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Outpatient Surgery E-Weekly

Malpractice Verdicts Often Favor Physicians

Physicians come out on the winning end of 80% of malpractice claims that end in jury verdicts, according to researchers at Massachusetts General Hos...

Study: CT Colongraphy Effective in Finding Polyps

A CT-scan-based, laxative-free "virtual colonoscopy" may be as effective as standard colonoscopy in finding potentially cancerous polyps, according ...

Wrong-Site Prevention Video Shows the Right Way

Wrong-site, wrong-patient and wrong-procedure surgery must be prevented at all costs. The 3 steps of the Joint Commission's Universal Protocol make ...

Archive > March, 2006 Vol. VII, No. 3

Business Advisor

10 Signs of a Struggling Surgery Center

Thomas Mallon, MBA

Thomas Mallon, MBA In today's competitive and challenging market, it should come as no surprise that only one in three of the country's 5,000 or so ambulatory surgery centers is thought to be profitable. What may surprise you are the reasons profitable surgical facilities are the exceptions rather than the rules. Here are the 10 leading culprits.

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You set gross charges at two times Medicare rates; You sign every contract; You let one highly respected but controversial physician run the business; You encourage your productive surgeons to leave and build their own facility; You ignore the physician schedulers; Your administrator is tied to the most important surgeon and runs the facility as a private fiefdom; You screen cases to implant expensive non-reimbursed grafts, screws and implants in Medicare patients; You pay retail for all supplies and buy only new equipment; You let cash and checks go through as many hands as possible on the wa... show all keywords
You set gross charges at two times Medicare rates; You sign every contract; You let one highly respected but controversial physician run the business; You encourage your productive surgeons to leave and build their own facility; You ignore the physician schedulers; Your administrator is tied to the most important surgeon and runs the facility as a private fiefdom; You screen cases to implant expensive non-reimbursed grafts, screws and implants in Medicare patients; You pay retail for all supplies and buy only new equipment; You let cash and checks go through as many hands as possible on the way to the bank; You guarantee 40 hours a week and open every room with a 7:30 a.m. case; One thing we've learned; Anesthesia; Buy; Establish; Fully; GPO; Great; Join; Labor; Listen; Make; Medicare; Refurbished; Remember; SKUs; Surgery; Talk; Visit; Why? Labor; Work; achieve; adage; adding; adequate; administrator; agreement; ambulatory; apply; attract; attracting; autonomously; average; board; break; bring; build; building; business; business-like; buy; carve; cases; cash; catalyst; center; centers; challenging; charge; charging; cheat; checks; clerk; clinical; clinicians; collects; communicates; companies; competitive; concerned; concerns; contract; contracted; contributes; controls; controversial; cosmetic; cost; country's; create; criteria; critical; dates; dealings; debt; deposit; develop; development; disappears; disenfranchised; due; early; easier; easy; economic; empty; encourage; end; environment; equipment; exceptions; expensive; expiration; explain; facilities; facility; facility's; fact; fashion; financial; fixed; flaws; frequency; front; full; give; good; greatest; gross; group; guarantee; half; hands; high-cost; high-quality; higher; highly; hold; hours; idle; ignore; implant; important; insurance; invite; issues; job; keeping; kids; laparoscopic; leading; leave; leaving; letting; lineup; local; lock; lower; lower-profile; mail; maintain; make; marketing; markets; matter; members; met; million; models; money; monitor; multiple; needed; negotiate; network; no-nepotism; non-reimbursed; notice; notify; offer; offers; open; opening; opens; operate; operating; out-of-pocket; outcomes; ownership; paid; partnership; pay; payers; paying; penile; people; percent; person; physician; physicians; power; prevent; private; productive; profitable; protocols; providers; providing; purchase; purchasing; put; reach; realize; reason; reconciliation; reduce; reimburses; reliance; remain; remedy; repayment; represent; requires; respect; respected; retail; review; room; run; running; runs; sap; scare; scheduler; schedulers; screen; screws; search; seek; serve; set; share; shareholders; sheet; sign; simple; sitting; solutions; sooner; sound; specialty; stability; staffed; staffing; start; stimulator; strength; strong; substantial; supplies; support; surgeon; surgery; surgical; surprise; temptation; thing; thought; tied; tight; time; today's; total; touches; trials; true; trusted; turning; unable; uncommon; unwilling; utilizers; viability; warranty; week

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