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    Medical Billing - Common On The Job Problems
    If you're thinking of becoming a medical biller for a medical billing company, there are some things that you might want to know about some common problems before you decide to take the job. This is a very stressful career choice and if you don't know what you're getting yourself into, you could end up regretting it for the rest of your life. What follows are just some of the common problems and there are a lot more.One of the biggest problems you're going to run into
    sideration for installation), leasehold rights, tenant improvements, with some consideration for gross revenues. Break Even Market Value is sustainable only if the business is operational, and the owner has the financial ability to continue operating until the sale is closed.

    Asset Sale

    This category is comprised of closed businesses or businesses that are experiencing extreme circumstances. An extreme circumstance may include a seller who does not have the financial means to continue operating. It may also be

    Successful Tendering - There Are Many Solutions
    There are many solutions for a great tender submission.One of the great mysteries of the “open” competitive tendering process is that each of us has experienced defeat. What mystifies us is that there must have been a mistake – we had the best solution. Of course we did. So did the other three unsuccessful tenderers as did, we hope, the successful one!So, consider this hypothetical tender, which simply asks for a proposal to “make the following equatio
    Adjust Cash Flow

    To determine the profitability value a business falls into, it is necessary to determine the Adjusted Cash Flow of that business. The Adjusted Cash Flow is equivalent to its earnings before interest, depreciation, and taxes (EBIDT in accounting terms), plus additions or subtractions for owner’s salary, discretionary, single occurrence, or non-cash expenses. Once a thorough analysis of the financial information has been completed, and the Adjusted Cash Flow determined, the category of Market Value is defined.

    In general, a privately owned single or small (1-3) multi-unit business will fall into one of the three profitability categories:

    Positive Cash Flow
    Break Even
    Asset Sale

    Positive Adjusted Cash Flow

    This category will generally represent the highest Market Value of an on-going business. In this situation the business is profitable and established. The buyer is purchasing a combination of the historical cash flow, fixed assets, operational assets (trade name, concept, menu, etc.) and goodwill. The Market Value for businesses in this category is based on a multiplier of the Adjusted Cash Flow, that ranges between two (2) and five (5) times Adjusted Cash Flow. A second value is determined by using a multiplier of Gross Sales (net of sales tax) between 30% and 40%. Business value is generally somewhere within the range of these two numbers. A sophisticated buyer expects that the price they pay would net an annual return on investment between 20% and 50%.

    EXAMPLE:

    Adjusted Cash Flow $ 65,000 x 3.75 = $243,750

    Gross Sales 725,000 x 35% = $253,750

    This business would have a value of approximately $250,000.

    Break Even

    In this category, the business is marginally profitable or losing money. In this type of transaction, the buyer is more interested in fixed assets, location, lease terms, and the cost of converting the existing business to their intended use. In Break Even transactions, Market Value is determined by combining the value of furniture, fixtures, and equipment (including consideration for installation), leasehold rights, tenant improvements, with some consideration for gross revenues. Break Even Market Value is sustainable only if the business is operational, and the owner has the financial ability to continue operating until the sale is closed.

    Asset Sale

    This category is comprised of closed businesses or businesses that are experiencing extreme circumstances. An extreme circumstance may include a seller who does not have the financial means to continue operating. It may also be a

    Medical Billing - DX Tables
    Medical billing is hard enough with it having to be cryptic besides. Unfortunately, there is nothing more cryptic than DX, or diagnosis code tables when it comes to DME billing. In this installment, we're going to try to make some sense of DX tables and give you some basic information that you'll need to know in order to understand how to use them when submitting a bill using your DME software.DX tables, or diagnosis code tables, are tables of data that pertains to a
    defined.

    In general, a privately owned single or small (1-3) multi-unit business will fall into one of the three profitability categories:

    Positive Cash Flow
    Break Even
    Asset Sale

    Positive Adjusted Cash Flow

    This category will generally represent the highest Market Value of an on-going business. In this situation the business is profitable and established. The buyer is purchasing a combination of the historical cash flow, fixed assets, operational assets (trade name, concept, menu, etc.) and goodwill. The Market Value for businesses in this category is based on a multiplier of the Adjusted Cash Flow, that ranges between two (2) and five (5) times Adjusted Cash Flow. A second value is determined by using a multiplier of Gross Sales (net of sales tax) between 30% and 40%. Business value is generally somewhere within the range of these two numbers. A sophisticated buyer expects that the price they pay would net an annual return on investment between 20% and 50%.

    EXAMPLE:

    Adjusted Cash Flow $ 65,000 x 3.75 = $243,750

    Gross Sales 725,000 x 35% = $253,750

    This business would have a value of approximately $250,000.

    Break Even

    In this category, the business is marginally profitable or losing money. In this type of transaction, the buyer is more interested in fixed assets, location, lease terms, and the cost of converting the existing business to their intended use. In Break Even transactions, Market Value is determined by combining the value of furniture, fixtures, and equipment (including consideration for installation), leasehold rights, tenant improvements, with some consideration for gross revenues. Break Even Market Value is sustainable only if the business is operational, and the owner has the financial ability to continue operating until the sale is closed.

    Asset Sale

    This category is comprised of closed businesses or businesses that are experiencing extreme circumstances. An extreme circumstance may include a seller who does not have the financial means to continue operating. It may also be

    The Softer Benefits of Corporate Giving
    Have a favorite charity or non-profit community cause to which you contribute time and resources? Chances are your company will be interested in supporting it, too.According to the Giving USA 2004 study released by the Giving USA Foundation in the summer of 2004, American individuals, estates, foundations, and corporations gave an estimated $240.72 billion to charitable causes in 2003. In the US, during the five years spanning 1998-2002, corporations contributed $55 b
    and goodwill. The Market Value for businesses in this category is based on a multiplier of the Adjusted Cash Flow, that ranges between two (2) and five (5) times Adjusted Cash Flow. A second value is determined by using a multiplier of Gross Sales (net of sales tax) between 30% and 40%. Business value is generally somewhere within the range of these two numbers. A sophisticated buyer expects that the price they pay would net an annual return on investment between 20% and 50%.

    EXAMPLE:

    Adjusted Cash Flow $ 65,000 x 3.75 = $243,750

    Gross Sales 725,000 x 35% = $253,750

    This business would have a value of approximately $250,000.

    Break Even

    In this category, the business is marginally profitable or losing money. In this type of transaction, the buyer is more interested in fixed assets, location, lease terms, and the cost of converting the existing business to their intended use. In Break Even transactions, Market Value is determined by combining the value of furniture, fixtures, and equipment (including consideration for installation), leasehold rights, tenant improvements, with some consideration for gross revenues. Break Even Market Value is sustainable only if the business is operational, and the owner has the financial ability to continue operating until the sale is closed.

    Asset Sale

    This category is comprised of closed businesses or businesses that are experiencing extreme circumstances. An extreme circumstance may include a seller who does not have the financial means to continue operating. It may also be

    Overcome Traditions That Delay Improvements
    INTRODUCTION TO HOW TRADITION STALLS IMPROVEMENTSIf It Ain't Broke, Don't Fix ItA motorist asks a farmer for a glass of water. The farmer obliges, using a hand pump to draw water from a well. The pump handle turns close to a board, and the farmer curses as he scrapes his knuckles against it.Motorist: Why not move that board? It serves no purpose.Farmer: It's been there since my father's time. If it was good enough for him, it is good enough for me.<
    00 x 3.75 = $243,750

    Gross Sales 725,000 x 35% = $253,750

    This business would have a value of approximately $250,000.

    Break Even

    In this category, the business is marginally profitable or losing money. In this type of transaction, the buyer is more interested in fixed assets, location, lease terms, and the cost of converting the existing business to their intended use. In Break Even transactions, Market Value is determined by combining the value of furniture, fixtures, and equipment (including consideration for installation), leasehold rights, tenant improvements, with some consideration for gross revenues. Break Even Market Value is sustainable only if the business is operational, and the owner has the financial ability to continue operating until the sale is closed.

    Asset Sale

    This category is comprised of closed businesses or businesses that are experiencing extreme circumstances. An extreme circumstance may include a seller who does not have the financial means to continue operating. It may also be

    Trends Worth Billions – Changing Hindsight into Foresight (Part 2 of a 3-Part Series)
    Trends create business opportunities for those who can spot them. An example of how a trend creates opportunities is the pizza industry. Back in the early 1960s, pizza was primarily a snack food eaten in a restaurant. But by the 70s, consumers were picking up pizza to eat at home and pizza delivery took off. As its popularity grew, competition increased. So did the marketing hype. Pizza is now available in every shape, size and convenience. Each time we ate a pizza, we unwitti
    sideration for installation), leasehold rights, tenant improvements, with some consideration for gross revenues. Break Even Market Value is sustainable only if the business is operational, and the owner has the financial ability to continue operating until the sale is closed.

    Asset Sale

    This category is comprised of closed businesses or businesses that are experiencing extreme circumstances. An extreme circumstance may include a seller who does not have the financial means to continue operating. It may also be a secured creditor or landlord whom has had to repossess a business, or it may include a business owner being forced to sell for reasons beyond their control. Any of these situations create a severe disadvantage to the seller, and in turn has a dramatic effect on the Market Value. In these situations, value drops to that of auction value for the fixed assets, plus whatever premium might be negotiated for location, leasehold rights, and the fact that the equipment is in place and operational.

    Other Considerations

    In addition to the cash flow, tangible and non-tangible assets of the business will influence Market Value. These tangible and non-tangible assets may include Furniture, Fixtures and Equipment; Leasehold rights; and Books and Records. Although not quite as important as profitability, these other assets will directly affect Market Value.

    Whether you are evaluating a purchase price, planning for succession or positioning your business for sale these other assets should be considered. But is should always be remembered that the bottom line for determining the actual value of your restaurant business is the simple answer: what a willing and able buyer agrees to pay!

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