Subscribe to my blog
Written by Reed Tinsley, CPA | August 30, 2007
Before evaluating existing managed care agreements or entering into new ones, be armed and ready with information about your practice. Gather a minimum of 12 months of practice utilization data. Obtain the following information for demographic groups (e.g., age, gender, ZIP code, and if available, race, employer, income, and educational levels):
- Number of active patients seen in the past two years, by payer mix
- Office visits/procedures per year
- Average visits/procedures per active patient/year
- Average inpatient days per active patient/year
- Diagnosis frequency by demographic group
- CPT frequency by demographic group
- Calculate average cost per visit/procedure
