Consulting Case Study 1: Six Physician Orthopedic Practice

PMRG was called in to advise this practice because the physician-owners could not pay themselves their usual $25,000 - $50,000 bonus at the end of the year. These orthopedic surgeons paid themselves a rather modest salary for a practice of their specialty, and would bonus themselves at the end of the year from the surplus funds in the practice's accounts. PMRG assessed the practice and found the following:

Value of services provided in year assessed
(at the practice's fee schedule)

$9,200,000
Actual charges $7,400,000
Collection target
(calculated at 64% of charges)
$4,736,000
Actual collections
(48% of charges)
$3,552,000
Lost income from under-priced services $ 325,000
Lost income from uncharged services
(64% of $1,800,000)
$1,152,000
Lost income from poor collection performance
(16% of $7,400,000)
$1,184,000
Total lost income
$2,661,000

These physicians were concerned because they were unable to pay $300,000 in bonuses, when they should have been able to distribute $2,600,000 in additional profit.

Consulting Case Study 1 | Consulting Case Study 2 | Consulting Case Study 3 | BILLING CASE STUDIES

 
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