Outpatient Surgery Magazine

Obamacare, You're Fired - December 2016 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/758793

Contents of this Issue

Navigation

Page 126 of 132

Miscellaneous factors. Your facility's hours of operation matter. Do you allow add-ons, weekend cases or late cases? Do anesthe- sia providers have any say when it comes to room utilization and min- imum cases per room? If, for example, a 3-OR ASC expects to always have 3 providers available for surgeon convenience, that's expensive. You likely won't find providers willing to work only a couple of hours a day with no guaranteed minimum. $300,800 per year Let's say a CRNA does nothing but basic hernia repairs (or something similar), and that each takes an hour. We'll value each at 10 units (6 base + 4 time). Since Medicare pays about $22 per unit, each case would generate about $220. Let's further assume a 30-minute turn- around, and that our CRNA takes a 30-minute lunch and 2 15-minute breaks. That leaves time for 5 cases per day, which would generate $1,100 (5 x $220) daily. What if we add some private insurers to the mix at, say, $40 a unit and assume a payer mix that's 80% Medicare/Medicaid and 20% private? Now we're looking at $1,280 per day (4 x $220) plus (1 x $400). If we extrapolate over a full year, assuming 5 days a week and 5 vacation weeks a year, that CRNA would handle 1,175 cases and generate $300,800 (47 weeks at $6,400 per week). It's a relatively conservative estimate, but there may be fewer cases, and the payer mix may be worse. Plus, as noted, other factors can impact the bottom line, too, such as non-revenue generating services and canceled cases. OSM Mr. MacKinnon (mmackinnon123@gmail.com) is a partner in a CRNA- only practice in Show Low, Ariz. He lectures nationally on airway manage- ment and the business of anesthesia. 5 D E C E M B E R 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 1 2 7

Articles in this issue

Links on this page

Archives of this issue

view archives of Outpatient Surgery Magazine - Obamacare, You're Fired - December 2016 - Subscribe to Outpatient Surgery Magazine