Cost and Revenue Glossary

Provider Staffing FTE:

The number of full-time (1.0 FTE) providers to the FTE count for the part-time providers in their practice. A full-time provider works whatever number of hours the practice considers to be the minimum for a normal workweek, which could be 37.5, 40, 50 hours, or some other standard. A provider working 30 hours compared to a normal workweek of 40 hours would be 0.75 FTE (30 hours divided by 40 hours). A provider working full-time for three months during a year would be 0.25 FTE (3 months divided by 12 months). A provider cannot be counted as more than 1.0 FTE regardless of the number of hours worked.

Included:

• Practice physicians such as shareholders/partners, salaried associates, employed and contracted physicians, and locum tenens;
• Residents and fellows working at the practice; and
• Only physicians involved in clinical care.

Not included:

• Full-time physician administrators or the time that a physician devotes to medical director activities. The FTE and cost for such activities are included as "General administrative.”

Advanced Practice Provider (APP)

Also referred to as: Advanced practice practitioners, nonphysician providers (NPPs), physician extenders, mid-levels, etc.

Advanced practice providers are specially trained and licensed providers who can provide medical care and billable services. Examples of advanced practice providers include audiologists, certified registered nurse anesthetists (CRNAs), dieticians/nutritionists, midwives, nurse practitioners, occupational therapists, optometrists, physical therapists, physician assistants, psychologists, and surgeon’s assistants.

NOTE: Residents are not considered advanced practice providers in MGMA datasets.

Provider

Both physician and advanced practice providers (APP) that provide medical care and billable services.

Included:

• Practice providers such as shareholders/partners, salaried associates, employed and contracted providers, and locum tenens;
• Residents and fellows working at the practice; and
• Only providers involved in clinical care.

Not included:

• Full-time provider administrators or the time that a provider devotes to medical director activities. The FTE and cost for such activities are included as "General administrative.”

Total Providers

The sum of “Total advanced practice providers” and “Total physicians” FTE and costs.

Total Physicians

The sum of “Primary care physicians,” “Nonsurgical specialty physicians,” and “Surgical specialty physicians” FTE and costs.

Primary Care Physicians

Included:

• Family Medicine (with OB)
• Family Medicine (without OB)
• Family Medicine: Ambulatory Only (No Inpatient Work)
• Family Medicine: Sports Medicine
• Family Medicine: Urgent Care
• Geriatrics
• Hospice/Palliative Care
• Hospitalist: Family Medicine
• Hospitalist: Internal Medicine
• Hospitalist: Nocturnist
• Hospitalist: OB/GYN
• Internal Medicine: General
• Internal Medicine: Ambulatory Only (No Inpatient Work)
• Obstetrics/Gynecology: General
• OB/GYN: Gynecology (Only)
• Pediatrics: General
• Pediatrics: Adolescent Medicine
• Pediatrics: Hospitalist
• Pediatrics: Hospitalist-Internal Medicine
• Pediatrics: Internal Medicine
• Pediatrics: Sports Medicine
• Pediatrics: Urgent Care
• Urgent Care

Nonsurgical Specialty Physicians

Included:

• Allergy/Immunology
• Bariatrics (Nonsurgical)/Obesity Medicine
• Cardiology: Electrophysiology
• Cardiology: Invasive
• Cardiology: Invasive-Interventional
• Cardiology: Noninvasive
• Clinical Pharmacology
• Critical Care: Intensivist
• Dentistry
• Dermatology
• Dermatology: Dermatopathology
• Emergency Medicine
• Endocrinology/Metabolism
• Gastroenterology
• Gastroenterology: Hepatology
• Genetics
• Hematology/Oncology
• Hematology/Oncology: Oncology (Only)
• Hyperbaric Medicine/Wound Care
• Infectious Disease
• Nephrology
• Nephrology: Transplant
• Neurology
• Neurology: Epilepsy/EEG
• Neurology: Neurocritical Care
• Neurology: Neuromuscular
• Neurology: Stroke Medicine
• OB/GYN: Gynecological Oncology
• OB/GYN: Maternal and Fetal Medicine
• OB/GYN: Reproductive Endocrinology
• OB/GYN: Urogynecology
• Occupational Medicine
• Orthopedics (Nonsurgical)
• Pain Management: Nonanesthesia
• Pathology: Anatomic and Clinical
• Pathology: Anatomic
• Pathology: Anatomic-Autopsy
• Pathology: Anatomic-Cytopathology
• Pathology: Anatomic-Neuropathology
• Pathology: Anatomic-Renal
• Pathology: Clinical
• Pathology: Clinical-Hematopathology
• Pathology: Clinical-Transfusion Medicine
• Pediatrics: Allergy/Immunology
• Pediatrics: Anesthesiology
• Pediatrics: Bone Marrow Transplant
• Pediatrics: Cardiology
• Pediatrics: Child Development
• Pediatrics: Clinical and Lab Immunology
• Pediatrics: Critical Care/Intensivist
• Pediatrics: Dermatology
• Pediatrics: Emergency Medicine
• Pediatrics: Endocrinology
• Pediatrics: Gastroenterology
• Pediatrics: Genetics
• Pediatrics: Hematology/Oncology
• Pediatrics: Infectious Disease
• Pediatrics: Neonatal Medicine
• Pediatrics: Nephrology
• Pediatrics: Neurology
• Pediatrics: Pulmonology
• Pediatrics: Radiology
• Pediatrics: Rheumatology
• Physiatry (Physical Medicine and Rehabilitation)
• Podiatry: General
• Psychiatry: General
• Psychiatry: Addiction Medicine
• Psychiatry: Chemical Dependency
• Psychiatry: Child and Adolescent
• Psychiatry: Forensic
• Psychiatry: Geriatric
• Pulmonary Medicine: General
• Pulmonary Medicine: Critical Care
• Pulmonary Medicine: General and Critical Care
• Radiation Oncology
• Radiology: Interventional
• Radiology: Diagnostic
• Radiology: Neurological
• Radiology: Nuclear Medicine
• Rheumatology
• Sleep Medicine

Surgical Specialty Physicians

Included:

• Anesthesiology
• Anesthesiology: Cardiology
• Anesthesiology: Pain Management
• Dermatology: Mohs Surgery
• OB/GYN: Minimally Invasive Gynecologic Surgery
• Ophthalmology
• Ophthalmology: Corneal and Refractive Surgery
• Ophthalmology: Glaucoma
• Ophthalmology: Neurology
• Ophthalmology: Oculoplastic and Reconstructive Surgery
• Ophthalmology: Retina
• Orthopedic Surgery: General
• Orthopedic Surgery: Foot and Ankle
• Orthopedic Surgery: Hand
• Orthopedic Surgery: Hip and Joint
• Orthopedic Surgery: Oncology
• Orthopedic Surgery: Shoulder/Elbow
• Orthopedic Surgery: Spine
• Orthopedic Surgery: Sports Medicine
• Orthopedic Surgery: Trauma
• Orthopedic Surgery: Sports Medicine
• Otorhinolaryngology
• Pathology: Surgical
• Pediatrics: Cardiovascular Surgery
• Pediatrics: Neurosurgery
• Pediatrics: Ophthalmology
• Pediatrics: Orthopedic Surgery
• Pediatrics: Otorhinolaryngology
• Pediatrics: Plastic and Reconstruction Surgery
• Pediatrics: Surgery
• Pediatrics: Urology
• Podiatry: Surgery-Foot and Ankle
• Podiatry: Surgery-Forefoot Only
• Surgery: General
• Surgery: Bariatric
• Surgery: Breast
• Surgery: Cardiovascular
• Surgery: Colon and Rectal
• Surgery: Endocrine
• Surgery: Endovascular (Primary)
• Surgery: Neurological
• Surgery: Oncology
• Surgery: Oral
• Surgery: Plastic and Reconstruction
• Surgery: Plastic and Reconstruction-Hand
• Surgery: Thoracic (Primary)
• Surgery: Transplant
• Surgery: Transplant-Heart
• Surgery: Transplant-Heart/Lung
• Surgery: Transplant-Kidney
• Surgery: Transplant-Liver
• Surgery: Trauma
• Surgery: Trauma-Burn
• Surgery: Vascular (Primary)
• Urology

Support Staff FTE:

The total full-time equivalent (FTE) support staff to the nearest tenth FTE. For “Total business operations support staff,” “Total front office support staff,” “Total clinical support staff,” “Total ancillary support staff,” and “Total support staff.” Participants provided the total if the breakout components were not available.

Included:

• The full-time equivalent (FTE) for all support staff employed by all the legal entities working in support of the medical practice represented on this survey;
• A full-time support staff employee works whatever number of hours the practice considers to be the minimum for a normal work week, which could be 37.5, 40, 50 hours or some other standard. An employee working 30 hours compared to a normal workweek of 40 hours would be 0.75 FTE (30 divided by 40 hours). An employee working full-time for three months during a year would be 0.25 FTE (3 divided by 12 months). A support staff employee cannot be counted as more than 1.0 FTE regardless of the number of hours worked; and
• The allocated FTE where the practice consists of multiple legal entities.

Total Support Staff

The sum of “Total employed support staff” and “Total contracted support staff.”

Total Employed Support Staff FTE

The sum of “Total business operations support staff,” “Total front office support staff,” “Total clinical support staff,” and “Total ancillary support staff.”

Total Contracted Support Staff FTE (Temporary)

The sum of all total temporary/contracted support staff.

Total Business Operations Support Staff FTE

The sum of “General administrative,” “Patient accounting,” “General accounting,” “Managed care administrative,” “Information technology” and “Housekeeping, maintenance, security.” Participants were required to provide this total even if they were unable to provide all the values requested below.

General Administrative

Position Titles Included (but not limited to):

• Associate/Assistant Medical Director
• Chief Medical Officer (CMO)
• Medical Director
• Physician Chief Executive Officer (CEO/President)
• Administrator
• Chief Department Administrator (CDA)
• Associate/Assistant Department Administrator
• Contracts/Grants Department Administrator
• Division/Section Administrator
• Assistant Administrator
• Chief Compliance Officer
• Chief Executive Officer (CEO)/Executive Director
• Chief Financial Officer (CFO)
• Department Financial Officer
• Chief Information Officer (CIO)
• Chief Nursing/Clinical Officer (CNO)
• Chief Operating Officer (COO)
• Chief Legal Counsel
• Chief Strategy Officer
• Human Resources Executive
• Marketing Executive
• MSO Administrator/Executive Director
• Patient Care Executive
• Ambulatory/Clinical Services Director
• Ancillary Services Director
• Branch/Satellite Clinic Director
• Building and Grounds Director
• Business Services Director
• Clinical Research Director
• Compliance Director
• Contracting Director
• Development Director
• Education and Training Director
• Finance Director
• Health Plan Director
• Human Resources Director
• Information Systems Director
• Laboratory Services Director
• Managed Care Director
• Marketing and Sales Director
• Materials Management Director
• Medical Records Director
• Nursing Services Director
• Operations Director
• Pharmacy Services Director
• Physician Recruitment Director
• Physician Relations Director
• Quality Improvement/Quality Assurance Director
• Radiology Services Director
• Reimbursement Director
• Revenue Cycle Director
• Strategy/Business Planning Director
• Branch/Satellite Clinic Manager
• Business Office Manager
• Call Center Manger
• Clinical Department Manager
• Clinical Practice Manager
• Compliance Manager
• Front Office Manager
• Human Resources Manager
• Marketing Manager
• Materials Management Manager
• Office Manager
• Operations Manager
• Training/Education Manager
• Human Resources Specialist
• Marketing/Communications Specialist
• Recruiter
• Business Office Supervisor
• Clinic Supervisor
• Front Office Supervisor
• Administrative Assistant
• Administrative Secretary
• Business Office Assistant Manager
• Business Office Staff
• Data Analyst
• Executive Assistant
• Human Resources Generalist

Patient Accounting

Position Titles Included (but not limited to):

• Billing Manager
• Coding Manager
• Credit/Collections Manager
• Insurance Manager
• Patient Accounting Manager
• Reimbursement/Collections Manager
• Authorization Specialist
• Billing Specialist
• Coding Specialist
• Billing Staff
• Cashier
• Coder
• Collections Staff
• Insurance Clerk
• Patient Accounts Representative

General Accounting

Position Titles Included (but not limited to):

• Benefits Manager
• General Accounting Manager
• Accountant
• Benefits/Payroll Specialist
• Accounting Staff
• Bookkeeper
• Financial Analyst
• Workers Compensation Liaison

Managed Care Administrative

Position Titles Included (but not limited to):

• Utilization Review Manager
• Credentialing Specialist
• Care Coordinator
• Care/Case Manager
• Managed Care Coordinator
• QA/QI Coordinator
• QA/UR Nurse
• Referral Coordinator

Information Technology

Position Titles Included (but not limited to):

• IS Manager/Network Administrator
• Information Systems Manager
• IT Implementation Specialist
• IT Programming Staff
• IT Support Technician

Housekeeping, Maintenance, Security

Position Titles Included (but not limited to):

• Building and Grounds Manager
• Housekeeping Supervisor
• Building Engineer/Maintenance
• Housekeeper

Total Front Office Support Staff FTE

The sum of “Medical receptionists,” “Medical secretaries, transcribers,” “Medical records” and “Other administrative support.” Participants were required to provide this total even if they were unable to provide all the values requested in previous questions.

Medical Receptionists

Position Titles Included (but not limited to):

• Appointment Secretary
• Front Desk Staff
• Patient Service Coordinator
• Receptionist
• Scheduling Staff (excluding Surgical Scheduler)
• Surgical Scheduler
• Switchboard Operator

Medical Secretaries, Transcribers

Position Titles Included (but not limited to):

• Medical Transcription Manager
• Transcription Manager
• Medical Scribe
• Medical Secretary
• Transcriptionist

Medical Records

Position Titles Included (but not limited to):

• Medical Records Manager
• Clinical Documentation Specialist
• Medical Records Staff

Other Administrative Support

Position Titles Included (but not limited to):

• Courier

Total Clinical Support Staff FTE

The sum of “Registered nurses,” “Licensed practical nurses” and “Medical assistants, nurse’s aides.” Participants were required to provide this total even if they were unable to provide all the values requested in the previous questions.

*Categorize based on credentials

Registered Nurses

Position Titles Included (but not limited to):

• Infusion Nurse
• Nursing Manager
• Nursing Supervisor*
• Registered Nurse
• Triage Nurse

Licensed Practical Nurses

Position Titles Included (but not limited to):

• Nursing Supervisor*
• Licensed Practical Nurse

Medical Assistants, Nurse’s Aides

Titles Included (but not limited to):

• Nursing Supervisor*
• Certified Nursing Assistant
• Medical Assistant
• Patient Care Assistant

Total Ancillary Support Staff FTE

The sum of “Clinical laboratory,” “Radiology and imaging” and “Other medical support services.” Participants were required to provide this total even if they were unable to provide all the variables requested in previous questions.

Clinical Laboratory

Position Titles Included (but not limited to):

• Laboratory Services Manager
• Lab Section Supervisor
• Histotechnologist
• Laboratory Assistant
• Medical Lab Technician
• Medical Technologist
• Phlebotomist

Radiology and Imaging

Position Titles Included (but not limited to):

• Radiology Services Manager
• EEG Lab Supervisor
• EKG Lab Supervisor
• CAT Scan Technician
• Echocardiographer/Echo Tech
• EEG Technician
• EKG Technician
• Mammography Technician
• MRI Tech
• Radiology Technologist
• Ultrasound Technician

Other Medical Support Services

Position Titles Included (but not limited to):

• Aesthetician
• Athletic Trainer
• Cardiovascular Technologist
• Clinic Research Manager
• Clinical Research Coordinator
• Dental Assistant
• Dental Hygienist
• DME Technician
• Dosimetrist
• Endoscopy Technician
• Health Coach
• Massage Therapist
• Medical Interpreter
• Nuclear Medicine Technologist
• Occupational Therapy Assistant
• Ophthalmic Assistant
• Ophthalmic Technician
• Optician
• Optical Shop Supervisor
• Orthopedic/Cast Technician
• Paramedic
• Pharmacist
• Pharmacy Technician
• Physical Therapist Aide
• Physical Therapy Assistant
• Physicist
• Polysomnographic/Sleep Technician
• PT Education Coordinator
• Radiation Therapist
• Respiratory Therapist
• Social Worker (non-clinical)
• Speech Therapist
• Surgical Technologist
• Sterile Processing Technician
• Therapist/Counselor