William S. Spangler, Esq.
Gary Swartz, JD, MPA, CPC

Compensation Planning, Surveys and Methodologies - is able to provide medical practices and institutions with compensation surveys, planning and specialty specific compensation methodologies. We possess the medical practice and legal experience to provide recommendations and methodologies that will enable you to both compete in the market for medical and surgical specialists and to assure that behavioral and financial incentive is in place for the long-term benefit of your patients, your medical practice, as well as your specialists and surgeons.

Medical Group Development, Governance and Transition Planning - consultants and attorneys are able to assist medical groups and facilities with group development to acquire and service new opportunities, to meet market competition as well as to plan for physician transition. We have experience with the myriad of group practice, market, strategic, governance and regulatory issues. We are also able to assist practices determine when merger with another practice or entity is the best option for long-term success and we can supplement your internal resources to analyze merger prospects, and to negotiate and facilitate the merger process.

Physician Employment Agreement Development and Review - attorneys and consultants are available to develop physician employment and physician service agreements for your medical practices and institutions. We are also available to review and revise existing agreements to bring them up to date from a clinical service, business, and legal perspective.

Evaluation of Physician Agreements and Opportunities - Evaluation Service is available to assist both resident and fellow trainees as well as experienced physicians in the review of the opportunities they receive. Our analysis and assistance is pragmatic, cost effective and efficient. We evaluate the clinical, financial, legal and group culture soundness of opportunities and agreements. We provide Evaluation Service for a fixed fee unlike the hourly rate method applied by others.

Medical Staff Development - supports hospitals and other health care organizations with their medical staff development requirements. Our consultants can supplement your existing staff and services or we can provide medical staff development services on a cost effective contractual or project basis.

Clinical Service and Financial Development, Response to Proposal, Pro-forma and Subsidy Development - consultants and attorneys have the clinical, financial and legal experience to develop and improve medical service and coverage relationships (exclusive and non-exclusive) among medical practices, facilities and specialists and between hospital based specialties and their facility, medical staff and health plan partners. We are able to analyze and develop relationships and perform utilization, coverage and revenue validation for response to Requests for Proposals (RFPs) and for recommendation and negotiation of institutional subsidies. We are also able to provide pro-forma development support for medical practices and institutions developing new service offerings and clinical service lines.

Practice Assessment and Financial Performance Improvement - has the hands-on experience to assess and improve patient and practice level revenue cycle and financial performance. Areas of focus include health plan relationships and negotiation, accounts receivable management, payor performance and reconciliation, coding and documentation audits, fee schedule development and update and patient scheduling and throughput. will work with you to develop key financial and productivity indicators for review and action on a routine and ad-hoc basis.

management consultants will develop comprehensive practice-wide operational policies and procedures. We can also develop a limited number of key policies, procedures and recommendations to address critical issues and enable you to improve your level of performance and practice control.

Contractual Management, Interim or Ongoing Basis and Management Recruitment - and its management consultants are able to provide contractual management services to practices on an interim or long-term contractual basis. These management services are rendered both at the practice site and also from our offices with cost effective on-site meetings as necessary. will also recruit full time management staff for your practice upon your request. Additionally, will assess practice management systems and assist in the evaluation of in-house systems as well as those systems and partners that offer superior technology, service and results on an outsourced basis.

Partner, Vendor and Supplier Rationalization - consultants can work with your physicians and staff to establish levels of requested performance, to identify and evaluate market alternatives, and to negotiate the agreements for space, equipment, supplies, through to the providers of physician and staff employee benefits as well as accounting and legal services.

Compliance Program Development, Monitoring, Regulatory Analysis and Assistance - can be your resource for regulatory analysis and assistance on an ongoing or project basis. attorneys and consultants will work with you to develop and implement compliance plans. Services range from baseline and ongoing coding and documentation review, assessment of compliance risk, and policy and procedure development through to education and training. We are able to serve as the compliance officer for your medical practice.

Advocacy, Marketing and Branding - attorneys and consultants have the experience and relationships to develop, deliver and manage practice advocacy and community educational services as well as marketing and practice branding on a routine or ad-hoc basis. Services can be tailored to audiences including patients, colleagues and referral sources, the media and members of the legislative and regulatory process.


- smart medicine.