Electronic Health Records (EHR) deliver enhanced efficiency, improved patient care, and streamlined workflows. However, the implementation of EHR systems is complex and challenging. In this article, we explore common challenges faced during EHR implementation and provide insights into overcoming these challenges to achieve a seamless transition.
Choosing the Right EHR System
The market is flooded with various options for EHR systems, so organizations need to carefully evaluate and select a system that aligns with their specific needs. This typically necessitates thorough research of vendors and systems, as well as having a grasp of the timeline needed for implementation. Additionally, you’ll want to establish a generous and flexible budget that allows for additional or emergency resources. Implementing a system that caters to the unique requirements of the practice with an expert vendor that is transparent and knowledgeable ensures a smoother transition.
Communication and Training
When implementing EHRs, effective communication and patience during the rollout are paramount. Here are some valuable tips for fostering smoother communication and ensuring successful training:
Enable and Support the Launch Team: Healthcare providers should grant launch staff the authority to proactively manage unexpected challenges. A clearly defined escalation strategy helps to swiftly address emergencies and mitigate potential frustrations among both staff and patients.
Develop resolution strategies: Go-live support teams should establish detailed protocols for identifying and resolving technical issues, including issues with both hardware and software. Designate individuals responsible for each type of problem and be share they share solutions for issues. Keeping everyone involved in all stages of identifying and solving issues will go a long way in making the transition as smooth as possible.
Support from Leadership: Implementing EHRs can be disruptive to a working environment. Leaders who communicate effectively to staff and patients on successes at setbacks, who can acknowledge the benefits and the challenges of an EHR rollout, and who can make sure users are aware of available support staff if issues arise can ensure a smoother implementation experience.
Workflows
Emphasizing the significance of workflows is crucial for healthcare professionals as they strategize, document, and communicate information regarding EHR implementation. Recognize that healthcare workflows vary, with certain processes being more integral to the well-being of patients.
Consider these workflows that warrant special attention in your EHR implementation:
Blood banks: Blood banks play a vital role where lives depend on efficient processes. Therefore, it is imperative to ensure that your EHR implementation thoroughly addresses the intricacies of this workflow.
Medication Reconciliation: Before the EHR system goes live, organizations need to confirm that the system effectively tracks patients’ medications both pre- and post-admittance.
Patient Movement: Tracking patients’ movements throughout their hospital stay is paramount for ensuring proper care. This aspect of the workflow is critical to maintaining a holistic view of patient care and facilitating effective communication among healthcare teams.
Level of Care: Accurately documenting a patient’s stages, whether they are in the ER or ICU, significantly influences accurate medical billing and ensures appropriate levels of care.
Careful Transport: The careful monitoring of how patients are physically transported within the facility deserves special consideration during EHR implementation so that patients are moved smoothly and securely.
As of January 1, 2024, a series of Social Security changes took effect, influencing both the benefits received by beneficiaries and the eligibility criteria. Whether you’re currently a beneficiary or in the process of applying this year, you’ll want to be aware of these significant changes. In this article we’ll go over the most important points to know.
New Year, Bigger Checks
Annually, the Social Security Administration (SSA) implements a cost-of-living adjustment (COLA) to ensure beneficiaries can keep up with rising expenses. The adjustment considers the percentage shift between average prices in the third quarter of the present year and the third quarter of the preceding year.
The COLA for 2024 is 3.2%, so monthly payments for recipients increased by that amount beginning in the new year. According to the SSA, that’s an average monthly increase of about $50.
When it comes to the timing of your payment, it still depends on your date of birth, adhering to Social Security’s standard payment schedule. Typically, if your birthday falls within the first through 10th day of the month, your payment will be processed on the second Wednesday. For those with birthdays between the 11th and 20th day of the month, payments are scheduled for the third Wednesday. If your birthday occurs after the 20th day of the month, you can expect your payment on the fourth Wednesday.
New Year, High Social Security Taxes
Because the Social Security tax wage base also increased by 5.2%, wealthy taxpayers could be subject to higher taxes. The Social Security tax wage base for 2024 is $168,600, which is up from $160,200. This means that some workers will be paying about $521 more in Social Security taxes than they would have paid if the wage base didn’t increase. Additionally, self-employed workers are taxed at 12.4%, meaning they could owe an extra $1,041.60.
Full Retirement Age and the Earnings Test
There are two significant factors to be mindful of when it comes to Social Security benefits: full retirement age (FRA) and the earnings test.
While you can begin receiving benefits as early as age 62, you become eligible for full benefits upon reaching the FRA, determined by your birth year.
For instance, if you were born in 1962, you would reach your FRA at 67 years old. However, if you were born in 1964, your FRA would be 67 years and 8 months, requiring an additional eight months of patience compared to those born in 1962. This illustrates how FRA varies based on the year of birth, impacting when individuals become eligible for full Social Security benefits.
As for the Social Security earnings test, this becomes relevant if you’re still working and earning income while receiving Social Security and have yet to hit FRA (it’s also why many experts suggest holding off until FRA).
Essentially, surpassing a specified income threshold triggers the SSA to withhold a certain amount above that limit. In 2024, for workers who won’t reach FRA the entire year, the earnings test cap is $22,320. This means $1 in Social Security benefits will be withheld for every $2 in earnings that exceed $22,320. For workers who will reach FRA at some point during the year, the earnings test cap is $59,520. This means $1 in Social Security benefits will be withheld for every $3 in earnings that exceed $59,520.
Keep in mind, this is just a temporary hold. Once you hit FRA, your benefit checks will factor in those temporary withholdings. Also note that earnings from investments or payouts from retirement plans, for instance, are not considered in the earnings test.
Navigating the complex landscape of taxes as a self-employed professional can be overwhelming, but implementing effective tax strategies can help you shift from paying an excess of taxes to retaining more of your income. In this article, we’ll explore some key tax strategies that will help you keep more of your hard-earned money.
Choosing the Right Business Structure
Selecting the appropriate business structure is foundational to optimizing your tax situation. Sole proprietorship, partnership, limited liability company (LLC), S corporation, and C corporation each have distinct tax implications.
For many self-employed professionals, an LLC offers a balance of liability protection and tax flexibility. It combines a corporation’s limited liability aspects with a sole proprietorship’s simplicity, allowing for pass-through taxation while safeguarding personal assets.
On the other hand, an S-Corp can be advantageous for self-employed individuals aiming to minimize self-employment taxes. By structuring income into a reasonable salary and distributions, S-Corp owners can potentially save on taxes. Furthermore, the flexibility in offering fringe benefits, which can include health and life insurance, retirement plan contributions, and other perks makes an S-Corp structure a strategic choice for tax optimization and fostering business growth.
Itemized Deductions vs Standard Deductions
Understanding the differences between itemized deductions and standard deductions is crucial for self-employed professionals. While the standard deduction provides a fixed reduction in taxable income, itemized deductions can potentially yield greater tax savings if you have significant qualifying expenses. Common deductible items include business-related travel, home office expenses, and professional development costs. Carefully tracking and documenting these expenses can contribute to substantial savings during tax season.
Maximizing Retirement Accounts
Taking advantage of various retirement accounts can reduce taxable income and secure a financial future. Contributions to Individual Retirement Accounts (IRA) and Simplified Employee Pension (SEP) IRAs are tax-deductible, providing an immediate benefit. Solo 401(k) plans, designed for self-employed individuals, allow for higher contribution limits, enabling professionals to save more for retirement while minimizing their tax liability.
Understanding Constructive Receipt
The tax concept of constructive receipt states that income is taxable when it’s made available to you, even if you haven’t physically received it. Self-employed professionals can optimize tax planning by strategically timing invoices and income recognition. For instance, deferring income to a later tax year can help minimize current tax liability. Keep in mind that effectively leveraging this flexibility requires maintaining precise records and compliance with tax regulations.
Investing in Real Estate and Rentals
Incorporating real estate rental properties into an overall tax strategy offers diverse opportunities for tax benefits and savings. Property owners can capitalize on depreciation deductions, enabling them to deduct a portion of the property’s cost annually. This deduction can substantially lower taxable income, effectively reducing the overall tax liability.
Health Insurance Plans and Premiums
Health insurance premiums for self-employed professionals are generally deductible, reducing taxable income. Alternatively, S-Corp owners can generate significant tax savings by establishing a group health insurance plan, allowing the S-Corp to cover premiums through payroll. The utilization of Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs) provides additional avenues for entrepreneurs to reduce taxable income, offering tax-free contributions, growth, and withdrawals for qualified medical expenses.
Retirement should be a time to finally relax, but concerns about depleting savings can cast a shadow over your golden years. In this article, we’ll delve into smart money moves that can help ensure a more secure and comfortable retirement.
Set Up a Safe Withdrawal Rate
A safe withdrawal rate is the percentage of your retirement savings that you can tap into annually without risking running out of money during your lifetime. A common strategy is the 4% rule, which suggests withdrawing 4% of your retirement savings each year, creating a sustainable income stream while preserving your principal. This approach takes into account market fluctuations and adjusts your withdrawals accordingly. For example, in thriving market conditions, you might withdraw a bit more, while in downturns, you might cut back.
Diversifying your investments is another key factor in managing the safe withdrawal rate. A well-balanced portfolio can help mitigate risks and generate returns, ensuring that your retirement savings remain resilient over time.
Delay Social Security
You are eligible to receive your full Social Security benefit, determined by your individual earnings history, upon reaching full retirement age (FRA), which varies depending on your birth year. However, opting to postpone your application beyond FRA offers the advantage of increasing your monthly benefits by 8% annually, up to the age of 70.
While an increased Social Security benefit doesn’t necessarily ensure your savings won’t deplete, the extra funds each month would contribute to preserving your savings and maximizing your overall retirement income.
Annuities
Annuities are financial products designed to provide a steady income stream during retirement. They can be an excellent option for those worried about outliving their savings. Annuities come in various forms, such as immediate annuities and deferred annuities, each offering distinct advantages.
Immediate annuities involve a lump-sum payment in exchange for guaranteed monthly payments for life. This can be a reliable way to secure a fixed income stream, regardless of market fluctuations. Deferred annuities, on the other hand, allow you to invest a sum of money that grows over time and is converted into periodic payments later in retirement.
Annuities provide a predictable cash flow, but be sure to carefully evaluate the terms and conditions, fees, and potential risks associated with them before making a decision. Also keep in mind that, unlike Social Security, annuities work on a fixed amount and don’t adjust with inflation. Consulting with a financial advisor can help you navigate the complexities and choose an annuity that aligns with your financial goals.
Securing a worry-free retirement requires thoughtful planning and smart financial strategies that are tailored to your unique circumstances. Consult with a financial professional to ensure that your retirement plan aligns with your long-term goals.
Business productivity extends beyond the mere appearance of busyness or ticking off tasks, which is why companies are shifting their focus away from optics and toward identifying efficient tools and strategies to achieve tangible outcomes. So, how can professional services firms enhance productivity? In this article, we’ll explore how firms are boosting improvements in productivity through strategic technological investments.
Strategic Investments for Optimizing Business Efficiency
Technology investments play a crucial role in bolstering the long-term objectives of organizations. They go beyond tools and gadgets. These investments are designed to empower businesses to anticipate future needs, pivot in response to unexpected challenges, and seamlessly adapt to the relentless pace of change.
Communication and Collaboration
Smart investments in communication tools, such as unified communication platforms and video conferencing solutions help to foster communication among professional services teams by breaking down geographical barriers and enabling real-time collaboration. This improves internal operations and strengthens client relationships within an environment of teamwork and innovation.
Cloud Solutions
Cloud computing is a game changer for professional services firms. By investing in cloud solutions, organizations gain the flexibility to access data and applications from anywhere, enabling remote collaboration and the possibility of teams to work coherently across geographies. In an era where remote work is increasingly becoming more prevalent, the flexibility provided by cloud solutions is particularly valuable.
Data Insights
Professional services firms can leverage data analytics with technology investments, allowing them to make informed decisions, identify trends, and adapt their strategies in real time. A data-driven approach not only strengthens decision-making but also provides a competitive edge by allowing firms to anticipate client needs and market trends.
Artificial Intelligence (AI)
It’s no secret that AI is transforming industries across the board, and the professional services industry is no different. AI-powered solutions can help organizations achieve smarter and more efficient operations. Whether it’s automating routine administrative tasks or utilizing AI-driven insights for client engagements, the integration of AI elevates the overall efficiency of professional service providers.
Security and Compliance Standards
Strategic technology investments can ensure that professional services firms are meeting rigorous security and compliance standards. Investing in robust cybersecurity measures, encryption technologies, and compliance management systems not only protects sensitive client information but also builds the trustworthiness of your organization.
Professional services firms that strategically embrace technology not only improve their current productivity but also position themselves as leaders prepared to navigate the challenges and opportunities of the evolving business landscape. For organizations that seek long-term success, it’s not a choice but a necessity.
There are two important filing changes that we want to make all our business owners aware of as we enter 2024. First, is the new Beneficial Ownership Information Report (BOI). Second, is the new Pass-Through Entity Tax (PTET) for the State of Indiana.
The Financial Crimes Enforcement Network (FinCen), an Agency of the US Government tasked with monitoring the offshore ownership of US companies, has developed a new reporting requirement starting January 1, 2024. This is called Beneficial Ownership Information Report (BOI). This is not an income tax-related filing, but actually a legal filing. As such, we are not able to assist in the filing of this report. Both the American Institute of Certified Public Accountants and Indiana CPA Society have stated that firms like ours should not prepare or assist in the filing of the BOI report as it is deemed the practice of law. You can file the report yourself online starting January 1, 2024, at www.fincen.gov/boi. If you are not comfortable filing yourself, please seek legal counsel.
Indiana has joined 31 other states in adopting a Pass-Through Entity Tax (PTET) for S-Corporations and Partnerships. This will include LLCs that file as either an S-Corp or a Partnership. It will allow the entity to pay the shareholder or partner’s Indiana income tax at the business level and take a deduction on the entity’s federal tax return. For business owners, currently, the Indiana tax you pay personally is limited to $10,000 per year and you must itemize to use the taxes paid as a deduction. So, many of our business owners have not received a tax benefit for taxes paid to Indiana. With PTET, it ensures all business owners will receive a tax benefit for the state taxes they owe. This means that if your business has a net profit for 2023, on the Indiana business tax return, there will be a balance due.
We wanted to give you this information now, so when you receive your copies of the tax returns you know to open the package right away. Please don’t file them away immediately, but instead, open them and follow the payment instructions that will be included. We will also be reminding you when we send the electronic filing forms but we wanted to give you a heads up early.
