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Physicians

ICD-10: Implementation Controversy

Posted 3:30 PM by
Implementation and use of the International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System (ICD-10) continues to be a controversy among health care professionals. This debate will only continue with the one year delay in implementation by the U.S Department of Health and Human Services.
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Potential Compliance Issues with Production-Based Physician Compensation Agreements

Posted 6:05 PM by
As many physicians continue to migrate into hospital employment arrangements, administrators need to be aware of potential problems that may arise from production-based employment agreements. A well-executed employment contract is necessary for proper physician integration strategies by health systems.
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Buy-Sell Agreements: Key to Any Physician's Succession Plan

Posted 6:37 PM by
Buy-in/buy-out agreements are key to any physician practice’s succession plan.  Without a buy-sell agreement, practices are destined to sudden death. The buy-sell agreement is the instruction manual for bringing new physician partners to the practice group or assisting with the departure of physician partners.
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Political Stalemate Results in Medicare Reimbursement Cuts

Posted 7:18 PM by
On Nov. 23, the congressional “Super Committee” of 12 members failed to reach an agreement on deficit reductions. This will trigger previously enacted budget cuts beginning in 2013.
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Medicare Re-enrollment for Physicians: Another Anti-Fraud Effort

Posted 1:46 PM by
In an effort to weed out physicians and other providers that are not eligible to participate in the Medicare program, over 1.4 million current enrollees will have to go through a re-enrollment process. The re-enrollment period is 60 days and revalidation requests will be issued continuously between now and March 2013.
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Pitfalls in Analyzing Fair Market Value of Physician Compensation - Stacking

Posted 12:01 PM by
The issue of "stacking" compensation comes up as discussion point on fair market value engagements routinely. Simply put, stacking generally means being paid for two different services at the same time.
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Pitfalls with Using Opportunity Cost for Medical Direction Compensation

Posted 3:27 PM by
A common question we get is whether or not a physician's clinical hourly rate is a valid starting point for determining the fair market value of medical direction services. The theory to support the argument is that a hospital needs to be competitive with the physician's other income producing activities to be able to attract the physician to do the work it needs a physician to do.
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New Data on Physician Malpractice Claims

Posted 4:00 AM by
New information is out this week on malpractice claims from the New England Journal of Medicine and it shows that neurosurgeons are more likely to be sued than any other specialty.
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Medical Group Management Association's Preview of 2011 Physician Compensation Survey

Posted 7:35 PM by
This week, the Medical Group Management Association (MGMA) released some data from its forthcoming 2011 Physician Compensation and Production Survey, one the largest physician compensation studies released each year.
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A Common Complication with Lease Arrangements/PSAs - Overhead in Multi-specialty Groups

Posted 3:14 PM by
Even though lease arrangements (aka, professional services agreements, or PSAs) for some specialists make financial sense for the individual MDs, an important challenge is figuring out how to integrate these arrangements in a multi-specialty setting.
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