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Management & Compliance for Large/Academic Pathology Practices
The leadership of a pathology practice has always been responsible for the equitable, efficient
organization of their group. How has an increasingly competitive practice environment and an
increasingly intrusive regulatory environment affected good management? It has put a premium on
organization that encourages high diagnostic throughput without compromising the ancillary but very
important practice of compliant billing. Since both diagnostic pathology and compliant billing are
complex, sometimes even arcane professional activities, it is significant that management professionals
consider that the only general way to increase efficiency in the provision of professional services is to
decrease their variability. In all but the smallest pathology practices, a balance must be struck
between the organizational simplicity of an absolutely homogeneous practice, in which each member shares
proportionally in each practice activity, and the efficiencies of a more specialized allocation of
responsibilities. For medium to large practices, both operational efficiency and efforts to assure
compliance reasonably involve considerations of practice structure. To balance these choices requires an
understanding of the benefits, both in ease of compliance and in enhancement of efficiency, of
specialization, as well as of its complexities.
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