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  • The Pinnacle Group Top Reads: Productivity Still Drives Compensation in High Performing Group Practices

     

    Posted By John Kastor On December 20, 2010 @ 11:07 am In All Categories,Health Reform,Innovation,Payment,Physicians

    or follow http://healthaffairs.org/blog/2010/12/20/productivity-still-drives-compensation-in-high-performing-group-practices/ to the HealthAffairs Blog.

    In July, 2009, President Obama visited the Cleveland Clinic [1]and praised its ability to provide hospital care less expensively than some other famous hospitals. This claim was bolstered by a recent study [2] demonstrating that large multispecialty practices have lower cost and higher quality in treating Medicare recipients compared to other practitioners in their regions.

    One of the hypotheses for this result [3] is that physicians in such practices are paid by salary rather than on the basis of how much revenue they generate. This claim prompted us to discover which forms of compensation are typical for multispecialty group practices and how such compensation might be linked to medical cost expenditures.

    The Multispecialty Group Practices We Studied

    We contacted leaders at 12 multispecialty group practices—eleven of whom participated in the Medicare study cited previously [2]. Ten of the twelve group practices pay physicians on the number and type of clinical services they provide with total compensation competitive with private practice. We conclude that cost savings demonstrated by group practices do not appear to be related to a fixed form of compensation.

    The twelve practices we surveyed were the Billings Clinic; the Cleveland Clinic; the Geisinger Clinic; the Guthrie Clinic; the Henry Ford Medical Group; the Intermountain Medical Group; Kaiser Permanente of Northern California; the Lahey Clinic; the Marshfield Clinic; the Mayo Clinic; the Ochsner Clinic; and the Virginia Mason Clinic. (Short descriptions of each practice are included in an appendix at the end of this post.) The twelve practices were arbitrarily chosen because of their large size and scale, their longstanding experience and success in health care delivery, and their geographic diversity. While several of these clinics have research and education enterprises, none is a medical school faculty practice plan.

    What We Found

    Among the group practices studied for this report, most pay their doctors based on clinical activity, often measured with relative value units (RVUs)(1) which report physician’s clinical activity based on such factors as the number of patients seen, the intensity of the service provided, and the number and type of procedures performed. Many practices assign a guaranteed base salary—often calculated from data provided by organizations such as the American Medical Group Association (AMGA)(2,3) and RSM [4] McGladrey [5] — with additional incentives or bonuses based on clinical volume. The following practices pay partially or in some case, totally based on RVU methodology: Billings(3), Geisinger(4), Guthrie(5), Henry Ford, Intermountain(6), Lahey(2), Marshfield(7,8), Oschner(9,10) and Virginia Mason.(11) At the Cleveland Clinic, volume is one of the criteria used to determine future salary, but bonuses are not awarded.(12)

    Two of the practices provide fixed salaries where the volume of clinical services performed is not a factor of importance in developing compensation. This model applies at Kaiser Permanente of Northern California(13) and the Mayo Clinic.(7,14)

    Most of the groups give financial credit for time spent on research, teaching, and administration, and some consider patient satisfaction in determining part of the compensation.(1) None of the practices compensate on the basis of the number of consultations or tests the physicians order. Doctors in each of the multispecialty group practices studied do not realize income from facility fees since it is the practice or the hospital, not the physicians, who own the equipment and charge for their use.

    Most of the respondents told us that they pay salaries that are equal to, nearly equal to, or greater than the amount the doctors could earn in private practice in their regions. Furthermore, many of the groups provide benefit programs and support structures that often exceed those available in many practices. Consequently, when one includes all the costs of employing physicians in large, multispecialty group practices, the total for most physicians is probably not significantly less than the amount they could earn practicing privately.

    Lessons Learned

    Volume is a significant factor in determining compensation in many multispecialty group practices. As more physicians seek the advantages of working at large multispecialty group practices [6] over remaining in, or joining, individual or small group practices, the question arises whether physician compensation in such large groups is uniquely different from compensation in other forms of practice. As best we can tell [7], in the absence of much literature directly dealing with the subject, the answer is “no.” Only two of the 12 large multispecialty group practices that we studied—Kaiser Permanente of Northern California and Mayo Clinic—pay their physicians with fixed salaries in which income does not depend on clinical productivity.

    Base salary supplemented by incentives dependent on productivity is a common model. In some groups, volume is even the principal determinant of compensation; in others it plays a lesser, though still significant, role. This productivity model is typical of most organized practices [8]. The American Medical Group Association reports that, of its membership of 370 groups and about 110,000 physicians, the “vast majority” pay at least partly by volume measured in RVUs.(1) These data come from a collection of groups with widely different sizes and structures, some single specialty groups, and some in a for-profit structure.(1) 

    From these observations, it appears that many, if not most, large multispecialty group practices take volume into consideration in compensating their physicians. Though these large groups may provide higher quality at lower cost—as some studies [9] assert [2] – their compensation programs do not appear to differentiate most of them from other group or private practices.

    Our study did not examine distinguishing features such as practice culture, governance, insurance contracting, and payment for performance. Any combination of these factors [10] can motivate practices to improve quality and reduce cost.(15,16) It does not appear, however, from our data, that the method of compensating physicians, many of whom can increase their incomes by generating more business for the group, directly contributes significantly to these savings. More comprehensive data from further, more detailed studies are required to prove whether this thesis is correct.

    Compensation based on volume presents challenges at group practices, as elsewhere. Compensating doctors wholly, or in part, on volume has its problems. Such systems may encourage use of those tests and procedures that pay well. Leaders at the Marshfield Clinic have found that the RVU system “encourages doctors who do procedures to do procedures.”(8) Accordingly, Marshfield has had difficulty providing enough specialists to provide consultations since the RVUs generated for consultations are much less than those for procedures. It also leads to “running patients through,” seeing as many as possible even if this short-changes patients with complicated problems and those who want to spend more time with their doctors.(8)

    What doctors earn in multispecialty group practices can be similar to what they can earn in private practice. As a general rule, physicians in multispecialty group practices earn as much as, or slightly less than, they could in private practice. However, some groups recruit by emphasizing that they provide better and more comprehensive financial and administrative benefits than most doctors in private practice can afford when working independently. Groups may employ a larger professional support staff [11]of nurses, nurse practitioners, and physicians’ assistants to make the physicians’ work more productive and give patients more effective long-term care for their chronic diseases in particular.(17) Consequently, the total cost to the group of employing the physicians may be greater than the cost to the doctors to operate their practices privately even though the salaries may be somewhat less.(17)

    As for the income of physicians in multispecialty group practices appearing to be somewhat lower than in many private practices, one CEO writes: “That may have been the case in the past, but I do not believe that it is significant now. The private practice model in years past was able to manage expenses and payer mix better, so I think there was better pay. However, with complex billing processes, rising expenses through inflation and stagnant reimbursements, I think this has leveled off. That is furthered by the recruiting marketplace.”(18)

    In joining a group, doctors give up charging for use of equipment that they or their groups may own. Of course, the doctors must spend or borrow capital funds to buy or lease the equipment if they want to collect facility fees for their use. Nevertheless, the return on these investments can be quite sizeable for some specialties. In private practice, physicians, either individually or in specialty groups, who own such equipment have a strong financial incentive to use it more.(17) This incentive does not apply to physician compensation in any of the groups that we studied where the groups or the hospitals own the equipment and collect the facility fees.

    Our study has implications for health reform.

    Most organized group practices, known for lower cost and higher quality, reward physician productivity. Some health reform proposals, like capitation and bundled payments, will change revenue flow and may disrupt the conventional RVU metrics. For example, physicians may be asked to perform “non-RVU” work, like coordination of care. Health policy makers should be aware that even among practices cited as exemplary, physician procutivity is embedded deeply in the current system of rewards.

    In conclusion, our study reports that, in the 12 groups we studied, salary without supplements or consideration for volume is the exception rather than the rule. We also learned that, driven by competition to recruit doctors, most of our multispecialty group practices compensate at levels that approximate or nearly approximate what the physicians could earn in private practice.

     As one of our participants told us: “Simply paying all physicians in the US on a salary basis will not be a panacea for our current [financial] ills.”(19) Two others added, “The real meat of the issue is the self-governance and ability to review and influence practice through physician leadership and organized systems of care,”(15) and “Physician engagement in the process and a commitment to the outcomes of our patients is the best solution.”(20)

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  • Visit The Pinnacle Group at the Upcoming AHLA Law Institute – Las Vegas, NV – February 9th – 11th

    CLICK TWICE TO ENLARGE

    Even GOOD intentions can go BAD or get UGLY.  Visit The Pinnacle Group for a fully loaded solution, February 9th – 11th, at the upcoming AHLA 2011 Law Institute in Las Vegas, NV.

     http://www.healthlawyers.org/Events/Programs/2011/Pages/PHY11.aspx

     Physician FMV dramatically reduces the complexity of determining physician fair market value.  The Program helps build internal capacity and provides more control over the contracting process with powerful information and proprietary tools to help you make defensible decisions about physician relationships.

     Stop gambling with compliance.  Take away uncertainty with a fully loaded solution.

     We look forward to meeting your in Vegas!

     Contact Us Today – 303.801.0123 or kberkey@pinnaclegrouphc.com

    The Pinnacle Group is a nationally recognized leader in valuation services, physician compensation, revenue cycle & coding consulting, and hospital-physician integration.  Pinnacle supports a wide variety of clients including, but not limited to: hospitals and health systems, ambulatory surgery centers, physician groups, dialysis providers, medical device and other healthcare companies.  Sister companies to Pinnacle provide services related to physician practice management, medical billing and coding, and technology/integration support services, which affords Pinnacle operational perspectives and insights – not typically available through other consulting firms.  Pinnacle’s services are backed by a professional and responsive team, to help our clients devise solutions to their complex and challenging issues.

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  • The Pinnacle Group Top Reads: 6 Essential Strategies for Physician Integration | Hospital-Physician Relationships

     

    6 Essential Strategies for Physician Integration | Hospital-Physician Relationships.

    Written by Leigh Page | December 10, 2010

    Integrated physician arrangements, aligning clinical and financial interests, will be critical to the success of hospitals and health systems in the future as payment methodologies change, says Mark Grube, managing director at Kaufman Hall in Skokie, Ill. Here he outlines six essential strategies for physician integration.

    1. Develop a physician-hospital alignment plan. Such a plan should support the hospital’s strategic goals. The hospital needs to prepare for a new era driven by changes in reimbursements. “Reimbursements are moving from volume to value, where value is high quality and cost effectiveness,” Mr. Grube says. “To do this, you need the active participation of physicians.”

    2. Ensure sufficient capital for physician initiatives.
    Buying physicians practices can be a very expensive strategy, even though hospitals are no longer buying the goodwill of a practice. In addition to buying the practice, hospitals are also assuming leases of the physicians’ offices. Employment agreements tend to last three years, meaning the hospital will continue losing money if the physician is not efficient. “The hospital needs to ensure there are sufficient resources to meet the needs of the community,” Mr. Grube says.

    3. Use a disciplined approach to practice acquisitions. Since hospitals now typically recruit for employment, rather than trying to place an independent physician in the community, they need to make sure they won’t lose money. “Do your due diligence when buying an existing practice,” Mr. Grube says. The hospital should undertake a detailed study of the practice, looking at revenue trends, how it is managed, the quality of the staff and the IT systems it uses. “You need to understand how these factors ill impact your organization,” he says.

    4. Structure effective physician compensation programs. Hospitals are moving away from salary-based compensation. The next step is providing bonus arrangements for compliance with defined protocols and working on quality, cost reduction and “good citizen” points.

    5. Create effective clinical integration programs. In such programs, both the hospital and a group of physicians jointly contract with a health plan and agree to incentives that involve achieving high quality and reducing costs. “These agreements can be a stepping stone to becoming an ACO,” Mr. Grube says. The physicians can be employed or in independent practices aligned with the hospital through a physician-hospital organization.   

    6. Manage employed physicians to achieve goals.
    “Just bringing physicians into the employment model won’t accomplish anything,” Mr. Grube says. The practices can be brought together under one structure or kept separate, but the hospital needs to implement strategies for efficiency, such as using one answering service or one IT system and creating a common set of goals.  

    Learn more about Kaufman Hall.

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  • Seasons Greetings From Pinnacle Healthcare Consulting

    Click twice to enlarge

    From all of us at Pinnacle Healthcare Consulting. 

    At this holiday season, our thoughts turn gratefully to those who have made our progress possible. 

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  • Compliance Concerns Giving You the Spooks?

    visit www.physicianfmv.com
     About The Physician FMV ProgramDetermining appropriate and compliant physician fair market value (FMV) is complicated.  Diverse factors like the Stark Law and inconsistent internal payment policies make it difficult to confidently approach physician compensation negotiations.  Until now.

     
    –          Access Physician Fair Market Value (FMV) Data anywhere there’s an Internet connection
    –          Generate tailored Physician Fair Market Value (FMV) Reports for individual physician relationships
    –          Track all physician arrangements and payment terms
    –          Research hospital-physician relationships around the country
    –          Manage access to the Physician Fair Market Value (FMV) data for others within your organization
     

    The Physician Fair Market Value (FMV) Program dramatically reduces the complexity of determining fair market value for physician compensation.  It builds internal capacity and gives hospitals more control over the process by providing proprietary tools and powerful information to help make defensible decisions about physician relationships.

    Over 200 hospitals and healthcare organizations have found that the Physician Fair Market Value (FMV) Program empowers users to make smart and supportable decisions with regard to physician compensation and fair market value mattes.  The Physician Fair Market Value (FMV)Program’s key benefits include:

     
    –          Elevated compliance through broader application of Physician Fair Market Value (FMV) payment terms and greater consistency across physician contracts
    –          Significant time savings – where resources can be redirected to other matters (strategy, operations, etc.)
    –          Immediate return on investment after just two to three uses (i.e., avoiding fees for focused consulting reports)
    –          Enhanced organizational capacity to address physician compensation, contracting and compliance
     

    Hospitals using the Physician Fair Market Value (FMV) Program immediately possess greater knowledge on which to base physician contracting decisions, the reliability of a proven physician fair market value analytical methodology and improved capacity to manage / document compensation and other contractual terms.  Furthermore, Physician Fair Market Value (FMV) Program support includes: training, ongoing coaching, technical support and focused consulting (if necessary). 

    Visit: www.physicianfmv.com or contact us today for more information: 303.801.0123

     

    About Pinnacle Healthcare Consulting

    Pinnacle Healthcare Consulting provides a range of strategic, financial and operational services to improve clinical and business performance for hospitals, health systems, physician groups and other healthcare organizations.  Pinnacle Healthcare Consulting is a nationally recognized leader in business valuation, physician compensation, medical staff planning, performance improvement and compliance support.  Other divisions of Pinnacle provide physician practice management, medical bill/coding, and technology/integration support services.  Pinnacle’s array of specialized and highly responsive client services promote advanced innovation while our dynamic team solidifies strong client relationships and assists in solving your most complex challenges. 

    Contact Pinnacle Healthcare Consulting Today – 303.801.0123 or kberkey@pinnaclegrouphc.com

    Visit: www.PinnacleGroupHC.com & www.PhysicianFMV.com

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  • Avoid Physician Fair Market Value Distress – Arm Yourself With Physician FMV and Visit The Pinnacle Group Tomorrow at HCCA’s Regional Conference in Denver, CO!

    A friendly reminder to visit The Pinnacle Group tomorrow at HCCA’s Regional Denver Conference

    HCCA’s Regional Denver Conference

    October 22, 2010

    Marriot Denver Tech Center

    4900 S. Syracuse Street, Denver, CO

    8:00 a.m – 5:00 p.m.

     

    Feel free to give us a call either way with comments or questions!

    Contact Us Today – 303.801.0123 or kberkey@pinnaclegrouphc.com

    The Pinnacle Group provides a range of strategic, financial and operational services to improve clinical and business performance for hospitals, health systems, physician groups and other healthcare organizations.  Pinnacle Healthcare Consulting is a nationally recognized leader in business valuation, physician compensation, medical staff planning, performance improvement and compliance support.  Other divisions of Pinnacle provide physician practice management, medical bill/coding, and technology/integration support services.  Pinnacle’s array of specialized and highly responsive client services promote advanced innovation while our dynamic team solidifies strong client relationships and assists in solving your most complex challenges. 

    Avoid Physician Fair Market Value Distress – Arm Yourself With Physician FMV:

    • Obtain FMV compensation rates for over 70 physician specialties for employment, call and medical directorships
    • Search a national database of hospital-physician relationships
    • Generate FMV reports online
    • Elevate Medicare and IRS compliance
    • Save time with better information
    • Reduce costs with enhanced knowledge

    The Physician FMV Program dramatically reduces the complexity of determining physician fair market value.  The Program helps you build internal capacity and provides you with more control over the contracting process with powerful information and proprietary tools to help you make defensible decisions about physician relationships.

    Visit: www.physicianfmv.com for more information about our services.

    Continue reading →

  • Reminder to Physicians: Join Us Tomorrow for This Complimentary Event! Financial Implications of Practicing Medicine in the 21st Century

     

     

     

     

    (CLICK TWICE TO ENLARGE DOCUMENT) Time: 4:30PM - 7:30PM Location: Warwick Hotel, 1776 Grant Street, Denver, CO 80203

    Join us tomorrow, Thursday, October 21st for this complimentary physician specific event covering:

     

    • Networking
    • Financial Planning Tips
    • Legal-Estate Planning / Succession Planning
    • Business Valuation
    • Tax Implications
    • Your Questions Answered

    Time:  4:30PM – 7:30PM

    Location:  Warwick Hotel, 1776 Grant Street, Denver, CO 80203

    We have assembled an expert team of advisors that understand physicians as well as the unique situations and challenges you face.

    Business issues affect your Practice and personal wealth’s bottom-line.  This seminar will give guidance concerning hot topics in your career and touch on important financial themes facing physicians in today’s ever-changing environment.  In this seminar, we will give you the tools to advance your wealth and protect your investments.

    Medical Practice Valuation- A Physical Exam of a Practice Health – Whether you are buying, selling or considering integration with a hospital system, the valuation of a medical practice is a subject that deserves your attention.  Jim Connors, Director of Business Valuation for The Pinnacle Group, will discuss reasons to consider a transaction, the variety of nuances related to fair market value and creating practice value as well as the pitfalls to avoid in either buying or selling a medical practice.  With 20 years of business valuation, financial and market consulting experience, Jim has assisted clients in a variety of industries and types of transactions.  Jim has been recognized within the valuation community for his published articles, presentations on valuation techniques and analyses for specific sub industries and relevant, regulatory compliance issues.

     Financial Planning- The Prescription for Your Personal Wealth – As your wealth grows, life doesn’t get simpler, it gets more complex.  Patty DeLucas, Certified Financial Planner, TM and Financial Advisor with Wells Fargo Advisors, LLC, will present a three-step approach to managing your financial investments with clarity and consistency.  Her discussion will include leveraging assets and people to increase wealth as well as delineate a personalized, financial roadmap that connects money with life priorities.  Patty will also cover tax efficient asset accumulation strategies, how to protect your investment portfolio against disaster, and Roth conversions as a strategy for multigenerational wealth.  Patty has over 33 years of professional experience which includes ten years in the securities industry with astute investors.  As an investment advisor representative, she holds a CPA license (not currently in public practice), securities registrations and insurance licenses.

    Estate / Succession Planning- Preventative Care for Future Health & Wealth – Jim Miles, Esq. will discuss the impacts of estate planning on the physician group practice entity, focusing on Stark / Anti-kickback and tax compliance issues.  Jim, an attorney with the Denver and Phoenix offices of Miles & Peters, has been practicing health law for over 15 years.  He specializes in the representation of health care providers and professionals, emphasizing commercial transactions, Stark and Anti-Kickback compliance, and business planning.  His clients include numerous health care providers such as physician practice groups, hospitals, nursing homes, assisted living facilities, community health centers, and other health care providers.  He serves as general counsel to several health care provider trade associations.

    Additionally, Janine Guillen, Esq. will discuss the impacts of estate planning on a physician’s personal wealth and wealth preservation.  Janine joined Davis and Associates, P.C. after 15 years in healthcare operations and administration.  She concentrates her legal practice on estate planning, wealth preservation, asset protection, estate / trust settlement, business / business exit planning and medical / disability planning.  She has presented at national conferences, lectured to students and families in higher education venues and has taught on a variety of topics.

    Accounting – The H&P of the Medical Practice – Changes in our tax laws are one of the few constants of American life.  Every change adds a new layer of complexity to an already complicated process. Physicians need to develop strategies that will allow them to take full advantage of the tax laws to reduce tax burdens. Robert Conner, a Tax Supervisor at BKD CPAs & Advisors, specializes in physician, personal, medical practice tax planning and compliance.  Development of an advantageous tax strategy allows physicians to plan for their future.  Since virtually every financial decision can have tax implications, careful tax planning can make a big difference in the outcome. This forward-thinking approach can help physicians grow and preserve assets, defer income, and reduce taxes on their income, estate, gifts, investments and retirement distributions.

    Insurance- Coordination of Coverage For Your Business & Personal Wealth – Scott LeBauer, CLU, ChFC, a specialist in physicians’ insurance for over 21 years, will give guidance on how insurance planning can protect wealth at any career stage.  His expertise includes individual life insurance for spousal / family protection, buy-sell funding, as well as accumulation planning.  He is currently an associate general agent with Capitas Financial, LLC and Vice President at Prestige Brokerage, LTD.  Scott has worked with physicians on insurance and accumulation planning from the early stages of practice development to associated insurance protection for the transition of a physician practice into retirement.  Additionally, he has been published for insights into aspects of Long Term Care planning and the current evolution of that industry.

    Feel free to give us a call either way with comments or questions!

    Contact Us Today – 303.801.0123 or kberkey@pinnaclegrouphc.com

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  • Falling Behind on Physician Fair Market Value? Vist The Pinnacle Group at VHA’s Regional Leadership Conference!

    Visit The Pinnacle Group at the Regional Leadership Conference for VHA Mountain States - “Creating a Sustainable Future: Strategies and Tactics for Success”

    With Physician FMV, You Can:

    • Obtain FMV compensation rates for over 70 physician specialties for employment, call and medical directorships
    • Search a national database of hospital-physician relationships
    • Generate FMV reports online
    • Elevate Medicare and IRS compliance
    • Save time with better information
    • Reduce costs with enhanced knowledge

    The Physician FMV Program dramatically reduces the complexity of determining physician fair market value.  The Program helps you build internal capacity and provides you with more control over the contracting process with powerful information and proprietary tools to help you make defensible decisions about physician relationships.

    Visit The Pinnacle Group at the Regional Leadership Conference for VHA Mountain States – “Creating a Sustainable Future: Strategies and Tactics for Success”

    The Pinnacle Group will be located at booth 804 in the Capitol Ballroom

    October 12-13th, 2010

    Hyatt Regency Denver at Colorado Convention Center

    For more information about Physician FMV or VHA’s Regional Leadership Conference,  please contact – (303) 801-0123 or kberkey@pinnaclegrouphc.com

    The Pinnacle Group provides a range of strategic, financial and operational services to improve clinical and business performance for hospitals, health systems, physician groups and other healthcare organizations.  Pinnacle Healthcare Consulting is a nationally recognized leader in business valuation, physician compensation, medical staff planning, performance improvement and compliance support.  Other divisions of Pinnacle provide physician practice management, medical bill/coding, and technology/integration support services.  Pinnacle’s array of specialized and highly responsive client services promote advanced innovation while our dynamic team solidifies strong client relationships and assists in solving your most complex challenges.  Visit: www.physicianfmv.com for more information about our services.

    Continue reading →

  • Visit The Pinnacle Group at the 22nd Annual Health Law Forum

    A friendly reminder to visit The Pinnacle Group at TennBarU CLE for Tennessee 22nd Annual Health Law Forum.

    Tennessee Bar Association Health Law Section

    22nd Annual Health Law Forum

    October 7-8, 2010

    Franklin Embassy Suites – Cool Springs

     

    Feel free to give us a call either way with comments or questions!

    Contact Us Today – 303.801.0123 or kberkey@pinnaclegrouphc.com

    The Pinnacle Group provides a range of strategic, financial and operational services to improve clinical and business performance for hospitals, health systems, physician groups and other healthcare organizations.  Pinnacle Healthcare Consulting is a nationally recognized leader in business valuation, physician compensation, medical staff planning, performance improvement and compliance support.  Other divisions of Pinnacle provide physician practice management, medical bill/coding, and technology/integration support services.  Pinnacle’s array of specialized and highly responsive client services promote advanced innovation while our dynamic team solidifies strong client relationships and assists in solving your most complex challenges.

    Continue reading →

  • Fair Market Value Checklist & Risk Assessment for Physician Contracts

     

    PLEASE CLICK TWICE TO ENLARGE DOCUMENT

     

    Now you can spot check your physician compensation arrangements and FMV assessments with Pinnacle’s specially created check list.  Identify potential problem areas that may create compliance risks.

    Fill out the survey to find out your risk assessment number.  The lower the score, the stronger your compliance is for fair market value.  If the number is on the high side, it might be time for a complete review of physician contracting methods and payment terms.

    Feel free to give us a call either way with comments or questions!

    Contact Us Today – 303.801.0123 or kberkey@pinnaclegrouphc.com

    The Pinnacle Group provides a range of strategic, financial and operational services to improve clinical and business performance for hospitals, health systems, physician groups and other healthcare organizations.  Pinnacle Healthcare Consulting is a nationally recognized leader in business valuation, physician compensation, medical staff planning, performance improvement and compliance support.  Other divisions of Pinnacle provide physician practice management, medical bill/coding, and technology/integration support services.  Pinnacle’s array of specialized and highly responsive client services promote advanced innovation while our dynamic team solidifies strong client relationships and assists in solving your most complex challenges.   Visit – www.PhysicianFMV.com

    Continue reading →