarded a geographic jurisdi…
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To start with, make a list of supplies that you everything you need: drugs, syringes, gloves, paper for your exam table, cleaning supplies and more. Include how often you are using these supplies because we’ll need this info to figure out the quantities you need to order. You’ll want to develop an inventory system will help you track how often you …
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Here are some strategies that can help keep you on schedule. Get to clinic before your first scheduled patient. Preferably you get to clinic early. If you show up at 8 am, your first patient is at 8am and then you first need put out whatever this morning’s fire is, you start the day off behind and you will be all day long. The other advantage to ge…
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Private Medical physicians Dr. Jordan Shlain and Dr. Todd Spector are joined by four fitness professionals to discuss building a personalized exercise and lifestyle plan, rooting long-term health in a daily movement practice. Our guests Dr. Phil Wagner, Sparta Science CEO; Dr. Rowan Paul, sports medicine physician; Brian Hannah, founder of Thrive M…
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To reduce the volume of after-hour phone calls, you need to have a policy that implements these strategies. Implement strategies that help reduce after-hour call volume without sacrificing patient care. 1. Set up your phone system's phone tree When a patient calls after hours, your phone system should answer and give the patient a set of instructio…
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When you run a private medical practice, you’re invariably going to need services and vendors outside of your practice. What you need to know is that any person or organization that you hire to handle, use, distribute, or access protected health information is a Business Associate (BA) and that you need to have a Business Associate Agreement (BAA.)…
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We send and receive email every day so it would seem natural to send emails to your patients. But what if the emails contain protected health information? How do you make email HIPAA compliant? How you will use email with protected health information The first questions to ask are, “Is my email network is behind a firewall?” Are you only emailing p…
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Trying to figure out how the digital world fits into your private practice can seem very overwhelming. Today, I had a great conversation with Dr. Dana Corriel, a board certified internist, entrepreneur, digital stratgeist and the founder of doctorsonsocialmedia.com to get her insights. Here are some of the key points we discussed: Social Media is M…
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I’m sure that you’ve heard the expression: build it and they will come. You started your private practice because you want to see patients. But how do you build your patient volume? In this episode, you'll learn 6 steps to accelerate your ramp-up. Define your message Differentiate yourself from the competition Create your brand The name of your bus…
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Private Medical New York-based pediatrician Dr. Kelly Fradin is joined by early childhood mental health expert Dr. Helen Egger. Dr. Egger is the co-founder and chief medical and scientific officer at Little Otter, which provides online mental health care to families and children. The doctors discuss the topics of pandemic fatigue, taking a family a…
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In this episode, I had the pleasure of chatting with Wendy Margolin who owns Sparkr Marketing and is the founder of The Clinician’s Social Media Club. I asked Wendy to join me to discuss where social media fits into the private practice physician's business plan. Here are some of the topics we discussed: How to choose which social media channel(s) …
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The Notice of Privacy Practices is a form that many patients toss in the garbage but that can you into a lot of trouble and costs an enormous amount of money. HIPAA guarantees a variety of patient rights--including a patient’s right to know how you’re going to use their Protected Health Information (PHI.) As part of that, you are required to descri…
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If you practice medicine, sooner or later you’ll get to the point that you want to fire a patient. Whatever the reason that you may have for terminating the physician-patient relationship, there needs to a clear and consistent policy and procedure for doing so or you're exposing yourself to hassles and unnecessary potential liability. Once you have…
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For our newest series, Longevity; The Gurus, The Science, and the Pursuit of the Truth, we’ll be exploring how we can live longer, healthier lives. In this episode, Private Medical founder Dr. Jordan Shlain is joined by Dr. Emeran Mayer, distinguished professor at UCLA and author of The Gut-Immune Connection. They discuss how a plant-based diet tra…
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New ventures require money. The question is always where does that money come from. It may come from your savings, a loan or other investors. Regardless of whether you are starting your own practice, buying into a practice or related business (ASC, Imaging Center, etc)--you will need to make a capital investment. In this episode, Dr. Brent Lacey an…
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Private Medical Silicon Valley-based pediatrician, Dr. Erika Drazan, is joined by Dr. Kari Nadeau, the Naddisy Foundation Endowed Professor of Medicine and Pediatrics and the Director of the Sean N. Parker Center for Allergy and Asthma Research at Stanford University. For more than 30 years, Dr. Nadeau has focused on how environmental and immune/ge…
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What is the difference between an office manager and a practice manager. If you hire someone to help manage your practice—regardless of how small it is—that employee is a practice manager. What are the tasks that practice managers may be responsible for? Here's just a short list: All things Human Resources Oversee billing and understand revenue cyc…
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Private Medical New York-based pediatrician Dr. Kelly Fradin is joined by Melinda Wenner Moyer, contributing editor at Scientific American, and a faculty member in the Science, Health & Environmental Reporting program at NYU’s Arthur L. Carter Journalism Institute. Her recent book, How to Raise Kids Who Aren’t Assholes, takes a scientific approach …
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