1. Determine how many physicians and supporting staff are needed to operate

1. Determine how many physicians and supporting
staff are needed to operate the clinic, applying the appropriate ratio of
clinical and support staff per physician. Determine the direct costs of the
program. Direct costs in this case are patient expenses, and they
increase as the number of patients increase. These include:
Physician and
procedural support staff costs per patient/procedure
Gloves, sutures,
gowns, equipment, lab supplies, other supplies
Determine the
indirect costs of the program. Indirect costs are overhead costs that
include but are not limited to:
General support
staff and related costs
Electronic
medical records
Insurance and
taxes
Facility and
administration
Employee
benefits such as health and life insurance, retirement plans, and fringe
benefits
Determine the
equipment costs of the program. This includes items for the physician
clinic that will be used for more than one year. This is in
contrast to variable costs which occur per patient and include such items
as gloves, syringes, needles, and gauze, and would include items such as:
Examination
tables
Workstations
Desks and chairs
in the waiting room
Other equipment
of this nature
Determine
reimbursement for clinic services based on HCPCS/CPT codes with
geographical adjustment.
Determine net
reimbursement after variable costs per patient.
Determine how
many patients the clinic will need to see (a) on average per day and (b)
annually to break even on expenses.