99MGMT Blog

Compliance is a critical concern in the healthcare industry, where complex regulations protect patients and ensure medical decisions are based on need — not green. 

Among the most impactful are the federal Anti-Kickback Statute (AKS), federal Stark Law, and Texas’ Patient Solicitation Act. These laws shape how healthcare providers, hospitals, and organizations operate, especially for referrals and compensation arrangements.

In Texas, providers must understand federal regulations and state-specific laws like the Texas Anti-Kickback Statute. These regulations impose additional layers of oversight — and consequences — that providers may ignore at their own risk.

Imagine trusting your doctor’s recommendation for a medical service, believing it’s based solely on your health needs. Now, imagine discovering that your physician referred you not because it was the best choice, but because they had a financial stake in the facility. 

Would you feel deceived?

This is precisely the type of unethical practice that federal Stark Law regulations aim to prevent.

Running a healthcare practice comes with great responsibility – especially when protecting patient information. 

A HIPAA Security Risk Assessment helps identify potential risks before they become bigger problems, like data breaches or compliance violations that could lead to hefty fines.

Switching EHR systems isn’t just an IT project — it’s a transformation that affects every aspect of your practice. 

Whether you're frustrated with an outdated electronic health records system, struggling with inefficient workflows, or facing hidden costs from your current platform, switching to a new EHR can feel overwhelming. And expensive.

But here’s the truth: Sticking with an inefficient system can cost your practice more because of: 

• Lost productivity 

• Low staff morale

• Compliance risks 

So, how can you make the transition without disrupting daily operations? The key is preparation.

Physician credentialing isn’t just a procedural necessity; it's a strategic linchpin in building a robust medical practice. 

Credentialing can be as daunting as it is critical, often mired in cumbersome processes that can sap both time and energy from your practice’s core focus — patient care. Yet, this process is crucial for your practice to ensure compliance, maintain seamless operations, and provide uninterrupted patient care.

In healthcare, accurate health insurance verification isn’t just a task — it’s the key to smoother billing, happier patients, and fewer headaches. 

Failing to verify health insurance accurately can have significant consequences. Incorrect information can lead to delayed or denied claims, impacting revenue. Patient billing issues create frustration and can damage your reputation. Also, you risk compliance violations that could result in penalties.

Running a medical practice involves more than providing excellent patient care – it requires managing the expenses that keep daily operations running smoothly.

From staffing and technology to routine costs, understanding where resources are going helps maintain efficiency and stay competitive.

A detailed checklist can simplify the process, offering guidance on handling expenses and improving overall financial management. Whether starting fresh or refining existing workflows, having clear strategies in place can make a measurable difference in how a practice operates.

Credentialing is a critical process for healthcare practices, ensuring that providers meet industry standards, maintain compliance, and are authorized to bill insurance companies. However, for many, the costs associated with provider credentialing can be unclear and daunting. 

In this guide, we’ll break down the various factors influencing credentialing costs, compare in-house and outsourced options, and provide actionable tips for maximizing value while managing expenses.

Imagine waking up every morning dreading the long hours and emotional toll of caring for others. 

For nearly half of all physicians, this scenario is a harsh reality. Physician fatigue and emotional depletion have surged to critical levels, jeopardizing the well-being of healthcare professionals and compromising the quality of patient care. From relentless workloads to the constant pressure of making life-and-death decisions, doctors and healthcare workers face immense challenges that can lead to profound stress and disengagement.

Leaving a comfortable medical practice can be daunting. You've built strong patient relationships and mastered the daily routine. But for some, the desire for growth and autonomy sparks the idea of opening their own practice. 

The idea of shaping your future and building something new is exciting. 

But it’s not just about finding the perfect location or setting up appointments; launching a medical practice in Texas requires thoughtful planning and navigating important challenges. From legal and financial considerations to selecting the right team and technology, there are several crucial steps to take before making the leap. 

Let’s dive into what it takes to create a thriving medical practice.