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Tables of Contents for Physician's Compensation
Chapter/Section Title
Page #
Page Count
Introduction
1
4
Factors Impacting Physician Compensation
5
15
Managed Care
6
1
Product Development
7
1
Financial Implications
7
3
Consumer Demands
10
4
Merger and Integration of Practices
14
3
Government Regulation
17
3
The Shrinking Pie
20
8
Reimbursement Trends
21
1
Medicare
21
1
Participation versus Nonparticipation
22
2
Medicaid
24
1
Managed Care/Commercial Payors
25
1
Overhead Trends
26
1
Competition and the Impact on Physician Compensation
26
1
Disease of Me, Defeat of Us
27
1
Defining the Pie
28
4
Net Cash Available
28
1
Net Income
29
1
``Eat What You Kill''
30
1
Bonus versus Incentive
31
1
Financial Reporting
31
1
Regulatory Considerations in Physician Compensation Arrangements
32
24
Tax-Exempt Organizations
33
1
Recruitment Agreements
33
2
Tax-Exempt Financing
35
2
Fraud and Abuse
37
1
Antikickback Statute
37
7
Stark I and Stark II
44
8
Fair Market Value Compensation
52
1
De Minimis Compensation
53
1
Discounts
54
2
Four Principles of Compensation
56
6
Physicians in the Group Must Trust the Formula
56
1
The Formula Must Be Clearly Understood
57
2
The Formula Must Be Equitable
59
1
Group Incentives Must Be Promoted
59
3
Tax Considerations for Physician Compensation
62
13
General Partnerships
62
1
Limited Liability Companies
63
1
Professional Corporations
64
11
Employment Agreements
75
8
Base Salary
83
11
Preparing the Budget
85
1
Revenues
86
2
Expenses
88
1
Capital Budgets
89
1
Determining Base
90
4
Incentive Compensation
94
7
Physician Benefit Plans
101
8
Measuring Productivity
109
5
Gross Charges
109
1
Adjusted Charges
110
1
Collections
111
1
Relative Value Units
112
1
Weighted Average Production
112
1
Points System
112
1
Other Methods
113
1
Relative Value Units
114
7
Work RVUs
116
2
Practice Expense RVUs
118
1
Malpractice RVUs
119
1
Geographic Practice Cost Index (GPCI)
119
1
Conversion Factors
120
1
Using Relatives Value Units to Measure Productivity
121
4
RVUs in Capitation
123
1
Costs per RVU
124
1
Cost Allocation
125
8
Direct Expenses
126
1
Equal Expenses
127
1
Utilization
128
1
Volume
128
1
Prior Year Allocation Method
129
2
Stark Revenues
131
2
Administering the Compensation Plan
133
6
Academic Group Practice Compensation Models
139
6
Physician Integration Systems
145
10
Management Services Organization Model
146
2
Foundation Model
148
2
Hospital-Owned Physcian Practice Model (Integrated Delivery System)
150
5
Compensating the Physician CEO
155
9
Medical Administration
160
1
Evaluation and Management of Physicians
160
1
Committee Responsibilities
161
1
Quality Management
161
1
Miscellaneous Duties
161
3
Physician Compensation Case Studies
164
12
ABC Internal Medicine Practice
165
5
XYZ Surgical Group
170
6
Common Pitfalls
176
3
Appendix A Sample Physician Encounter Budget and Comparison
179
1
Appendix B Sample Practice Budget
180
3
Appendix C Sample financial Statements
183
5
Appendix D Revenue Ruling 97--13
188
9
Appendix E Glossary of Terms
197
4
References
201
4
Index
205