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It seems to me that, for large swathes of the public, the two “fiscal rules” that govern economic expenditure are, if not totally incomprehensible, at least too shatteringly dull to care about. One states that borrowing should not exceed the bracket of 40% of GDP whilst the other, the ‘golden rule’, refers to the balancing of the budget over the economic cycle.

It’s not exactly Bad Boys II is it? For the past 11 years these Brownite commandments have largely gone undisturbed. However, with financial storm clouds gathering overhead, it looks like they might not be as perennial as people thought.

The problem with this, naturally, is that if someone starts moving the goalposts, it somewhat throws the match into disrepute. The Conservatives, as one might expect, are practically queuing up to attack the Treasury over the issue. “The last nail in the coffin for Brown’s reputation for prudence” they’re calling it. The shadow chancellor George Osbourne, for example, rather sniffly referred to Brown “giving the prisoner the keys to their own cell”

A couple of rather adroit analogies aren’t they? Well, yes, until you read what Cameron said about these ‘fiscal rules’ at his party’s economic summit only two days previously:

“I don’t believe it’s impossible to try to get some political consensus [with the government]…about tight rules on fiscal policy”

That’s how he decided to phrase his intentions for steadying up the economy. Elsewhere he claimed that he wanted to “Reform the fiscal architecture” Which sounds remarkably like the way Kevin McCloud might describe Labour’s policy of ‘relaxing the fiscal rules’

Of course, as the old saying goes, the duty of the opposition is to oppose, but to describe Brown (and invariably it is Brown and not the Treasury or Alistair Darling… I wonder why?) as some prodigal cad and then hint at proposing the exact same measures is pretty rich isn’t it?

Many financial commentators have described Brown’s cabinet as standing at a crossroads with this issue. Either, they tighten their belts, raise taxes and feel the brunt of public unrest, or they slacken their belts, throw caution to the wind and indulge in a little more borrowed cash. The choice, clearly, is a tricky one:

ROCK: Oi! Brownie! How can you justify sticking to a set of outdated rules that will unnecessarily burden the public?

HARD PLACE: Oi! Gordon! where do you get off talking about borrowing more money when the financial situation is in such trouble?

Still, I suppose either of the two main positions are better than what Nick Clegg’s thrown into the mix. His ‘fair tax’ party has done somewhat of a u-turn of late and are now saying that they can solve the sticky economic climate by… lowering taxes.

Mmmm…? Well, we’d all like to see how that plans out wouldn’t we Nick? Sure you’ve thought this one through? Because I find it very hard to believe that every other economic advisor has dropped the proverbial clanger and forgot to add up these huge sums of money that are secreted around the different nooks and crannies of public spending. Brown doesn’t keep a penny jar does he?

So what have we learnt? That the government is in trouble; that the opposition will belligerently scratch and claw at everything the cabinet say, and that Nick Clegg could feel the benefit of a nice sit down. Well what’s new? Of course, detractors will rally around to call this the ‘end of the Brown era of economics’ but that only matters if you believed in such short-sighted spin in the first place.

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Just because a doctor owns his own practice does not mean that he is doing particularly well. It might be true, but it also may not be. A physician does not necessarily have the right business skills to run his office and will not be very successful monetarily. They can be the best doctors in the world but they must have the right skills in billing for their practice to reap the rewards.

If the doctor is smart enough to recognize this weakness, he can hire the services of a medical billing company to take care of all his office needs.

Trained professionals who know all the ins and outs of insurance and medical billing staff a medical billing company. They are capable of handling all aspects of making claims to the insurance company and getting the payments in on time.

Insurance companies don’t make things easy for the medical practice. They have a tendency to deny claims at the drop of a hat.

If the practice is very busy and sees a great many patients there will be a lot of claims that need to be submitted to the insurance company. If only one member of the practices staff is handling this they will have to manually fill out and submit the claims for every patient that goes through the office. If there is one mistake on these claims the insurance company will deny it immediately and send it back. Now that one person has to refill out the form correctly in addition to the new claims that they must do every day.

Even when everything is done right it can still take the insurance company a very long time to send the payment. For a small practice this can spell disaster. If there are a couple of denials and late payments this can effectively put the practice out of business.

A medical billing company can put all of those worries to rest. The staff of the practice will no longer have to do all of the work that is required for the insurance companies. The billing company utilizes professionals who will be able to get all of the claims filled out and filed in a timely manner. They will also be able to use electronic means to file the claims. This gets rid of the manual method of submitting claims.

The professional at the medical billing company will also make sure that the claim makes it all the way through to the insurance company and is paid. They take the time to monitor the claims all the way through the process. Medical billing companies have a very high success rate for getting their claims paid.

When a claim is submitted electronically it will be denied or accepted immediately. When it is accepted the funds will be sent to the practice within a few days instead of the months that it could take with a manual system.

For a smaller practice this is a big deal. To get their money in a timely manner is the one factor that will decide if they are in business in a week. For practices that think a medical billing company is too costly to justify, they should sit down and figure out what it is costing them to do it in their current manner.

This type of billing company will be beneficial for any practice, regardless of the specialty.

Peter Geisheker is CEO of The Geisheker Group marketing company. One of the types of clients that Peter helps are medical billing companies and medical billing services

When a doctor owns a medical practice it does not necessarily mean that they have a great deal of money. It is possible for a doctor who owns his own practice to be very wealthy, but on the other hand if the business end of the practice is not handled properly he may not. A physician does not necessarily have the skills required to handle the money part of his medical business. He can be the best doctor but it requires a different set of skills to handle business.

A doctor should understand this and hire the services of a medical billing company to handle the parts of his business that he cannot take care of.

A medical billing company will have a staff that is trained to handle every aspect of a medical practice’s business. They are equipped to deal with the insurance end of the billing and the medical coding end.

Working with an insurance company can prove to be very hard. They tend to deny claims for the flimsiest of reasons and often use reasons that are borderline silly.

When a medical practice handles their own insurance claims will find that the insurance companies tend to deny claims a good deal of the time. When a practice makes use of a medical billing company this doesn’t happen nearly as often.

For a busy medical practice that sees a lot of patients there will be a lot of insurance claims to fill out. Usually one person is required to fill out each and every one of those forms. They will need to write out each form individually and send them to the insurance company. If there is one mistake on the form then the claim will be denied by the insurance company. They will generally send the form back and require it to be filled out again.

This creates an overwhelming amount of work for the person that must fill out these forms.

Even if the forms are filled out correctly it can still be weeks or months before the insurance company will send the check. For a small practice this can be devastating. This is especially true if there are denied claims in the same period of time.

When a practice hires this service, all of this work is eliminated. The difficulties that are caused by the insurance company can be avoided when a medical billing company is used. Professionals working for this type of company are trained to handle the claims forms and will get them to the insurance company using electronic means. This means that the claims will not have to be filled out manually and sent in through the mail.

The professional at this company will also monitor the claim and make sure that it goes through the process without delays. They are constantly on top of each claim that they send in and will correct any problem that occurs. The success rates are higher than ninety percent.

When a claim is sent to the insurance company by electronic means it will be accepted immediately or denied immediately. The practice will receive their check in a matter of days instead of months.

This helps the smaller practice receive their money faster and will be a benefit to the budget of the small practice. The cost of this type of service is far lower than the cost to the practice that delayed and denied claims are.

This service can be provided for any kind of practice regardless of their type.

Peter Geisheker is CEO of The Geisheker Group marketing firm. One of the types of clients that Peter helps are medical billing services and medical billing companies

Bookkeeping is an essential part to the business that you have worked so hard to create. Bookkeeping is a way to merge heaven with earth. It is a way to manifest your dreams in physical form and give them a body/vessel to hold them in. Bookkeeping is based on two basic principles. One is that every debit must have an equal credit.

Bookkeeping is the process in which all valuable financial information is gathered and recorded. Using an outside bookkeeping service may improve your financial records and minimize your expenses at the same time. Bookkeeping is merely recording expenses and income, but what happens from there is key to good books.

Whoever is entering the data needs to understand that. Bookkeeping is a set of practices, physical acts that often feed into accounting. The difference is similar in many ways to the difference between mathematics and arithmetic, and most small people just need to understand basic bookkeeping, the arithmetic and file-folder end of things.

Bookkeeping is the process of maintaining accurate records of daily financial activities of a business. It provides a picture of how your business is doing. Bookkeeping, commonly referred to as keeping the books, is the process of keeping full, accurate, up-to-date business records.

Proper bookkeeping can help businesses effectively manage cash flow , stay abreast of profits and losses, and develop plans for the future based on financial trends. Bookkeeping and Management Systems does not sign checks for you because they are printed in your office. Neither do we make deposits; therefore, you have an added layer of protection.

Bookkeeping stems from the recording of financial transactions and the accounting term for a business accounts as books. In effect the accounting function prepares a record of the monetary affairs of a business and stores the information in files called books.

Bookkeeping and accounting is among the simplest of processes that a company can outsource to a third party. The best part of working with Impaact Bookkeeping is that you not only get to save money, but also become free to focus your attention on other important business aspects.

Accounting not only revealed how the essence of goods lay in their exchangeability but demonstrated just how naturally commodifiable everything was. Accounting software is used by accountants to enter many complex financial transactions and invariably based upon double entry bookkeeping principles.

A major advantage to those companies and the finance staff is the extent to which financial information contained in the database can be queried for financial control purposes.

Bookkeeping is an essential part of any business- small or large. Essentially bookkeeping could be defined as the act of accounting or recording the financial transactions which is done by either that of a business, an organization, or private individual. Bookkeeping is a tedious task for accounting firms as it takes long hours to maintain the accounts. Bookkeeping rates differ from one firm to another depending on the efficiency of the service provider. Bookkeeping is not among these activities.

For an accounting firm, allocating a significant amount of their time to bookkeeping, which can only attract their lower-end fees, is unsatisfactory for the firm and similarly unsatisfactory for their clients whom perceive that they are paying too much to have their accountant complete their books.

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You might be under the false impression that because someone owns a medical practice they are very wealthy. It might be true, but just as easily it might not. If a physician isn’t making the kind of money he should it might be because he doesn’t have the skills necessary to take care of the business side of his business.

A physician who recognizes this weakness will use the services of a medical billing company to take care of the details of his office.

These companies have a trained staff of medical billing professionals who are trained to take care of every billing need a medical practice would have. They can handle the insurance details as well as the medical coding part of the business.

Insurance companies can be very difficult to work with. They will deny a claim for the slightest reason and some of those reasons border on the ridiculous.

A medical practice that is quite busy with patients and chooses to submit their own claims to insurance companies will find that their claims are denied a good deal of the time. If a medical billing company is used, however, this does not happen as often.

A medical practice that sees a great many patients must fill out the insurance claim forms for every one of those patients. One person could be responsible for filling out the forms for every patient that visits the practice. That person must write out the insurance forms and send them off to the insurance company. If one error is made on those insurance forms the claim will be automatically denied. It is then sent back to be corrected and filled out again.

This can often overload the person that is responsible for handling the medical insurance forms.

When the claims are all filled out properly and everything is fine it can still take the insurance company months to send a check. If the practice is relatively small this can wreak havoc on the budget of the small practice. Especially, if there are claims that are denied all in the same time period.

When a medical billing company does the work the practice is relieved of the duty to handle the insurance forms and all of the problems that are associated with it. There are professionals working on the claims and getting them to the insurance company through electronic methods. This eliminates the need to enter the claims manually to the insurance company.

A medical billing company will also make sure that the claim goes through the process error and problem free. They will constantly monitor the claims to make sure that there is no problem. Most of these businesses have a success rate of more than ninety percent.

An electronic submittal of a claim gets either rejected or accepted right away. If it is accepted the check will be sent to the practice in days not months as happens with a manual system.

If the practice is small a business that will get them their checks from the insurance company quickly is the difference between success and failure. If the practice thinks that the cost of a medical billing company is too much for the small business to afford they should consider what is at stake and then analyze the cost.

A medical billing company will work for any type of practice no matter what kind of medicine they practice.

Peter Geisheker is CEO of The Geisheker Group marketing firm. One of the types of clients that Peter helps are medical billing services

Book Keeping and Accounting is something foreign to many, maybe because they never cared to learn it thinking it is just a dull game of recording transactions using unnecessarily complicated terms and methods. Far from it, book keeping and accounting is a logical way of recording transactions in a professional manner so that the information could be used in the ascertainment of many other vital business criteria such as the profits or losses made, who owes you and how much; how much you owe others, or are you carrying enough cash in the business for meeting immediate commitments etc., just to name a few.

Accounting is something that is useful in your personal as well as professional lives, and it would be worth your while to shed your prejudices and listen! Accounting is nothing complex as you have mistakenly imagined. It is based on one of the most fundamental concepts that if one receives something, then obviously another has to give; and therefore every transaction has a two-fold aspect called debit and credit in accounting terms. Maybe this reminds you of one of Newton’s Laws that action and reaction are always equal and opposite.

Fundamentally, the study of accounting is built on (i) The Accounting Equation, and (ii) Double Entry Book Keeping.

(i) The Typical Accounting Equation:
Assets = Liabilities + Equity

(ii) Double Entry aspect of Book Keeping:
The perfect balancing of the accounting equation is guaranteed by this system.

I think it pertinent now to define Accounting as a system of summarizing financial transactions and recoding in such a manner as to facilitate using such records for later analysis, preparation of further financial statements, interpretation of accounts and communication as required.

Now let’s go a little further with the Accounting Equation enunciated above, and move on to its practical implications:

Assets are your possessions (including what others owe you) while liabilities are what you owe others. The difference between the two is called Equity, which includes capital introduced by you (if it is a sole proprietorship) or by shareholders (in the case of a limited liability company) plus or minus any retained profits or accumulated losses respectively. May I also just state in passing that capital introduced is not refundable to anybody and as such it is not a liability. Hence it is called Equity.

Say, you buy a Motor Vehicle for $40,000 for which you pay $25,000 out of your retained profits (or personal savings) and for the balance you take a loan of $ 15,000 from an outsider.

Substituting these values in the Accounting Equation, we have:

Assets (Possessions) = Liabilities (what you owe others) + Equity (Capital/Personal Savings)
$ 40,000 = $15,000 + $25,000

You see one debit of $40,000 is equal to two credits added together ($15,000 + $25,000) = totaling to $40,000.

There could be more complex transactions requiring distribution to more ledger accounts as well as transactions involving only two ledger accounts. Every equation comprises of the double entry with one or a series of debits on one side of the equation equaling one or a series of credits on the other side.

In the two examples given below you will see how the two concepts of Accounting Equation and Double Entry are synchronized:

(i) Settlement of a liability by paying cash $50.
The liability represented by a creditor receives while your cash account gives.
Creditor (debited with) $50 = cash account (credited with) $50

(ii) Receipt of a debt from a debtor who owed you $75.
Your cash account receives while the debt represented by a debtor gives
Cash (debited with) $75 = Debtor (credited with) $75

Earlier we sited one of Newton’s laws to illustrate the concept of double entry in book keeping. At this point we would like to take you back to your algebra lessons way back in grade 8 or so where you were told that if you add something on one side of an equation, that you have to do the same to the other side of the equation too? It’s fair enough, is’t it? That is exactly what we ask you to do in book keeping too making the double entry equal and balancing.

Double entry book keeping is nothing so complex or weird as to defy fair and reasonable common sense. You can easily grasp the concept of double entry by training yourself to think logically as to who or what gives, and who or what receives in each transaction; and by framing the entries accordingly, while ensuring that the two sides of the equation are in agreement (balancing) and are consistent with common sense.

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