Never has there been a better example of the failure of cardiac electrophysiology training programs to teach the business of medicine to our fellows than this story of a cardiac electrophysiologist from Tennessee who opened his own practice, only to be later evicted when he couldn't pay his rent:
Evaluation and management billing codes will never support electrophysiologists in such a setting, since the majority of a cardiac electrophysiologist's revenue is generated from procedural volume. Payments from Medicare (our primary patient population) comes in two forms for care delivered to patients: (1) professional and (2)technical. Technical revenue provided from Medicare for our procedures is ten times the professional payment paid to doctors.
Hospitals know this, hence why I'm employed by one. Procedually-based doctors should know this before opening their own practices.
h/t: The Medical Quack blog