Practice Management

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Because, as one urologist observed, "we spend more time with our partners than with our families," the importance of finding qualified urologists whose professional and personal styles are compatible with the colleagues in the practice is paramount.

Urologists around the country lament the difficulty in finding and keeping good employees, and even gripe about the deteriorating performance and attitudes found in some of the more demanding positions. My advice: They're your employees, so it's time to take ownership of the problem.

The controversial concept of medical home calls for a team led by a physician, usually a primary care physician, to be paid extra to handle personalized coordination of a patient's care across the health care system, including acting as liaison with other providers.

It is important to be aware of the general arrangements (often referred to as "platforms") available for investment management and the alternative methods of compensation for those who are involved in retirement plan accounts.

President Obama's 2010 budget proposal, with its $630 billion down payment on health care reform over the next decade, appears to contain significant good news for urologists, but never has it been more true: the devil is in the details.

Some urology practices have become complacent about managed care contracts, assuming there's not much they can do about them. But if it's costing more money to see a patient than you are getting paid, it's time to renegotiate or consider unloading the payer.

In reviewing the data for multiple urology practices, the PRS Urology Data Initiative has shown that correctly billing for urodynamics has provided an immediate increase in income without adding new patients.

The Worker, Retiree, and Employer Recovery Act of 2008, which was signed into law at the end of last year, has a dramatic positive impact on those who are subject to minimum distributions from their individual retirement accounts.