Recent News

News

2024 Regional Leader
2024 Regional Leader
03.26.24

JTaylor was recently Recognized by Accounting Today as a 2024 Regional Leader.

Joe Taylor Named Professional Advisor of the Year by NTCF
Joe Taylor Named Professional Advisor of the Year by NTCF
03.15.24

The North Texas Community Foundation recently honored Joe Taylor as the Professional Advisor of the Year. Congratulations, Joe!

Recent Enforcement Actions Highlight Physician Compensation Pitfalls
Recent Enforcement Actions Highlight Physician Compensation Pitfalls
03.15.24

Community Health Network recently agreed to pay $345 million to resolve allegations that the health system failed to comply with regulations set forth by Stark Law and the False Claims Act (FCA) by recruiting physicians for the purpose of capturing their valuable referrals. In this article, we outline some of the common pitfalls seen in Department of Justice (DOJ) enforcement actions and provide suggestions for how to avoid them when designing and implementing provider compensation models.

Legislative Update: Consolidated Appropriations Act, 2024
Legislative Update: Consolidated Appropriations Act, 2024
03.10.24

On March 9, 2024, the Consolidated Appropriations Act, 2024 (2024 CAA) was signed into law. In addition to providing funding for several federal agencies for the fiscal year ending September 30, 2024 – which began on October 1, 2023 – this legislation includes several provisions impacting healthcare providers. This article includes a recap of the key healthcare provisions.

The QofE: An Essential Tool in Your Arsenal
The QofE: An Essential Tool in Your Arsenal
02.28.24

The Quality of Earnings Analysis (“QofE”) in a transaction can assist with valuation, financing, and establishing the purchase price. This process also allows both buyers and sellers to build their respective analyses on validated financial information, though the uses and perceived benefits of the QofE may differ depending on which side you're on.

Hospital Margins Uncovered: Revenue Drivers
Hospital Margins Uncovered: Revenue Drivers
02.15.24

Patient volume drives hospital revenue, but utilization is shifting away from hospital settings to ASCs and clinics. Now, proposals to expand site-neutral reimbursement threaten hospital revenue even further. This article explains the trends and threats, and what hospitals and health systems must do to respond.

Corporate Transparency Act: Beneficial Ownership Reporting Requirement
Corporate Transparency Act: Beneficial Ownership Reporting Requirement
02.02.24

The Corporate Transparency Act (CTA) is a new law, effective January 1, 2024, that requires certain companies – including most small businesses – to provide information regarding beneficial ownership and control. The CTA is part of the Bank Secrecy Act, which is a set of federal laws that require record-keeping and reporting on certain types of financial transactions. The CTA requires disclosure of the beneficial ownership information (BOI) of certain entities from individuals who own or control a company. The intent of the BOI reporting is to help U.S. law enforcement combat money laundering, the financing of terrorism, and other illicit activity.

Addressing Physician Shortages through Compensation Plan Design
Addressing Physician Shortages through Compensation Plan Design
01.31.24

The healthcare industry has shifted in numerous ways in the last decade, impacting the needs of our clients. The dance between physician expectations and organizational financial goals has led to an overall shift in compensation structure and the route recent graduates may be taking in the healthcare field. What is the future, then, of healthcare and those considering a career in it?

Form 8308
Form 8308
01.30.24

New for tax years beginning January 1, 2023, Form 8308, Report of a Sale or Exchange of Certain Partnership Assets, has been significantly expanded. The IRS has issued guidance providing penalty relief in certain circumstances, but to qualify affected partnerships must take action by the January 31, 2024 filing deadline. This article explains the updates to Form 8308 and the associated requirements to qualify for penalty relief.

Hospital at Home: Here to Stay?
Hospital at Home: Here to Stay?
01.15.24

Since the pandemic, there has been a shift in various activities moving to the home. Work, exercise, and even doctor’s appointments can all now be done effectively in our own homes. With recent advancements in technology, there is also a movement to treat certain hospital patients in the comfort of their own home. “Hospital-at-home” is an idea that allows hospitals and physicians to treat patients remotely rather than in a traditional hospital setting. Although this idea has evolved in the past few years, there are still several concerns to address.

In the hospital-at-home method of care, there are three groups of stakeholders involved. The hospital, the payers, and the patients. For hospital services to be effectively rendered in a home setting, each group of stakeholders needs to benefit financially and operationally. This article explores how each party is impacted, as well as some key questions that remain.

JTaylor Names Three New Partners
JTaylor Names Three New Partners
01.11.24

JTaylor is proud to announce three new partners, effective January 1,
2024.

  • Lindi Jacks, CPA - Partner, Tax Services
  • Julie La Pata, CPA, CM&AA - Partner, Consulting Services
  • Doug Mann, CPA - Partner, Tax Services

Beneficial Ownership Reporting - Summary of Key Information
Beneficial Ownership Reporting - Summary of Key Information
12.06.23

The Corporate Transparency Act (CTA) requires certain companies to provide information regarding beneficial ownership and control. JTaylor explicitly disclaims any responsibility for beneficial ownership information (BOI) reporting in connection with the CTA. It is each company’s responsibility to comply with applicable reporting requirements under the CTA. This summary is intended to provide general information about the CTA and the associated reporting requirements and does not constitute legal advice.

ASC Tricare Reimbursement Makes the Move to Medicare
ASC Tricare Reimbursement Makes the Move to Medicare
12.05.23

Effective October 1, 2023, the TRICARE reimbursement methodology for ASCs shifted from its historical fee schedule to match current Medicare rates. For some specialties, this could result in a significant reduction in revenue. This article addresses the reasons for the change and the implications for both providers and TRICARE beneficiaries.

CY 2024 OPPS and ASC Final Rule
CY 2024 OPPS and ASC Final Rule
11.14.23

On November 2, CMS issued the CY 2024 Medicare Hospital OPPS and ASC Payment System final rule. Despite a higher rate increase than originally proposed, industry groups remain concerned that it is still insufficient to keep pace with rising costs. In addition to the rate change, the rule also adopts the proposed revisions to hospital price transparency requirements and expands access to behavioral health services. Separately, CMS on the same day issued another final rule: Hospital OPPS: Remedy for the 340B-Acquired Drug Payment Policy for Calendar Years 2018-2022. This article includes a recap of key provisions from both rules.

CY 2024 Medicare Physician Fee Schedule Final Rule
CY 2024 Medicare Physician Fee Schedule Final Rule
11.10.23

On November 2, the CMS released the Calendar Year 2024 Medicare Physician Fee Schedule Final Rule, which adopts the proposed conversion factor of $32.74 resulting in a 3.4% decrease from the 2023 rate. Industry groups claim that continuing reductions in reimbursement in an era of rising costs is unsustainable and will have a negative impact on Medicare patients’ access to care. This article recaps the key provisions contained in the rule and current activity in the push for legislative changes.

Healthcare Transactions Update
Healthcare Transactions Update
09.18.23

In the past ten years, the healthcare industry has experienced a wave of transaction activity. Private equity transaction activity in the healthcare sector peaked in 2021. However, in the past 18 months both the quantity and value of healthcare transactions have experienced downward pressure. Even so, volume thus far in 2023 is still double the activity level from 2018-2020, which shows promise considering the current economic climate. This article recaps recent transaction activity for healthcare facilities and physician practices, outlines some of the headwinds and tailwinds for transaction activity for both subsectors and reveals our observations and expectations for the remainder of 2023 and into 2024.

Haley Adams, Consulting Services, Named Partner at JTaylor
Haley Adams, Consulting Services, Named Partner at JTaylor
08.22.23

Haley S. Adams, a Certified Valuation Analyst (CVA), has been named a Partner in the Consulting Services division at JTaylor, which provides assurance, advisory and tax services to clients locally and nationally.

CY 2024 Outpatient Prospective Payment System and Ambulatory Surgery Center Proposed Rule
CY 2024 Outpatient Prospective Payment System and Ambulatory Surgery Center Proposed Rule
08.02.23

CMS recently issued the CY 2024 Medicare Hospital OPPS and ASC Payment System Proposed Rule. Despite a proposed rate increase, industry groups remain concerned that the increase does not keep pace with rising costs in today’s inflationary environment. In addition to the rate change, the proposed rule also includes revisions to hospital price transparency requirements and expands access to behavioral health services. A separate proposed rule offers a remedy for historical underpayments for 340B drugs. This article includes a recap of key provisions of both rules.

CY 2024 Medicare Physician Fee Schedule Proposed Rule
CY 2024 Medicare Physician Fee Schedule Proposed Rule
07.28.23

CMS recently released the CY 2024 Medicare Physician Fee Schedule Proposed Rule. The most concerning provision is a conversion factor that reflects a 3.36% decrease from the CY 2023 rate. Industry groups continue to lobby for a legislative fix, claiming that the budget neutrality rules that govern physician reimbursement result in reimbursement that is inadequate as costs of running a practice continue to rise. Providers maintain that this reimbursement structure is unsustainable and will have a negative impact on Medicare patients’ access to care. Below is a recap of the key provisions contained in the proposed rule, other relevant factors that will impact Medicare reimbursement, and current activity in the push for legislative changes.

Daniela Arroyo Honored as a Young Leader by Hispanic Chamber, Fort Worth Business Press
Daniela Arroyo Honored as a Young Leader by Hispanic Chamber, Fort Worth Business Press
07.13.23

Daniela Arroyo, CPA, a tax senior manager at JTaylor, has been in the spotlight lately. She was named to the Fort Worth Business Press “40 Under 40” list, which is published annually to recognize individuals under the age of 40 who are helping to shape Fort Worth’s future through their professional accomplishments and community involvement. She also was named as one of the “50 Emerging Leaders” by the Fort Worth Hispanic Chamber of Commerce in connection with its 50th-anniversary celebration.

Monica Collins Honored at Cristo Rey Banquet as "Outstanding Supervisor”
Monica Collins Honored at Cristo Rey Banquet as "Outstanding Supervisor”
05.17.23

Cristo Rey Fort Worth recently held its “Celebrating Milestones” banquet to honor corporate partners and graduating seniors. A key tenet of the college preparatory school is the work-study program, in which each student is matched with a corporate partner to gain real job experience. During the banquet, Monica Collins, JTaylor’s Corporate Administrator, received the “Outstanding Supervisor Award” after being nominated by two work-study students who have spent the last four years with JTaylor.

The Importance of MORs and KPIs
The Importance of MORs and KPIs
04.18.23

There can be real power in putting together an effective monthly operating report (MOR). If your organization is performing well, you can celebrate success and strive to even greater heights. On the other hand, if your organization is struggling, you can identify specifically where deficits exist and work towards correcting them, where possible. Assembling an MOR with a medley of key performance indicators (KPIs) and related targets is a foundational way to measure organizational performance and have an organizational snapshot in time.

Highlights of MedPAC's Report to Congress
Highlights of MedPAC's Report to Congress
04.03.23

Each March, the Medicare Payment Advisory Commission (MedPAC) releases a report with recommendations to Congress regarding Medicare payment policy. In this edition of JTaylor’s Partner Insights Series, we highlight some of the trends MedPAC has uncovered and discuss the implications if Congress adopts these recommendations.


Optimizing Organizational Structure
Optimizing Organizational Structure
03.17.23

Organizational structure helps outline the relationships among the many components of an organization to optimize performance. Leaders struggle to implement and maintain management reporting relationships within an organizational structure which align with effective practical application. As hospitals, health systems, and physician organizations grow, management reporting relationships and structures must change to allow for utmost effectiveness.

The Rural Healthcare Crisis
The Rural Healthcare Crisis
03.01.23

Rural hospitals are an essential component of the healthcare system in rural communities, providing vital medical services to over 60 million Americans. However, in recent years, many rural hospitals across the U.S. have been facing financial difficulties, resulting in a significant number of closures. The closure of rural hospitals can have severe consequences for the surrounding communities, leaving residents with limited access to medical care and resulting in longer travel times to receive necessary treatments. Additionally, the loss of these hospitals can have an adverse impact on the local economy, as many hospitals are major employers in rural areas. There are many factors contributing to the closure of rural hospitals, including declining populations, inadequate reimbursement rates, and rising operational costs. Addressing these challenges will be critical in ensuring that rural communities have access to the healthcare services they need to lead healthy lives.

Big Business Threatens the Traditional Provider
Big Business Threatens the Traditional Provider
02.15.23

In today’s world, the emergence of large corporations is having a drastic impact on small business in almost every industry. Healthcare is no different. Although historically it seems that the industry has fared well, new threats are quickly discouraging traditional providers. In recent years, big business has taken advantage of economies of scale leading to lower prices and increased service offerings – something that private practices often cannot compete with. This article explains recent integration trends, the expansion of retail players into the healthcare industry, and the impact on traditional providers.

In Today’s Economy, Can Access to Care and Financial Stewardship Coexist?
In Today’s Economy, Can Access to Care and Financial Stewardship Coexist?
01.31.23

For healthcare providers and their governing boards, access to care is a fundamental concern and a part of every hospital’s charge. Philosophically, all providers desire to provide open access to all who need medical care. Further, there is an increasing awareness nationally of the need to improve health equity. However, financial and operational realities exist now more than ever that require providers to choose how, where, and when to provide access to healthcare services.

In today’s world, we are seeing more and more rural hospitals close. Hospitals are closing obstetrical units and other less profitable but important service lines due to poor ongoing financial performance. Safety net providers are continuing to utilize funding from taxes and other governmental sources to fortify losses, but not without tension. Providers are struggling to keep up with patient demand as high costs and labor shortages continue. Financial pressures are leading to gaps in patient access, particularly in rural areas.

SECURE 2.0 – Key Provisions of the Legislation Impacting Retirement Savings
SECURE 2.0 – Key Provisions of the Legislation Impacting Retirement Savings
01.17.23

Enacted on December 29, 2022, the Consolidated Appropriations Act, 2023 included the “Secure 2.0 Act of 2022” that contains important changes to retirement plan savings. While many provisions impact employer sponsorship of retirement plans and how those plans are administered, the focus of this article is the key provisions that affect individuals with retirement savings accounts.


TCU Accounting Program Recognizes Anna Brewer as Top 2022 Alum
TCU Accounting Program Recognizes Anna Brewer as Top 2022 Alum
01.12.23

The TCU accounting program recently honored Anna Brewer with the Outstanding Accounting Alumna Award and Andrew Darr as an Outstanding Scholar in Accounting.

Healthcare Provisions in the Omnibus Bill
Healthcare Provisions in the Omnibus Bill
12.27.22

The omnibus bill passed by Congress just before the holiday recess includes several provisions impacting the healthcare industry. In the federal spending bill, healthcare providers get some, but not all, of what they were seeking. This article recaps the key provisions impacting the industry.

CY 2023 Hospital OPPS and ASC Payment System Final Rule: Key Provisions
CY 2023 Hospital OPPS and ASC Payment System Final Rule: Key Provisions
11.09.22

CMS issued the Calendar Year 2023 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule on November 1. Though industry groups were pleased that the payment rates will be higher than what was reflected in the proposed rule, they remain concerned that the increase does not keep pace with rising costs in today’s inflationary environment. In addition to the rate change, the final rule also implements provisions relating to the new Rural Emergency Hospital (REH) model, as well as updates to the 340B Drug Pricing Program. This article recaps significant provisions of the final rule.

CY 2023 Medicare Physician Fee Schedule Final Rule
CY 2023 Medicare Physician Fee Schedule Final Rule
11.04.22

CMS released the CY 2023 Physician Fee Schedule Final Rule on November 1. The final rule adopts a conversion factor that reflects a 4.5% decrease from the CY 2022 rate. This article recaps the key provisions contained in the final rule, as well as other relevant factors that will impact overall Medicare reimbursement for physicians.

IRS Late-Filing Penalty Relief
IRS Late-Filing Penalty Relief
08.25.22

The IRS granted relief from failure to file penalties for individual and business tax returns for 2019 and 2020, as well as certain information returns.

Inflation Reduction Act
Inflation Reduction Act
08.18.22

The Inflation Reduction Act (IRA) was signed into law on August 16, 2022. The key components of the legislation include new corporate taxes, climate initiatives, additional funding for the Internal Revenue Service (IRS), and healthcare provisions. The full package includes over $250 billion in green energy tax credits, tax incentives for electric vehicles, and funding for climate and consumer energy initiatives. It also provides subsidies for Affordable Care Act health insurance coverage, seeks to reduce Medicare spending on drugs, and restructures the Medicare Part D program to reduce the out-of-pocket cost to beneficiaries. This article provides a broad overview of the key provisions.

School of Accounting Communications Center will assist students in gaining competitive edge
School of Accounting Communications Center will assist students in gaining competitive edge
08.11.22

The Oklahoma State University School of Accounting launches a new communication center, with JTaylor as the lead donor. The center will support accounting students through teaching effective written, verbal and visual communication skills.

CY 2023 Medicare OPPS/ASC Proposed Rule Brings Minimal Rate Increase and Other Changes
CY 2023 Medicare OPPS/ASC Proposed Rule Brings Minimal Rate Increase and Other Changes
07.25.22

CMS recently released the CY 2023 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Proposed Rule. Industry groups are once again expressing concern that the minimal rate increase does not keep pace with rising costs in today’s inflationary environment. In addition to the rate change, the proposed rule also includes proposals relating to the new Rural Emergency Hospital model, as well as the 340B Drug Pricing Program. This article recaps significant provisions of the proposed rule.

Proposed CY 2023 Medicare Physician Fee Schedule Yields Decrease in Reimbursement
Proposed CY 2023 Medicare Physician Fee Schedule Yields Decrease in Reimbursement
07.13.22

CMS recently released the Proposed Calendar Year 2023 Physician Fee Schedule. While the proposed conversion factor decrease was expected in light of budget neutrality requirements, the reality is that Medicare reimbursement to physicians and advance practice providers will decline from current levels in 2023 at the same time medical practices are facing inflationary challenges. Industry groups have already been lobbying Congress to intervene, and that effort is likely to intensify between now and January 1, 2023. This article recaps the key provisions contained in the proposed rule, as well as other relevant factors that will impact overall Medicare reimbursement.

Schmeck Named Partner at JTaylor
Schmeck Named Partner at JTaylor
07.01.22

Arielle Schmeck as been named a Partner in the Consulting Services division of JTaylor.

On the Edge of the Medicare Cliff
On the Edge of the Medicare Cliff
06.28.22

The 2022 annual Medicare Trustee report paints a dire picture of the sustainability of the Medicare programs as currently structured. What does that mean for retirees and the healthcare providers who serve them? Is Medicare reimbursement at risk if this critical Federal program is running out of money in the near future? How would that impact access to care for this patient population? This article addresses the forecasted depletion of the trust fund for Medicare Part A in 2028, as well as some potential solutions. Additionally, it considers how a decrease in Medicare reimbursement could impact healthcare providers who are currently facing a variety of challenges.

FY 2023 Hospital IPPS & LTCH Proposed Rule: Key Terms and Implications
FY 2023 Hospital IPPS & LTCH Proposed Rule: Key Terms and Implications
05.05.22

The Centers for Medicare and Medicaid Services (CMS) recently released the proposed rule dictating payment provisions for inpatient and long-term hospitals. The fiscal year 2023 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) proposed rule (Proposed Rule) includes not only updates to payment rates, but also includes new measures intended to enhance health equity.


Nominations for Cowboy100 sought from Cowboy-owned or Cowboy-led businesses
Nominations for Cowboy100 sought from Cowboy-owned or Cowboy-led businesses
05.03.22

Oklahoma State University announces that nominations and applications are being accepted for the 2023 Cowboy100, celebrating the fastest-growing and top 10 revenue-generating businesses owned or led by OSU graduates. JTaylor serves as the accounting partner for the Cowboy100 program.

PE & Health Care Investments: How Has COVID-19 Impacted Deal Flow?
PE & Health Care Investments: How Has COVID-19 Impacted Deal Flow?
04.05.22

JTaylor's Arielle Schmeck, CPA/ABV, CM&AA, was recently published in the American Health Law Association's Health Law Connections magazine. The article explores PE healthcare deal activity pre- and post-emergence of COVID in the United States and key drivers in PE health care investment throughout this time period.

Legislative Update
Legislative Update
03.23.22

On March 15, 2022, President Biden signed the omnibus bill (H.R. 2471) funding the federal government for fiscal year 2022, which actually began on October 1, 2021. While the bill does contain some important healthcare provisions, it also leaves out several key components that many in the healthcare community had been pushing for.


JTaylor Promotes Two New Partners and Two Sr. Managers
JTaylor Promotes Two New Partners and Two Sr. Managers
03.08.22

JTaylor, a professional services firm that provides accounting, assurance, consulting and tax services, distinguished from its peers by high-end technical and strategic capabilities, has announced two new Partner and two Senior Manager promotions. The two new Partners are Marc Geisler, CPA, and Andrew M. Pirtle, CPA. The two new Senior Managers are Julie La Pata, CPA, CM&AA, and Ronald Woodruff, CPA.

Congress Passes Legislation to Delay Medicare Reimbursement Cuts
Congress Passes Legislation to Delay Medicare Reimbursement Cuts
12.10.21

Congress passed legislation that would delay almost 10% of cuts to Medicare reimbursement for healthcare providers that was otherwise scheduled to be implemented effective January 1, 2022. This includes a delay in the resumption of sequestration as well as a delay in PAYGO payment reductions. This article details the various components and associated effective dates.

2021 Physician Fee Schedule Impact On Physician Practices - Part 4: Hospital-Based Specialties
2021 Physician Fee Schedule Impact On Physician Practices - Part 4: Hospital-Based Specialties
10.14.21

In December 2020, CMS issued the 2021 Medicare Physician Fee Schedule ("PFS") final rule that implemented the most substantial changes in many years. Health systems that employ physicians were left scrambling to understand how the changes would impact both revenue and physician compensation. Part 1 of this 4-part series recapped the core issues and the scope of the impact. Part 2 explored the specialties that benefitted the most from the PFS changes – primary care, office-based medical specialties, and urgent care. Part 3 discussed the implications for surgical specialties. Part 4, the final part of the series, addresses hospital-based specialties, which experience the most unfavorable impact from the PFS changes since they do not utilize the office E&M codes and therefore experience more of a
financial hit from the conversion factor decrease.

Expiration of Payroll Credits
Expiration of Payroll Credits
10.13.21

COVID-relief legislation included payroll credits for employers to recover qualified paid leave wages. After several extensions, the program has now expired. This article addresses important information for employers.

2021 Physician Fee Schedule Impact On Physician Practices - Part 3: Surgical Specialties
2021 Physician Fee Schedule Impact On Physician Practices - Part 3: Surgical Specialties
09.30.21

In December 2020, CMS issued the 2021 Medicare Physician Fee Schedule ("PFS") final rule that implemented the most substantial changes in many years. Health systems that employ physicians were left scrambling to understand how the changes would impact both revenue and physician compensation. Part 1 of this 4-part series recapped the core issues and the scope of the impact. Part 2 explored the specialties that benefitted the most from the PFS changes – primary care, office-based medical specialties, and urgent care. Now, in Part 3, we discuss the implications for surgical specialties. Since E&M services make up a much smaller percentage of overall practice activity for these physicians, there is less upside from the PFS changes. The result for surgical specialties is mixed. This article provides our findings and some examples regarding the impact of the changes on physician compensation. The final part of the series will address hospital-based specialties.


2021 Physician Fee Schedule Impact On Physician Practices - Part 2: The Winners
2021 Physician Fee Schedule Impact On Physician Practices - Part 2: The Winners
09.22.21

In December 2020, CMS issued the 2021 Medicare Physician Fee Schedule ("PFS") final rule that implemented the most substantial changes in many years. Health systems that employ physicians were left scrambling to understand how the changes would impact both revenue and physician compensation. Part 1 of this 4-part series recapped the core issues and the scope of the impact. This article addresses the specialties that benefit the most from the PFS change: primary care, office-based medical specialties, and urgent care.

Private Equity and Health Care Investments: How Has COVID-19 Impacted Deal Flow?
Private Equity and Health Care Investments: How Has COVID-19 Impacted Deal Flow?
09.20.21

Entering 2020, private equity investment in health care service was happening at a record-setting pace. By mid-March 2020, activity came to a halt as COVID-19 forced businesses to close and created significant economic uncertainty. This article explores PE healthcare deal activity pre- and post-emergence of COVID in the United States and key drivers in PE health care investment throughout this time period.

2021 Physician Fee Schedule Impact On Physician Practices - Part 1: What is the Problem?
2021 Physician Fee Schedule Impact On Physician Practices - Part 1: What is the Problem?
09.14.21

In December 2020, CMS issued the 2021 Medicare Physician Fee Schedule ("PFS") final rule that implemented the most substantial changes in many years. Health systems that employ physicians were left scrambling to understand how the changes would impact both revenue and physician compensation. Part 1 of this 4-part series will recap the core issues and the scope of the impact.

IRS Service Delays
IRS Service Delays
08.25.21

The IRS continues to experience significant delays in performing key functions, creating frustration for both taxpayers and tax practitioners. The National Taxpayer Advocate's midyear report to Congress gave a grim assessment of IRS service for the 2021 filing season. This article provides statistics regarding unprocessed returns, poor phone service, and other evidence of the magnitude of the problem, as well as some electronic IRS tools taxpayers can use.

First Rules Addressing Surprise Medical Billing Released
First Rules Addressing Surprise Medical Billing Released
07.06.21

Following legislation enacted in December 2020, HHS, the Department of Labor, and the Department of Treasury released the first set of regulations addressing protections from surprise medical bills and balance billing. These rules offer protection for emergency services as well as services provided by out of network providers at in network facilities. The rules are generally effective beginning January 1, 2022.

Child Tax Credit Changes
Child Tax Credit Changes
07.02.21

There are important changes to the child tax credit for 2021 that you should be aware of, including advance payments begining July 15. Find out more about the changes and actions you may need to take now such as unenrolling from the advance payments.

IRS Late Notice
IRS Late Notice
06.30.21

Even though the IRS automatically extended the deadlines for certain tax filings and payments for individuals and businesses that reside or have a principal location in Texas, Oklahoma, and Louisiana, you may still receive a late filing notice. Find out why and what you should do.

HHS Updates Reporting Requirements & Deadlines for Provider Relief Funds
HHS Updates Reporting Requirements & Deadlines for Provider Relief Funds
06.22.21

HHS released an updated Notice of Reporting Requirements and updated FAQs related to Provider Relief Funds. These updates include important information about deadlines for both using PRF money and reporting on the use of funds. It also provides guidance on the specific data that is required to be reported, including expenses incurred to prevent, prepare for, and respond to coronavirus and lost revenues attributable to coronavirus.

Texas Comptroller Amends Policy Regarding Taxability of Medical Billing Services
Texas Comptroller Amends Policy Regarding Taxability of Medical Billing Services
06.17.21

H.B. 1445, passed in the 87th Texas Legislative Session, made changes to the Texas Tax Code codifying the definition of medical and dental billing services and affirming that such services performed before the original submitted claim are not taxable.

Price Transparency 2.0
Price Transparency 2.0
06.09.21

JTaylor published an article in the June issue of AHLA Health Law Connections. In it, author Herd Midkiff addresses the goals of recently enacted price transparency rules requiring hospitals to post a list of standard negotiatiated charges for a list of "shoppable" services, as well as expected impacts, challenges, and penalties for noncompliance.

Inaugural Cowboy100 event announced
Inaugural Cowboy100 event announced
05.25.21

Oklahoma State University will host its inaugural Cowboy100 Honoree Gala to celebrate the fastest-growing and top 10 revenue-generating businesses owned or led by OSU graduates. JTaylor will process program applications and perform the calculations that will determine the winners.

Texas Franchise Tax Updates
Texas Franchise Tax Updates
05.19.21

Texas recently enacted legislation allowing businesses to exclude forgiven proceeds from PPP loans and other COVID-19 relief programs from revenue for franchise tax calculations, and to deduct applicable expenses paid using qualifying proceeds from these programs. The filing deadline for Texas franchise tax has also been delayed.

Tax Deadline Extension Reminder
Tax Deadline Extension Reminder
05.14.21

Residents of Texas, Oklahoma, and Louisiana are entitled to tax deadline extensions resulting from winter storms. JTaylor summarizes the various types of returns impacted by the extensions and actions that should be taken by affected taxpayers.

Restaurant Revitalization Fund
Restaurant Revitalization Fund
05.12.21

The SBA has opened applications for the Restaurant Revitalization Fund, which has $28.6 billion available to be awarded to eligible businesses. JTaylor addresses eligibility requirements and how to determine the funding amount, as well as other key components of the program. Even though the program is reserved for priority applicants for the first 21 days, eligible businesses should apply as soon as possible since the funds are expected to be depleted quickly.

Temporary 100% Deduction for Restaurant Food & Beverage
Temporary 100% Deduction for Restaurant Food & Beverage
05.12.21

Recent COVID-relief legislation allows for a 100% deduction for eligible food and beverages purchased from a restaurant in 2021 and 2022. for business-related purposes. JTaylor explains details for determining eligible expenses so you can take advantage of this increased deduction.

COVID Relief Programs for Healthcare Providers - Important Tax Considerations
COVID Relief Programs for Healthcare Providers - Important Tax Considerations
05.03.21

Healthcare providers had access to many COVID relief programs established through the CARES Act, ARPA, and other legislation, including Provider Relief Funds, Medicare Advance Payment Program, Paycheck Protection Program, Employee Retention Credit, Deferred Payroll Tax, and more. Each program carries tax implications that must be considered to ensure appropriate treatment in accordance with evolving guidance.

COBRA Subsidy: What Employers Need to Know
COBRA Subsidy: What Employers Need to Know
04.19.21

The American Rescue Plan Act included provisions providing a temporary premium subsidy for eligible individuals who have lost employer-provided healthcare coverage due to termination of employment or reduction in hours. JTaylor discusses the responsibilities of employers, from identifying eligible individuals to providing required notifications, as well as how to claim the associated credit.

Temporary Property Tax Exemption Opportunity
Temporary Property Tax Exemption Opportunity
03.31.21

A temporary property tax exemption is available to certain property owners who incurred damages resulting from the winter storm in Texas in February 2021. JTaylor provides information regarding eligibility and the methodology for determining the amount of the temporary exemption so you can apply before the May 28, 2021 deadline.

Strategic Outlook for Hospitals Post-COVID
Strategic Outlook for Hospitals Post-COVID
03.24.21

Strategic planning for hospital operations after COVID requires an understanding of the constants in healthcare as well as permanent changes that we must adapt to. JTaylor offers insight of considerations your hospital should incorporate into its short and long-term planning.

Key Tax Implications of the American Rescue Plan Act
Key Tax Implications of the American Rescue Plan Act
03.24.21

The American Rescue Plan Act includes provisions that impact taxes for businesses and individuals for both 2020 and 2021 tax years. JTaylor recaps the key provisions you should consider to ensure you maximize any tax benefits available to you.

New Employee Retention Credit Guidance Issued by IRS
New Employee Retention Credit Guidance Issued by IRS
03.10.21

The IRS recently issued clarifying guidance for employers claiming the Employee Retention Credit (ERC) for eligible wages paid in 2020. This guidance includes key definititions impacting elibility and how to determine qualified wages. It also addresses important considerations for employers who received PPP loans. JTaylor summarizes the key information to help your business maximimze the ERC opportunity.

Fort Worth’s Joe Taylor to be inducted into OSU’s School of Accounting Hall of Fame
Fort Worth’s Joe Taylor to be inducted into OSU’s School of Accounting Hall of Fame
03.04.21

Joe Taylor, founder and chairman of JTaylor, will be honored as a disinguished alumni of Oklahoma State University as he is inducted into its School of Accounting Hall of Fame.

OIG Report Highlights Billing Trend for Inpatient Hospital Stays
OIG Report Highlights Billing Trend for Inpatient Hospital Stays
03.03.21

OIG issued a report detailing its findings from an analysis of billing for inpatient hospital stays. The trends relating to billing for the highest severity MS-DRG codes raise concerns over potential upcoding. JTaylor shares what hospitals need to know in light of enhanced scrutiny on hospital billing practices.

IRS Extends Tax Deadlines for Texas Winter Storm Victims
IRS Extends Tax Deadlines for Texas Winter Storm Victims
02.23.21

In response to the severe winter storms, IRS announced an extension for tax deadlines impacting Texas residents and businesses. JTaylor provides a summary of applicable returns, payments, and other relevant information.

Important Considerations for Storm-Related Damage to Property
Important Considerations for Storm-Related Damage to Property
02.22.21

Action steps you can take now if you have sustained casualty losses as a result of the severe winter storm that hit Texas.

HHS Updates FAQ for Provider Relief Funds
HHS Updates FAQ for Provider Relief Funds
02.01.21

HHS released an updated version of the its FAQ related to Provider Relief Funds. This update provides insight regarding eligible uses of funds, and removes key provisions included in prior versions.

2021 Physician Fee Schedule Final Rule: Significant Changes for Physician Practices
2021 Physician Fee Schedule Final Rule: Significant Changes for Physician Practices
12.03.20

On December 1, 2020, the Centers for Medicare and Medicaid Services issued the calendar year 2021 Medicare Physician Fee Schedule final rule reflecting policy changes impacting Medicare reimbursement. Most provisions contained in the rule are effective January 1, 2021. These updates reflect the most substantial changes in many years, which will have a significant impact on physician practice revenue. Furthermore, the changes will impact physician compensation under commonly used production-based compensation models. The impact will vary based on specialty, service mix, payer mix, and other factors, but all physician practice organizations should plan for changes.

Stark Law and Anti-Kickback Statute Changes Released in Final Rules
Stark Law and Anti-Kickback Statute Changes Released in Final Rules
11.23.20

On November 20, 2020, both CMS and the OIG issued final rules regarding the physician self-referral regulations, commonly known as the “Stark Law.” These new rules seek to spark innovation aimed at improved coordination and quality of patient care by reducing regulatory barriers associated with value-based arrangements.

JTaylor’s Arielle Schmeck Recognized with AICPA Valuation “Standing Ovation”
JTaylor’s Arielle Schmeck Recognized with AICPA Valuation “Standing Ovation”
11.13.20

FORT WORTH, TX. – The American Institute of CPAs Standing Ovation Recognition Program has selected Arielle Schmeck, CPA/ABV, a Senior Manager in the Consulting Services division at JTaylor, as one of its 22 outstanding young CPAs for 2020. She was honored in the area of Valuations.

Hospital Pricing Transparency - Frequently Asked Questions (FAQs)
Hospital Pricing Transparency - Frequently Asked Questions (FAQs)
10.05.20

New CMS price transparency rules, effective January 1, 2021, are far different than prior CMS efforts. Every hospital (including employed physicians) must publish in machine readable form, its negotiated rates with every payer (and product) for every item, service and service package it provides in both inpatient and outpatient settings. It will be a treasure trove of highly sensitive information for consumers, competitors, payers, consultants, media and the government.

Provider Relief Fund Reporting Requirements: Updated Guidance Released by HHS
Provider Relief Fund Reporting Requirements: Updated Guidance Released by HHS
09.21.20

On September 19, 2020, HHS released reporting guidance for entities receiving distributions from the Provider Relief Fund that was established in the CARES Act legislation. Key provisions contained in the notice are summarized in this article.

FY 2021 Medicare Hospital IPPS and LTCH Final Rule: Changes effective October 1, 2020
FY 2021 Medicare Hospital IPPS and LTCH Final Rule: Changes effective October 1, 2020
09.21.20

Centers for Medicare and Medicaid Services (CMS) has issued the final rule relating to reimbursement policies for inpatient and LTCH hospital facilities for fiscal year 2021, which begins October 1, 2020. This article summarizes key provisions of the rule .

CY 2021 Medicare Hospital OPPS & ASC Payment System Proposed Rule
CY 2021 Medicare Hospital OPPS & ASC Payment System Proposed Rule
09.08.20

Summary of Key Provisions

CMS has released the proposed rule impacting reimbursement for outpatient services in 2021. The proposed changes are intended to increase patient choice by expanding Medicare payments to more services in different sites of service, which will allow patients more flexibility in making decisions with regard to health services. This article recaps the most significant changes reflected in the proposed rule.

Healthcare Real Estate Outlook: How COVID-19 has changed the landscape
Healthcare Real Estate Outlook: How COVID-19 has changed the landscape
09.03.20

Your healthcare real estate should match your strategies and adapt to changing needs! See how the COVID-19 pandemic, consumerism, telemedicine, and health insurance companies are changing how real estate fits into the health ecosystem.

Stark Law Updates Delayed Until August 2021
Stark Law Updates Delayed Until August 2021
08.28.20

The much anticipated updates to the Stark Law regulations have been delayed until August 2021. These updates will provide updated clarity to the federal government’s definition of Commercial Reasonability and Fair Market Value, and allow for expanded value-based arrangements.

2021 Physician Fee Schedule Changes
2021 Physician Fee Schedule Changes
08.21.20

This article outlines important changes to the 2021 Physician Fee Schedule that was just published by the Centers for Medicare and Medicaid Services (CMS).

Paycheck Protection Program Flexibility Act of 2020: Relaxation of Loan Forgiveness Rules
Paycheck Protection Program Flexibility Act of 2020: Relaxation of Loan Forgiveness Rules
06.04.20

Relaxation of Loan Forgiveness Rules

New Bonus Depreciation Rules for Qualified Improvement Property
New Bonus Depreciation Rules for Qualified Improvement Property
06.02.20

New Bonus Depreciation Rules for Qualified Improvement Property

Net Operating Losses Create Tax Refund Opportunities
Net Operating Losses Create Tax Refund Opportunities
06.02.20

Net Operating Losses Create Tax Refund Opportunities

Volume Forecasting for Healthcare
Volume Forecasting for Healthcare
05.21.20

COVID-19 as a Dam to the Healthcare Volume River

Accounting Considerations & COVID-19
Accounting Considerations & COVID-19
05.06.20

Understanding the Financial Statement Impacts

CARES Act Provider Relief
CARES Act Provider Relief
04.23.20

HHS releases details released regarding funding allocations

Healthcare Financial Planning During COVID-19 Crisis
Healthcare Financial Planning During COVID-19 Crisis
04.19.20

How to manage effectively through uncertainty

Navigating Through Uncertain Times
Navigating Through Uncertain Times
04.18.20

Focus on stability as economy and healthcare providers face headwinds

COVID-19 Telehealth Program
COVID-19 Telehealth Program
04.09.20

FCC Implements $200 Million Program to Promote Telehealth

The CARES Act - Solutions for Healthcare Providers
The CARES Act - Solutions for Healthcare Providers
04.06.20

The CARES Act recently passed in response to economic challenges from the COVID-10 pandemic contains relief provisions healthcare providers.

Key Tax Implications of the CARES Act
Key Tax Implications of the CARES Act
04.01.20

The CARES Act recently passed in response to economic challenges from the CPVID-10 pandemic contains tax relief provisions that individuals and businesses can take advantage of.

Families First Coronavirus Response Act
Families First Coronavirus Response Act
03.31.20

What you need to know about how these rules will impact your business

COVID-19 and JTaylor
COVID-19 and JTaylor
03.20.20

JTaylor continues to be attentive to the rapidly evolving situation surrounding the COVID-19 virus.

Managing Population Health as Part of a Post-Acute Care Network
Managing Population Health as Part of a Post-Acute Care Network
03.04.20

The reimbursement landscape is evolving to focus on rewarding value over the volume of healthcare services provided.

Aligning Incentives with Mission
Aligning Incentives with Mission
03.02.20

There are a multitude of reasons a physician organization may consider a change in compensation structure for its providers. One significant consideration is whether the financial incentives contained within the compensation plan align with the overall mission and objectives of the organization. This article details two examples of how modifying the provider compensation structure can drive necessary changes in behavior that result in significant improvements.