Gross Charges and Net Revenue Per Case for ENT, Ophthalmology and Urology
For ENT, ophthalmology and urology, here are the gross charges per case and net revenue per case:
1. ENT — $5,182 and $1,776;
2. ophthalmology — $4,367 and $1,276; and
3. urology — $3,951 and $1,802.
Note: This information is derived from the VMG Health Intellimarker, published in 2007. For more information, e-mail Greg Koonsman at gregk@vmghealth.com or e-mail Jon O’Sullivan at osullivan@vmghealth.com.
ASC Distribution Intervals
Q: How often should an ASC make distributions?
A: Jim Cobb, CEO of Orion Medical Services: "We have found that physician-
owners prefer that distributions be made on a monthly basis. It eliminates the need for the ASC manager or management company to find an interest-bearing account until the distribution is made, especially if it is made on a quarterly or annual basis. It also helps retain a great nexus between the center’s results and its owners.
"In all our centers, we make the distribution before the 15th of the following month. When your center is distributing profits in substantial amounts, it increases the need to distribute those profits sooner than later to avoid the build-up of significant cash balances.
"We have quarterly meetings after a new center is stabilized, which usually takes from one year to 18 months. A new center should have monthly meetings with the regional VP for operations for that region or the management of the center and the physician-owners or executive committee."
Learn more about Orion at www.orionmedicalservices.com.
Multi-specialty ASC Hours Per Case
Q: What should a multi-specialty center aim for in terms of hours per case?
A: "I would generally suggest eight hours for ophthalmology or pain management, 12 hours for a multi-specialty ASC and 14 hours for orthopedics," says Tom Mallon, the CEO of Regent Surgical Health.
These numbers of hours would represent the total worked hours per case by the entire facility, which includes members of the business office, says Joyce Deno, the COO, Eastern region, for Regent Surgical Health. The benchmarks for a multi-specialty facility will also depend heavily upon the case mix of the organization, says Ms. Deno.
If a center performs ophthalmology, GI and pain procedures, it should target eight hours per case, she suggests. If the specialty mix is orthopedics, gynecology, general surgery and ENT, the benchmark will be closer to 14 hours.
"What will dilute it to the 12 (hours) is if the center has one of the above high-volume specialties," such as GI endoscopy, ophthalmology and pain management, says Ms. Deno.
She also points out that one- or two-room facilities not operating at least 80 percent capacity will exceed benchmarks, particularly if they are orthopedic-driven facilities.
Learn more about Regent Surgical Health at www.regentsurgicalhealth.com.
