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Ancillary Lines in OB/GYN: Ultrasound, Laboratory, and Elective Wellness

Ancillary Lines in OB/GYN: Ultrasound, Laboratory, and Elective Wellness

by Jason Farmer | Jun 20, 2026 | Financial Oversight

Private equity buyers pay premiums specifically for OB/GYN practices with integrated ancillary services. That premium exists because the services generate real margin – but each one carries compliance requirements that are not optional and not uniform across...
GUIDE Program Economics: Modeling Per-Beneficiary Revenue and Building Your P and L

GUIDE Program Economics: Modeling Per-Beneficiary Revenue and Building Your P and L

by Jason Farmer | Jun 19, 2026 | Financial Oversight

The payment structure is published. The operating costs are not. Here is how to build a realistic dementia program profit and loss before you are a year in and surprised by the numbers. Key TakeawaysGUIDE base rates differ significantly by tier and by whether the...
Endoscopy Center Economics: What GI Groups Need to Know Before They Build or Buy

Endoscopy Center Economics: What GI Groups Need to Know Before They Build or Buy

by Jason Farmer | Jun 12, 2026 | Financial Oversight

An ownership stake in an ASC can be the most valuable asset in a gastroenterology group – or an eight-figure mistake. The difference is in the numbers you run before you sign. Key TakeawaysASC facility payments run roughly 52 to 58 percent of OPPS rates for GI...
GI Ancillary Services: Pathology, Anesthesia, and Infusion – What Works and What Gets You Audited

GI Ancillary Services: Pathology, Anesthesia, and Infusion – What Works and What Gets You Audited

by Jason Farmer | May 27, 2026 | Financial Oversight

Pathology, anesthesia, and infusion services can meaningfully improve GI practice economics. They can also generate federal enforcement exposure if the structure is wrong. The two outcomes depend on the same set of regulatory requirements. Key TakeawaysThe Stark Law...
Building Ancillary Revenue in Orthopedics: Imaging, PT, and ASC

Building Ancillary Revenue in Orthopedics: Imaging, PT, and ASC

by Jason Farmer | May 25, 2026 | Financial Oversight

The three most common ancillary lines in orthopedics each follow a different financial logic, a different compliance framework, and a different readiness threshold. Here is how to think through all three before you commit capital. Key TakeawaysIn-office imaging,...
Insurance or Cash in Obesity Medicine: Run the Numbers First

Insurance or Cash in Obesity Medicine: Run the Numbers First

by Jason Farmer | May 23, 2026 | Financial Oversight

Medicare has covered intensive behavioral therapy for obesity since 2012. Research found only 1.2 percent of eligible primary care providers ever billed it. That gap is the whole decision in miniature. Key TakeawaysMedicare’s IBT for obesity benefit covers up to...
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