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Busy urologists seeking relief from the demands and responsibilities of running a practice are likely to entertain the possibility of bringing in a partner. But a rush to judgment can lead to mistakes that might otherwise be avoided.

Unless Congress steps in again, physicians participating in the Medicare program will see their fees reduced by an average of 9.9% for 2008, a move that already has prompted a call for action from the American Medical Association.

The federal government is pressing forward with an initiative launched by the Medicare Modernization Act of 2003 (MMA) to implement a national system of electronic prescriptions intended to increase both efficiency and patient safety.

The Physician Quality Reporting Initiative (PQRI) is a program established at the end of last year to provide incentive funding for physicians to begin submitting data that will be used to make Medicare a smarter purchaser of health care.

As the Bush administration continues to push for greater expenditures for national defense and the war in Iraq, Medicare physicians are facing a tighter squeeze in the name of stabilizing the program for future generations and giving patients more information about their health care providers.

In an age of declining reimbursements for traditional physician services-eyeball to eyeball with patients or standing at the operating table-many physicians are looking for replacement sources of income to keep their small businesses healthy.

Looking at your practice's monthly finances, focusing on big expenses, and wondering how you can cut them is a response typical among urologists concerned with a shrinking bottom line.