Normalizing Physician Collections with the Earnings-Based Compensation Method
The ratio of Work-to-Total RVUs is an excellent proxy for normalized compensation-to-collections ratios. But what do you do when physician collections are not normal?
Author: Newsad
3 Uses for the Provider Utilization & RVU Analysis Data
The Provider Utilization & RVU Analysis Data subscription is massive with 687,000 healthcare professionals. Here are three real uses for the data.
Ambulatory Surgery Center Pro Forma Mistakes
A huge wave of 1,800 new ambulatory surgery centers opened between 2003 and 2007. With an average life cycle of 10 to 12 years, that generation of ASCs is winding down, and a new generation…
$3.67 Trillion: 2018 US Healthcare Spending by Category
Healthcare spending in the United States is projected to surpass $3.67 trillion in 2018. Many Americans have preconceptions about how this 19.5% of our GDP will be spent.
10 Real Business Stories I Like
The business sections of bookstores are full of lots of useless drivel. Here are 10 business books that I like.
ASC Construction Costs Up 50%
In 2006 the average cost to construct a freestanding 12,500 square foot ASC in the U.S. was about $3.6 million. By 2016, the cost to reconstruct the same exact surgery center rose $1.8 million (50%) to $5.4…
Free Data! BOLS Adds Physician Specialties in 2018
The U.S. Bureau of Labor Statistics will start surveying compensation for 15 different physician specialties starting in 2018. This change is part of an update to BOLS’ Standard Occupational Classification codes.
Out-of-Network: What is FMV Compensation?
The persistent presence of out-of-network benefits in employers’ health plans has resulted in continued disputes between insurers and providers over pricing. Ultimately, when insurers and providers end up in court, everyone wants to know the Fair Market Value…
Healthcare Management Arrangements: FMV Compensation
Professional healthcare management arrangements have a long history, dating back to the founding of HCA and Tenet Healthcare in the 1960s. These arrangements are now widespread. Health systems and professional management companies are managing hospitals, physician…
Litigation of Physician Non-Compete Restrictions
Interview with David J. Pivnick of McGuireWoods LLP A non-compete provision is a contractual agreement wherein one party agrees not to compete with another party for a set period of time. The growth in physician…
Review of Do No Harm
British neurosurgeon Henry Marsh’s book Do No Harm gives readers a gritty look at the daily trials of practicing surgery as a consultant at St. George’s Hospital in Great Britain’s National Health Service (NHS).
Webinar Recording: Pathology Regulatory Issues & Recent Trends
During this webinar, guest speaker Emily A. Johnson of law firm McDonald Hopkins discussed regulatory issues affecting pathologists and clinical laboratory businesses.
Leveling the Playing Field in Your Next Office Lease Negotiation
By Perry Bacalis, Carr Healthcare Realty The current commercial real estate market has been dramatically affected by the economy in the past several years. This has resulted in a very favorable environment for tenants, as…
$3.4 Trillion: 2016 US Healthcare Spending by Category
Healthcare spending in the United States surpassed $3.4 trillion in 2016. Many Americans have preconceptions about how this 19% of our GDP is spent.
Pricing Arbitrage Survives Budget Bill
A new federal budget bill just closed the door on the Medicare arbitrage for outpatient businesses purchased by hospitals. However, research shows commercial reimbursement is still much higher for hospital-owned outpatient services.
Joint Ventures with Charitable Hospitals
Approximately half of the community hospitals in the United States are not-for-profit organizations. These hospitals have also elected to operate exclusively for charitable purposes, having secured substantial tax benefits by being recognized accordingly as tax-exempt…
A Physician’s Guide to Navigating Peer Review
Contributed by Martin Merritt I asked Karin Zaner, a director with the Dallas law firm Kane Russell Coleman & Logan PC, to share her tips for how physicians can best deal with the hospital peer…
Updated: 14 Physician-Authored Books to Read
In order to be successful doing business with medical professionals, you need to understand the thoughts, feelings, and lives of different types of physicians. Here are synopses of fourteen books authored by physicians.
Largest Physician Site-of-Service Fee Differential
In 2011, the physician coding and reimbursement for lower extremity revascularization changed. When the professional physician service codes and payments for angioplasty, atherectomy, and stent placement were bundled, it created the largest payment differentials of…
340B Drug Program Has Opportunities & Risks
Certain hospitals and other providers can save hundreds of thousands or even millions of dollars on outpatient drug costs by participating in the 340B Drug Pricing Program. However, compliant participation is not a simple task.