Allergy & Immunology

1. Reason for hiring?
2. If replacing departing physician reason for departure?
3. How many physicians have left group in past 10 years?
4. Reasons for departure(s)
5. What is standard office hours, evenings, and weekends?
6. How many patients per hour or day does group currently see?
7. What is primary service area size? ___________ Secondary _______
8. How many competing specialist are in area? _______ Primary referral source __________
9. Is there a computer/printer in patient room's?
10. Is patient information available on-line?
11. Does the group have a technology manager on-site?
12. Do Services Include: PFT _______ Niox FENO ________ in-house nasal endoscopy _______ Skin testing _______Rush immunotherapy ______ cluster immunotherapy _______ patch testing food _________ patch testing chemical _____ Methacholine challenges _______ exercise challenges _______Drug testing and challenges ______ food challenges ______ immune evaluations __________Xolair administration ________ PCN testing __________ Food allergy oral desensitization _________ success rate ____
13. Does group own its office building? ______Is ownership in office building available? _________
14. Total square feet of office space PAYER MIX Medicare % _________ Medicaid % ________ Private Ins %________Self Pay % ________ Other % __________________
15. Overhead Percentage Excluding Physician income:
16. Number of employee's _________ # P.A.'s. _______ #RNP's___________ # M.A.'s_______ Other support personnel ___________________________________________________
17. Are there any spouses or relatives involved in the practice? If yes describe relationship capacity, & duties
18. Describe travel to other locations
19. Base Salary range _____________________ Bonus structure ______________________
20. Is partnership available? _____________ When offered _____________
21. How will Buy-in amount be determined? _______________________________________
22. How are patients to be assigned? ____________________________________________
23. Do you have a contract ready to present to a candidate? ______ yes______ no
24. Tenure of current administrator
25. What activities will new physician are expected to do in order to build a practice?
26. Name the top three advantages of joining this practice?
27. What are the disadvantages that may be perceived by candidates?

Dermatology

1. Reason for hiring?
2. History of group, year founded, additions and departures
3. What is average patent volume
4. Preferred/expected scheduling volume for new physician?
5. What is primary service area size? ___________ secondary
6. How many competing specialist are in primary area?
7. Describe types of lasers, cosmetic procedures, products offered:
8. Describe P.A./N.P. extenders job duties and volume produced:
9. Number of FTE's_________ # P.A.'s. _______ #RNP's___________ In-house billing _____
10. Does group have MOHS surgical set up?_______ Number of MOHS procedures ___________
11. Does group have in-house pathology lab? __________ Slide volume? __________________
12. Does group do its own dermatopathology? ______ employ pathologist? ________ # days ______
13. Does group own office its building? __________ Will ownership be available? _____________
14. Total square feet of office space ________________________________________________
15. Number and type of exam rooms _______________________________________________
16. Number and type of procedure room's ___________________________________________
17. Does the group have E.M.R? Yes _____ No _____
18. Describe travel to other locations _______________________________________________
19. Salary Range ________________________Bonus formula __________________________
20. Is partnership available? _______ % equity available __________ if yes after how long? _______
21. Partnership income is/will be distributed by what formula? _____________________________
22. How are existing versus new patients to be assigned? _________________________________
23. Is there an employment agreement prepared? Yes ______No ______
24. Does group have an operating agreement? Yes _____ No ______
25. Cell phone numbers for key contacts in group. _____________________________________
26. Tenure of current administrator ______________________________________________
27. What activities will new physician are expected to do in order to build a practice?
28. Name the top three advantages of joining this practice?
29. What will be the perceived disadvantages?

Gastroenterology

1. Reason for hiring?
2. History of group, year founded, mergers, additions, departures?
3. Average number or range of clinic patients scheduled per physician per week?
4. Back door and/or cell numbers:
5. Is the employment contract ready to present to candidate? Yes: ________ No: _________
6. How many competing specialist are in primary area? ______________________________
7. ANCILLARY REVENUE: Does group own endoscopy center? _____ yes _____ no
8. OFFICE REAL ESTATE
9. Describe Hospital rounding and call coverage:
10. PAYER MIX Medicare % _________ Medicaid % ________ Private Ins %________
11. Overhead Percentage Excluding Physician income? _______________________________
12. COMPENSATION: Base Salary minimum ________________ maximum ______________
13. Describe travel to other locations:
14. Number and type of employees:
15. Top 3 advantages to joining the practice?
16. What will be the perceived disadvantage?
17. Current number of procedures performed by physician(s) per week?
18. Is ERCP required or preferred? _____________________________ is EUS required? ___
19. Would you like sample employment contracts to review? Yes: ________ No: _________
20. Is ownership in endo facility available for candidate hired? _____ yes _____ no.
21. Does group have in-house pathology lab? _____ yes _____ no
22. Does group employ in-house pathologist? _____ yes _____no
23. Does group employ in-house anesthesia? _____ yes _____no
24. Does group own its office building? _______ Total square feet of space: ________________
25. Is ownership in office building available for new hires? ____ yes ____ no.
26. Number and type of exam/procedure room’s
27. Current EMR type and stage?
28. Primary Hospital Other Hospitals
29. How are extenders utilized in office or in hospital?
30. Payer-Mix
31. Is partnership available? Time to partnership?
32. What is buy-in based on?
33. Is partnership revenue distributed equally or based on production?
34. Are there any spouses or relatives involved in the practice?
35. If yes describe relationship capacity & duties.

Otolaryngology

1. Reason for hiring?
2. History of group: year founded additions and departures.
3. Daily Office Visits ________ Daily Inpatient _________ Weekly Procedures ________
4. What is the primary service area size? ____________________ secondary _________
5. How many competing specialist are in the area? ______________________________
6. Does the group own a sleep lab? ___________ # beds? _______
7. Clinical Space square feet ________#general exam rooms _____# treatment rooms _____
8. Is EMR installed? _______ What type & stage? _______________________________
9. Does group own office its building? Yes _____ No ______
10. Is ownership in ASC available? Yes _____ No_______
11. Call arrangements weekdays ___________________ Weekends __________________
12. Medicare % _________ Medicaid % ________ BC/BS %________
13. Overhead percentage exclusive of physician income? ___________
14. Number of FTE’s_______ #P.A.’s ______ #RNP’s ______ In-house billers ______ Others:
15. Are there spouses/relatives working in the practice?
16. Is Yes, duties and responsibilities?
17. Administrator / office manager tenure?
18. Describe what activities a new physician is expected to perform to build practice?
19. Describe travel to other offices/hospitals?
20. What are top 3 advantages to joining the practice?
21. What sub-specialty training is desired? __________________________________
22. What sub-specialty training is NOT desired? ______________________________
23. How are patients to be assigned? ______________________________________
24. Is there an employment agreement ready to present to a candidate?
25. Minimum salary ____________________ Maximum salary __________________
26. Main Procedures or Surgeries Required
27. Balance Lab? _______CT scanner? ____________ Type __________________ Audiology? ______ Hearing aids? ______ Skin testing and immunotherapy? _____
28. Does group perform/have Facial plastics?
29. Type of laser/equipment __Videostroboscopy ________ other equipment
30. Other services offered?
31. Is ownership in ancillary revenues available for candidate hired? Yes _____ no _____
32. Is ownership in office building available for new hires? Yes _____ No ______
33. Term to partnership? What is buy-in based on?
34. Benefits provided