24
New Date: Wednesday, January 24, 2018
Time:
10:00am-11:40am PT / 1:00pm-2:40pm ET
Format: A BVR Webinar

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Featuring  (click image for more information)

Mark O. Dietrich
CPA, ABV
Mark O. Dietrich CPA, PC
Timothy R. Smith
CPA/ABV
Ankura

About This Program

Mark Dietrich and Tim Smith, co-editors of the just-released BVR/AHLA Guide to Valuing Physician Compensation and Healthcare Service Arrangements, offer a framework for a new approach to FMV for physician clinical services based on hundreds of hours of research, modeling, and writing. Examine and deconstruct the purported governmental mandate for using the “survey says” paradigm for FMV purposes, including a data-driven and evidence-based rebuttal of the government’s FMV theory in the Tuomey and Halifax cases including discussion will entail a review of regulatory language, court testimony, and enforcement trends. Hear new research on physician mobility trends and regional and state representation in published physician compensation survey data and the implications of this research for determining the FMV of physician clinical compensation. In response to the collapse of the “survey says” paradigm, attendees will get an introduction to the new market approach based on the RBRVS method. Learn the  appropriate use of the independent investor test for physician compensation, a well-established concept for compensation valuation supported by tax law and business valuation.  Together, these two methods replace “survey says” with a valuation framework that is far more defensible and valid, while resolving common issues regarding “stacking” of compensation elements, practice losses, and the move to value-based payments.

Event Bonus – Be one of the first to hear about Mark’s just completed research into the driving forces that determine physician practice location and how that compares to the underlying information in the physician compensation surveys. Region by region analysis with representative data on individual states included!  Nothing like it has ever been seen in physician compensation valuation.

Agenda

  • Review of governmental guidance on FMV from regulations, commentary to regulations, court testimony, and enforcement case history and how “survey says” is not ultimately supported by this guidance
  • Examination of the hypothesis that all physicians should be paid the survey median because they can readily move somewhere else and by paid the median in contrast to actual data and evidence about physician mobility and migration patterns in the U.S
  • Introduction of the new market approach using the RBRVS method and how the government and qui tam relators are logically prevented from arguing against this approach
  • Overview of applying the independent investor test and how this method addresses questions about practice losses and net earnings from ancillaries, nonphysician providers, and other income sources
  • Learn how the “survey says” paradigm undermines value-based payments, and how to allocate those payments to physician compensation and owner’s equity
  • Using survey data appropriately in the valuation process

Learning Objectives

  • Know where to find the complete and accurate record of regulatory guidance and enforcement history about the FMV of physician compensation
  • Learn new insights about physician mobility and underlying data in the physician compensation surveys
  • Understand how to apply and use the RBRVS method and independent investor test in valuing physician compensation
  • Assess how to use survey data appropriately in comparative benchmarking analysis and in the cost to replace/recruit
  • Analyze the valuation issues involved in different engagement scenarios

Single Connection Policy

Admission to this event authorizes one computer and phone connection for one location. These connections may be transferred users and/or locations. Multiple concurrent connections for a single admission registration are not allowed.

Multi-User CPE Policy

Admission to this program includes one CPE certificate for one individual. Any additional listeners requesting CPE must provide a $50 processing fee assessed at the completion of the online CE survey for this course.

CPE Processing Fees may be bypassed by entering a valid, unused CPE Authorization Code (for single event purchasers) or by logging into BVR's website (for subscribers to BVR's Training Series).

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CPE Information

Prerequisites: Knowledge of Business Valuation
Program Level: Advanced
Preparation Required: None
Delivery Method: Group Internet-Based
Recommended CPE: 2 Credit Hours (Specialized Knowledge & Applications)


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