*Description of FTE
Report the full-time equivalency (FTE)
of all practice physicians, such as shareholders/partners, salaried
associates, employed and contracted physicians, and locum tenens. Only
count physicians involved in clinical care. Do not include full-time
physician administrators. The minimum weekly work hours for 1.0 FTE is
the number of hours that the practice considers to be a normal work
week, which could be 37.5, 40, or 50 hours. A physician cannot be
counted as more than 1.0 FTE regardless of the number of hours worked.
To compute the FTE of part-time
physicians, divide the actual weekly work hours by 40 (or the
practices normal number of weekly work hours). For example, a
physician working in a clinic or hospital on behalf of the practice
for 20 hours compared to a normal work week of 40 hours would be .5
FTE. A physician working full-time for six months during a 12-month
reporting period would be .5 FTE. A medical director devoting 50
percent effort to clinical activity would be .5 FTE.
To compute the total number of FTE
physicians, add the number of 1.0 FTE physicians to the full-time
equivalency of the part-time physicians.
**Definition of an
IPA:
An organization of independently
practicing physicians that is created to contract with HMOs for
professional services to enrollees of the HMO. The IPA obtains
contracts from HMOs, negotiates the terms and conditions of the
contracts, and processes the claims for services of its members.
If the doctors are employees of the
organization and receive W-2s for their earnings, the organization is
a medical group.
If the doctors are independent
practitioners and merely contract with the organization for managed
care business, then the organization is an IPA.
***Definition of enrollee:
An enrollee is a patient enrolled with
a health plan and assigned to an IPA or medical group where that
medical group or IPA receives capitation as a form of payment for any
portion of medical services for that patient, except for workers
compensation.