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Home This Month E-Weekly Newsletter Building a Facility Article Archive Second Opinions
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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 > July, 2006 Vol. VII, No. 7

Business Advisor

Making the Case for Profit Margin Pricing.

Annamarie Carey-York, MBA

Annamarie Carey-York, MBA Weeks before a surgical center was to open, managers and consultants met to discuss pricing and contracting. The first consultant suggested the ASC ask for 200 percent of Medicare and never take less than 120 percent of Medicare. The second consultant suggested the center set prices at 50 percent of the local hospital's prices. The third consultant favored pricing the services using Ingenix?s pricing product. I was beginning to think of a punch line for "How many MBAs does it take to set prices for a surgery center?"

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Categories: Business Management, Cost Management
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Medicare plus a markup: not so wise; The preferred method; Administrators; CPT; Commit; Costing; Costs; Grouper; Implement; Ingenix?s; Long-term; MBAs; Medicare; Medicare Grouper; Note; Pay; Pricing; Weeks; ability; absolutely; acceptable; achieving; added; adding; affords; agreeing; allocated; amount; analyzing; approach; approaches; assumed; assumes; assuming; attention; beginning; board; boldly; break-even; business; calculate; calculating; calculations; care; case; cases; center; centers; change; changing; charged; close; closer; combination; compare; competes; competitive; completely; confused; consultant; contracts; contractual; cost; covers; decrease; definitions; deliver; desire; determine; difference; discount; discuss; discussing; dissect; efficiently; element; equal; examples; exceeds; facility's; factor; fail; faith; favored; fixed; focus; forces; frequently; fundamental; generated; good; greatest; high-volume; higher; highest-volume; highly; hospital's; hospitals; ignores; illustrate; impending; improve; increase; interchangeable; key; level; line; local; lower; lowering; make; making; managers; margin; margins; mark; marketplace; markup; match; mathematical; meet; met; methodologies; minimum; minus; mistake; money; multiplier; multipliers; multiply; negotiate; negotiating; now's; objectives; operating; outpatient; payers; percent; percentage; perform; place; prefer; preferred; prepared; price; prices; pricing; procedure; product; profit; profitability; profitable; published; punch; pure; randomly; rates; realize; reasonable; recoups; regulated; regulatory; resulting; results; retail; revenue; reward; risks; selected; services; set; setting; similar; stab-in-the-dark; start; start-up; strategy; suggested; surgery; surgical; sustain; third-party; time; top; total; track; transparency; true; typical; typically; understand; unilaterally; variable; ways; word

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