Robert A. Dowling, MD
Dr. Dowling is president of Dowling Medical Director Services, a private health care consulting firm specializing in quality improvement, clinical informatics, and health care policy affecting specialty care. He is the former medical director of a large, metropolitan single-specialty urology group in Fort Worth, TX.
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Bundled payments are coming; how to prepare
In this column, Robert A. Dowling, MD, explores bundled payments and describes a method for calculating “costs” that a practice could use to determine profit/loss projections and negotiate fee schedules using relative value units.
EHRs: Costly replacement or ‘disruptive innovation’?
The Protecting Access to Medicare Act of 2014 largely preserves the status quo for physicians and their Medicare patients, but many believe the health care model is ripe for disruptive innovation.
OIG focuses on provider status, admission criteria
The OIG recently released its work plan for 2014, and it is worth noting what is new and what is ongoing in the scope of the office’s intended activities for the coming year and beyond.
Initiatives open up patient access to their health info
Patients are demanding transparency and access to their health information, and recent initiatives from the government and private insurers are addressing these demands.
Master fee schedule: How it can help your practice
In an age where physician fees are primarily determined by the Centers for Medicare & Medicaid Services, insurers who negotiate a percentage of Medicare, or value-based reimbursement programs, it is reasonable to examine the purpose and method of creating and maintaining a master fee schedule, or “charge master.”
Meaningful use Stage 2 ramps up info sharing
In this article, I will try to clarify the differences among the Stage 2 measures in terms of what is required to fulfill each one.
How can locum tenens help your practice (or you)?
A look at how a locum tenens can help your practice weather extended absences.
Pharma, device payments to docs set to go public
One of the elements in the Patient Protection and Affordable Care Act that may affect urologists is the Physician Payment Sunshine Provision, which requires drug and medical device manufacturers to publicly report gifts and payments made to physicians and teaching hospitals beginning in 2013.
How Stage 2 of meaningful use applies to urology
Generally speaking, for Stage 2 of meaningful use, the bar has been raised; the threshold for measures is higher than it was in Stage 1.
Data-driven health care: Who it will benefit, and how
Early adopters of health information technology have been creating electronic health records for over 10 years. With the creation of the Health Information Technology for Economic and Clinical Health (HITECH) Act and its incentives, the pace of clinical data accumulation is accelerating.

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