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Valuation of Physician Practices: Avoiding the Five Common Pitfalls, by Jeffrey Bettinger, M.D., FACEP

Valuation of physician accounts receivable is necessary as a prerequisite for various financial transactions and agreements. Examples include sale or purchase of physician practices, institution of buy/sell agreements, and borrowing of funds or establishment of lines of credit where the accounts receivable serve as collateral. Unfortunately, unlike other types of accounts receivable (AR), the variables that affect the amount of eventual collections from physician accounts receivable pools are protean. Possessing a thorough understanding of these variables, and then asking the right questions, will allow a valuator to more accurately predict the true value of the AR pool. Conversely, lack of appreciation of these variables may lead to significant valuation errors.

Following is a discussion of five mistakes that are commonly made when valuing physician AR. The first three mistakes deal with lack of understanding of the reports generated by the billing system on which the AR resides. The remaining two address misinterpretation of the governmental and payer rules that apply to physician billing. Understanding these common pitfalls will allow an AR reviewer to ask the right questions and greatly increase the valuation accuracy.

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