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If I opt out of Medicare, can I charge patients the same reimbursement rate that Medicare allows?

I recently purchased a medical practice by buying stock from the retiring doctor. My accountant told me that I am not able to take a tax deduction for my down payment or subsequent payments to the bank. Why?

In October, Blue Cross Blue Shield of North Dakota backed a statewide medical home initiative in which participating doctors will receive free clinical analytics and reporting software to help them serve as the coordinator.