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June 2015

In this issue we discuss converting a private medical practice to a "Medicaid Eligible" Diagnostic and Treatment Center. Once you convert, your patients will need to park somewhere.  Our companion article on parking lots outlines your development options.  Email us your experiences with these project types.  We would love to hear from you.  We are also sharing information from our Partner, Caretinuum Health Care Capital Solutions about revenue sources for Nursing Home and Physicians using WellTrackONE. 
Practice Made Perfect


In our Architectural project work we are frequently asked to gauge the potential for converting a private medical practice into a Diagnostic and Treatment Center which can undertake Medicaid billing.


From a healthcare physical plant perspective, Medicaid Diagnostic and Treatment Centers (D & T C) are held to a higher standard than a private medical practice. Although in most cases, Building and Life Safety Codes consider both to be Business Occupancies (office uses), the programmatic, fire protection, and environmental standards are more stringent for an D & T C.


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Unparalleled Parking Lots 

As organizations continue to grow, the resulting increase in staff produces a parallel need for parking.


In urban settings, where land is scarce and the cost of real estate is high, it is becoming increasingly difficult to create needed parking.


Facilities often must look beyond the immediate vicinity of their site to find a solution. In some jurisdictions, zoning usually permits off-site parking, as long as the spaces are located within a prescribed distance from the facility's property boundaries. To locate spaces between 200 feet and 600 feet, a variance process of 8 to 12 months usually ensues.


An Untapped Revenue Source for Nursing Homes and Physicians
Over the past few years, much has been debated over the Affordable Care Act (ACA) commonly referred to as ObamaCare. This debate will no doubt continue in the months ahead and the final verdict may not be known for years to come. What you may not know is that there are some hidden gems in the ACA that offer nursing facilities and physicians new revenue through the Medicare program. One such gem is the free Annual Wellness Visit (AWV) for all Medicare beneficiaries with Part B. The AWV assesses components of health typically not addressed during physical exams including functional capacity, cognition, mental health status, and health risk factors. This new benefit creates a personalized prevention plan to help prevent disease and disability based on a patient's current health and risk factors, and provides a brand new source of revenue for physicians and nursing facilities. 


We hope you enjoy this month's issue. Do you have questions or feedback about the information provided or regarding your facility that we can answer?  Contact us at and we will be happy to provide you with any additional information you may need.  We want to continue to offer content that interests you, our readers. Please drop us a line and let us know what topics you might want to learn more about. As always, we love hearing from you.

John Baumgarten
John W. Baumgarten Architect, P.C.


John W. Baumgarten Architect, P.C., headquartered in New York, is a full-service, regional architectural firm serving proprietary and not-for-profit organizations in the healthcare, education, commercial, corporate and public arenas.  The firm has been recognized for its work with senior housing, urgent care centers, skilled nursing, dialysis, community centers and more.  This award winning firm provides architectural design services to clients in New York, New Jersey, Pennsylvania, Connecticut, Massachusetts, Delaware and Florida.
Call us for a Complimentary Consultation at
(516) 939-2333 or email us at