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FMV of Radiology Professional Compensation Under Global Billing

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Imaging centers commonly bill for services globally and negotiate compensation rates with radiologists as a percentage of collections or net revenues.  The Fair Market Value of compensation rates for professional radiology services can vary substantially from market to market.

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What is FMV Compensation for a Part-Time Surgeon?

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Physician practices often have to bring in surgical specialists to work part-time when there are special medical needs.  There are referral relationships between generalists and specialists, so it is important to ensure that financial relationships are consistent with Fair Market Value (FMV).
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$3.82 Trillion: 2019 US Healthcare Spending by Category

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Healthcare spending in the United States is projected to surpass $3.82 trillion in 2019.  Many Americans have preconceptions about how this 18.7% of our GDP will be spent. (more…)

Physician-to-Population Ratio Analysis

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Physician needs analysis is a tricky endeavor, but it is necessary for recruitment assistance, not-for-profit hospital community needs reporting, and anti-trust market analysis. The core of this analysis is focused on ratio of physicians-to-population for target specialties within the primary and secondary service market.

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Normalizing Physician Collections with the Earnings-Based Compensation Method

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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? (more…)

3 Uses for the Provider Utilization & RVU Analysis Data

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The Provider Utilization & RVU Analysis Data subscription is massive with 687,000 healthcare professionals.  Here are three real uses for the data.

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Ambulatory Surgery Center Pro Forma Mistakes

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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 of ASCs is beginning.  It is time to start developing Ambulatory Surgery Center Pro Formas again. (more…)

$3.67 Trillion: 2018 US Healthcare Spending by Category

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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. (more…)

10 Real Business Stories I Like

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The business sections of bookstores are full of lots of useless drivel.  Here are 10 business books that I like. (more…)

ASC Construction Costs Up 50%

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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 million.
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Free Data! BOLS Adds Physician Specialties in 2018

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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. (more…)

Out-of-Network: What is FMV Compensation?

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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 of payment for services. (more…)

Healthcare Management Arrangements: FMV Compensation

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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 practices, and joint ventures. (more…)

Litigation of Physician Non-Compete Restrictions

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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 employment over the past decade has given rise to increased litigation risk stemming from employment contracts and practice sale agreements. (more…)

Review of Do No Harm

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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). (more…)

Webinar Recording: Pathology Regulatory Issues & Recent Trends

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During this webinar, guest speaker Emily A. Johnson of law firm McDonald Hopkins discussed regulatory issues affecting pathologists and clinical laboratory businesses.

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Leveling the Playing Field in Your Next Office Lease Negotiation

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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 landlords are extremely motivated to attract new tenants and retain existing ones—especially high quality tenants such as medical practices. (more…)

$3.4 Trillion: 2016 US Healthcare Spending by Category

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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. (more…)

Pricing Arbitrage Survives Budget Bill

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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. (more…)

Joint Ventures with Charitable Hospitals

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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 under Internal Revenue Code section 501(c)(3). In this article, attorneys Carlene Y. Lowry and Craig R. McPike of the law firm Snell & Wilmer in Phoenix discuss special joint venture topics pertaining to not-for-profit charitable organizations. (more…)