Physician's Practice - November 2008 - (Page 40) FINANCE INCOME TRENDS In 2006, primary-care physicians saw their salaries jump 11 percent to $161,000. For 2007, salaries rose more modestly to $171,500 — an increase of about 6.5 percent. Still, not bad. There are some subtle indications that these doctors are a bit more satisfied than they used to be with the money they make. When asked to describe their net incomes as “excellent,” “appropriate,” or disappointing,” here’s what we found: • Internists, at 56.25 percent, are still the most dissatisfied with their incomes. But this collection of unhappy healers shrank by nearly 10 percent since last year. • In contrast, family-practice docs collectively kicked their satisfaction 18.4% 19.22% OVERALL INCOME TREND — ALL RESPONDENTS 16.3% 14.59% level up a notch: This year shows a general upswing in earnings satisfaction, with 43.75 percent marking either “appropriate” or “excellent” — an 11.05 percent rise since last year. • Heads up, though, about pediatricians: Traditionally the least moneyfocused, pediatricians may be showing some signs of unrest. In 2007, 13.4 percent of them described their income as “excellent,” more than any other group of primary-care physicians. This year, that figure dropped to 7.94 percent, with the difference sinking down to the “appropriate” column. Overhead, while still vexing many physicians, is slightly less onerous compared to the previous year, when more than 62 percent of respondents reported overhead above 50 percent. Just over 55 percent of respondents currently report their overhead to be eating more than half their net medical revenues. What’s more, one in five put overhead between 40 percent and 50 percent — a nice improvement over last year, when only 16.5 percent said this. The Medical Group Management Association says that a healthy overhead for a medical practice should be no more than 50 percent, so the change in reported figures bodes well. And, even better, some physicians have pulled themselves out of the quicksand. Last year, 5.2 percent were drowning in overhead of 80 percent to 100 percent; that number has dropped back to 2.7 percent, which is comparable to the first year we ran the survey (2.4 percent). Unfortunately, frustration regarding primary-care earnings vs. specialist earnings persists. This is nothing against the specialists themselves; primary-care docs recognize and appreciate the additional training a specialist must go through. “Not too many people have had the residency training for bypass surgery; that’s tough, and you should be compensated properly,” says Stephen Blair, a family physician with Austin, Texasbased Capital Family Practice. WWW.PHYSICIANSPRACTICE.COM I 2006 13.4% I 2007 9.4% 11.39% 11.39% 8.9% 2.4% 2.85% $300,001 + $275,001– $300,000 $250,001– $275,000 3.6% 2.14% $225,001– $250,000 4.5% 5.34% $200,001– $225,000 5.7% 6.05% $175,001– $200,000 9.4% $150,001– $175,000 $125,001– $150,000 $100,001– $125,000 12.7% 13.17% IN SUMMARY The future of primary care is far from secure, but our survey shows a few encouraging signs of optimism: • Nearly half of respondents (47.24 percent) received no bonuses. Of those who did, nearly two-thirds (64.4 percent) report a bonus ranging between 1 and 10 percent. • Salaries rose to $171,500 — an increase of about 6.5 percent. • Approximately 55 percent of respon- dents report their overhead to be eating more than half their gross revenues; last year, this figure was 62 percent. income perception from “disappointing” to “appropriate.” general upswing in earnings satisfaction, with 43.75 percent marking either “appropriate” or “excellent” — an 11.05 percent rise since last year. change in income satisfaction: In 2007, 13.4 percent qualified their incomes as “excellent.” This year, that figure dropped to 7.94 percent. • Women tend to stick with the same practice longer than men: About one in 10 female physicians report staying in their current practice for 11 to 15 years, compared to just 3.23 percent of male physicians. • 17 percent of internists shifted their • The urge to close up shop has dropped 10 percent since last year, to 3.6 percent. • Family-practice physicians showed a • About 85 percent offer no ancillary services. For those that do, 9.0 percent offer in-house diagnostic testing, 3.4 percent perform minor surgical procedures, and 1.9 percent sell health products. • Pediatricians showed the biggest • About half of all respondents are partners in their practices. 40 | PHYSICIANS PRACTICE | NOVEMBER 2008 $100,000 or less http://WWW.PHYSICIANSPRACTICE.COM
Table of Contents Feed for the Digital Edition of Physician's Practice - November 2008 Physician's Practice - November 2008 Contents Death of Solo Practice Just a Myth Letters HSAy What? Noteworthy Finding Lost Revenue: The Search for Billing and Coding Gold Getting More: Our Annual Physician Compensation Survey ’Tis the Season to be Neutral Ask the Experts Evaluating Paperless Labs HR in a Box? The Guide Coding Third-Party Audits on the Rise Branding the Cash-Only Practice Intra-Office Tug-of-Wars Stickin‘ Up For Yourself Classifieds Advertiser Index Physician's Practice - November 2008 Physician's Practice - November 2008 - Physician's Practice - November 2008 (Page Cover1) Physician's Practice - November 2008 - Physician's Practice - November 2008 (Page Cover2) Physician's Practice - November 2008 - Physician's Practice - November 2008 (Page 1) Physician's Practice - November 2008 - Physician's Practice - November 2008 (Page 2) Physician's Practice - November 2008 - Physician's Practice - November 2008 (Page 3) Physician's Practice - November 2008 - Physician's Practice - November 2008 (Page 4) Physician's Practice - November 2008 - Contents (Page 5) Physician's Practice - November 2008 - Contents (Page 6) Physician's Practice - November 2008 - Contents (Page 7) Physician's Practice - November 2008 - Contents (Page 8) Physician's Practice - November 2008 - Contents (Page 9) Physician's Practice - November 2008 - Death of Solo Practice Just a Myth (Page 10) Physician's Practice - November 2008 - Death of Solo Practice Just a Myth (Page 11) Physician's Practice - November 2008 - Letters (Page 12) Physician's Practice - November 2008 - Letters (Page 13) Physician's Practice - November 2008 - Letters (Page 14) Physician's Practice - November 2008 - Letters (Page 15) Physician's Practice - November 2008 - Letters (Page 16) Physician's Practice - November 2008 - Letters (Page 17) Physician's Practice - November 2008 - HSAy What? (Page 18) Physician's Practice - November 2008 - HSAy What? (Page 19) Physician's Practice - November 2008 - Noteworthy (Page 20) Physician's Practice - November 2008 - Noteworthy (Page 21) Physician's Practice - November 2008 - Noteworthy (Page 22) Physician's Practice - November 2008 - Noteworthy (Page 23) Physician's Practice - November 2008 - Noteworthy (Page 24) Physician's Practice - November 2008 - Noteworthy (Page 25) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 26) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 27) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 28) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 29) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 30) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 31) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 32) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 33) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 34) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 35) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 36) Physician's Practice - November 2008 - Finding Lost Revenue: The Search for Billing and Coding Gold (Page 37) Physician's Practice - November 2008 - Getting More: Our Annual Physician Compensation Survey (Page 38) Physician's Practice - November 2008 - Getting More: Our Annual Physician Compensation Survey (Page 39) Physician's Practice - November 2008 - Getting More: Our Annual Physician Compensation Survey (Page 40) Physician's Practice - November 2008 - Getting More: Our Annual Physician Compensation Survey (Page 41) Physician's Practice - November 2008 - Getting More: Our Annual Physician Compensation Survey (Page 42) Physician's Practice - November 2008 - Getting More: Our Annual Physician Compensation Survey (Page 43) Physician's Practice - November 2008 - Getting More: Our Annual Physician Compensation Survey (Page 44) Physician's Practice - November 2008 - Getting More: Our Annual Physician Compensation Survey (Page 45) Physician's Practice - November 2008 - Getting More: Our Annual Physician Compensation Survey (Page 46) Physician's Practice - November 2008 - ’Tis the Season to be Neutral (Page 47) Physician's Practice - November 2008 - ’Tis the Season to be Neutral (Page 48) Physician's Practice - November 2008 - Ask the Experts (Page 49) Physician's Practice - November 2008 - Ask the Experts (Page 50) Physician's Practice - November 2008 - Ask the Experts (Page 51) Physician's Practice - November 2008 - Ask the Experts (Page 52) Physician's Practice - November 2008 - Ask the Experts (Page 53) Physician's Practice - November 2008 - Ask the Experts (Page 54) Physician's Practice - November 2008 - Evaluating Paperless Labs (Page 55) Physician's Practice - November 2008 - Evaluating Paperless Labs (Page 56) Physician's Practice - November 2008 - HR in a Box? (Page 57) Physician's Practice - November 2008 - HR in a Box? (Page 58) Physician's Practice - November 2008 - HR in a Box? (Page 59) Physician's Practice - November 2008 - HR in a Box? (Page 60) Physician's Practice - November 2008 - The Guide (Page 61) Physician's Practice - November 2008 - The Guide (Page 62) Physician's Practice - November 2008 - The Guide (Page 63) Physician's Practice - November 2008 - The Guide (Page 64) Physician's Practice - November 2008 - Coding (Page 65) Physician's Practice - November 2008 - Coding (Page 66) Physician's Practice - November 2008 - Third-Party Audits on the Rise (Page 67) Physician's Practice - November 2008 - Third-Party Audits on the Rise (Page 68) Physician's Practice - November 2008 - Third-Party Audits on the Rise (Page 69) Physician's Practice - November 2008 - Third-Party Audits on the Rise (Page 70) Physician's Practice - November 2008 - Branding the Cash-Only Practice (Page 71) Physician's Practice - November 2008 - Branding the Cash-Only Practice (Page 72) Physician's Practice - November 2008 - Branding the Cash-Only Practice (Page 73) Physician's Practice - November 2008 - Branding the Cash-Only Practice (Page 74) Physician's Practice - November 2008 - Intra-Office Tug-of-Wars (Page 75) Physician's Practice - November 2008 - Intra-Office Tug-of-Wars (Page 76) Physician's Practice - November 2008 - Intra-Office Tug-of-Wars (Page 77) Physician's Practice - November 2008 - Intra-Office Tug-of-Wars (Page 78) Physician's Practice - November 2008 - Stickin‘ Up For Yourself (Page 79) Physician's Practice - November 2008 - Stickin‘ Up For Yourself (Page 80) Physician's Practice - November 2008 - Stickin‘ Up For Yourself (Page 81) Physician's Practice - November 2008 - Classifieds (Page 82) Physician's Practice - November 2008 - Classifieds (Page 83) Physician's Practice - November 2008 - Classifieds (Page 84) Physician's Practice - November 2008 - Classifieds (Page 85) Physician's Practice - November 2008 - Classifieds (Page 86) Physician's Practice - November 2008 - Classifieds (Page 87) Physician's Practice - November 2008 - Advertiser Index (Page 88) Physician's Practice - November 2008 - Advertiser Index (Page Cover3) Physician's Practice - November 2008 - Advertiser Index (Page Cover4)
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