Practice Management

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There is certainly a perception that urologists are consolidating into larger and larger organizations, as well as an implication that the small practice model is no longer economically viable. Yet urologist John E. Bertini, Jr, MD, has been able to start, grow, and maintain a small, successful independent practice in downtown Houston for 25 years.

To meet the challenges of a changing specialty, urologists across the country have organized into large, comprehensive integrated practices, often including physicians from other specialties, to deliver the highest quality care and service to patients with urologic diseases and conditions.

Knowing current urologist salaries at a hospital or deciding how much to pay a new urologist joining a group practice can be difficult whether you're the applicant or the hiring physician. Several different compensation models exist, each with their own benefits and drawbacks.

You probably know the financial bottom line of your practice, but how well do you understand just how you got there? To know, it's essential to periodically review your service mix.

Urologists and other health care providers now need to consider whether to participate in the federal government's new accountable care organization program, finalized in mid-October as a way to help reduce Medicare costs while improving patient care.

In most urology practices, patients will spend more time with the office staff than with the physician. Therefore, it is essential that the staff is highly motivated to ensure that patients' interaction with the staff remains at a high level from the moment they walk into the reception area and check in at the desk until they make their next appointment and check out.

If the trends currently in motion continue, you will see the beginning of accountable care organizations in 2012, with increasing numbers of them year by year, unless there is a repeal of the shared savings portion of the Affordable Care Act or the final rule restricts the potential savings that can be obtained by any ACO.

There is no set fee that you are required to charge, and the patient's contract with his or her insurance company may vary as to how much the insurance company pays.