From: Scott Becker <>
Subject: [Becker's ASC E-Weekly] ASC Staff Hourly Wages and Administrator Salary Statistics by Facility Size (Case Volume) | Results of 2009 HealthCare Appraisers Surgery Center Valuation Survey | New Prohibitions Considered for Physician-Owned Hospitals: 12 Key Concepts |
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Mnet Financial:
Jan. 29, 2009
Latest News & Analysis

1. Results of 2009 HealthCare Appraisers Surgery Center Valuation Survey.
Click Here

2. Statistics on ASC Staff Hourly Wages and Administrator Salary by Facility Size (Case Volume), from the VMG Health 2008 Intellimarker. Click Here

3. Rate of Visits to Freestanding ASCs Increased About 300 Percent From 1996-2006, and 11 more interesting facts and statistics about outpatient surgery from the National Center for Health Statistics. Click Here

4. New North American Spine Society Policy Requires Actual Dollar Amount Disclosure of Relationships. Click Here

5. New Prohibitions Considered for Physician-Owned Hospitals: 12 Key Concepts. Click Here

6. Physician Hospitals of America Provides SCHIP Update, Calls for Continued Grassroots Action. Click Here

7. Surgery Centers Struggle With Orthopedics Due to Lack of Understanding About Services, Compensation, with Matt Kilton of Eveia Health Consulting & Management. Click Here

8. Learn More About Our Featured E-Weekly Advertisers: Mnet Financial; ASCOA; and Physicians Capital.

9. National Surgical Care Completes 6 Acquisitions in 2008. Click Here

10. Learn More About Marshall Baker and Physician Advisory Services. Click Here

11. Terrific Asset/Portfolio Manager Seeks Healthcare Real Estate Position in Chicago Area. Click Here

12. 6th Annual Health Care Private Equity Event - Feb. 26, Chicago (hosted by McGuireWoods) - Complimentary. Click Here
Physicians Capital:
Do Non-Procedural Sources of Income Apply to the One-Third Rule?

Q: Federal guidelines state "at least one-third of the physician's medical practice income from all sources for the previous fiscal year or previous 12-month period must be derived from the physician's performance of procedures." Does this exclude income derived from a "non-procedural" source?  An example would be ophthalmologists who own their own eye glasses shop. They receive a considerable income from the sale of eyeglasses, which adds up to more than one-third of their overall income. Are they not out of compliance with the federal guidelines as an owner of an ASC?

Scott Becker, JD, CPA: Currently, CMS has not further refined what they mean by a person medical practice income. Hence, there is not a definite answer to this question. With regard to items or services closely related to practice, one would tend to include such income. In contrast, the less closely related to the practice that the income is (for example, lease income), the less one would believe that it must be included.

Have a question? E-mail Scott Becker at
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Contact us toll-free: (800) 417-2035

10 Great Companies to Know

If you'd like more information about or an introduction to any of these companies, please e-mail Scott Becker.

HealthMark Partners. HealthMark Partners owns and operates single and multi-specialty ambulatory surgery centers throughout the United States by creating joint-ventures with physicians or physicians and hospitals. Read more about HealthMark.

B. Braun. For 150 years, B. Braun has developed a rich heritage of knowledge and expertise for delivering innovative healthcare products, medical devices and programs designed to improve both patient and health-professional safety. Learn more about B. Braun.

ASC Billing Specialists. ASC Billing Specialists is a billing company dedicated to the needs of the ASC market, specializing in both out-of-network and in-network facilities. Learn more about ASC Billing Specialists.

Mnet Collection Agency. Mnet Financial, the preferred collection agency service vendor to United Surgical Partners and Health Inventures, is a receivables management company offering cost effective ways to increase cash flow and reduce debt for professional services. Learn more about Mnet Financial.

ASCOA. Since 1984, ASCOA's founders have helped physician-owners start and operate successful facilities; ASCOA currently owns and manages 34 facilities across the country with 14 others in development. Learn more about ASCOA.

Physicians Capital. This Nashville-based firm provides loans based solely on the future cash flow of a surgery or diagnostic center. Read more about Physicians Capital.

zChart EMR. zChart EMR was developed by dozens of healthcare professionals -- administrators, office staff, nurses and physicians -- at multi-specialty outpatient surgery centers. Learn more about zChart.

Pinnacle III. Pinnacle III specializes in the operational development, management, select management, and billing for ASCs. Learn more about Pinnacle.

Raymond Fox & Associates. Raymond Fox & Associates is a full-service medical architectural firm that has completed over 4,000 projects ranging from small, single-specialty offices to large, multi-specialty medical office buildings and has been involved in over 400 surgical centers. Learn more about Raymond Fox & Associates

National Medical Billing Services. NMBS specializes in freestanding outpatient surgery center coding and billing and providing ASCs with an outstanding opportunity to increase revenue through its cost-effective service, subject matter experts and integrity in business relationships. Learn more about NMBS.

Upcoming ASC Events
The 7th Annual Orthopedics-, Pain Management- and Spine-Driven ASC Conference
June 11 to 13, 2009

The 16th Annual Improving Profits and Business and Legal Issues for ASCs
Oct. 8 to 10, 2009

For a complete list of upcoming events, click here
Quick Links
  • Click here to visit VMG Health.
  • Click here to visit Ambulatory Surgical Centers of America.
  • Click here to visit Amerinet.
  • Click here to visit Meridian Surgical Partners.
  • Click here to visit Serbin Surgery Center Billing.
  • Click here to visit Surgical Notes.
  • Click here to visit Blue Chip Surgical Center Partners.
  • Click here to visit Practice Partners in Healthcare.
  • Click here to visit ProVation Medical.
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