r/PrivatePracticeDocs

Good day, I am starting out a sleep practice, what recommendations do you have for 3rd party credentialing services, also any advice on best EMR to use. Thanks

What's the deal with this? I hear that insurers will kick your ASC out if you do this too much but then see entire practices in my region who seem to do this basically exclusively

Hi All,
I recently had my first patient insured by Cigna. Spent a good hour with them during the first visit. Billed level 4. Getting my reimbursement of $41 and $25 copayment! This is around 40-45% of Medicare rates!! First of all, what the heck! Is this normal? And if so, how are you mitigating this?
We’re definitely requesting a rate increase, but looking to get your thoughts.
I am also curious, in the day and age of lousy insurance reimbursement, what is your approach to primary care financial operations? Do you recommend just going to $xx per month in addition to billing the insurance?
Thanks!

Does anyone here have a good workflow system for billing the advanced care planning code? Do you do it yearly on all Medicare patients? Not sure how to best establish a protocol for it

I’m a surgical sub specialist five years out from finishing residency and I’m considering moving to a different region of the country with a higher cost of living/real estate than where I currently live.

I’ve had some preliminary conversations with several of the groups in the region. They only have experience with bringing on a new grad and provided the starting salary they gave that person. My concern is that this is about $200,000 less than what I’m currently making. Maybe I’m overthinking this, but it seems a little awkward to negotiate a higher salary as an employee for a group that you will want to be a partner at within a year or two of beginning employment. There’s no set partner timeline, basically as soon as you are productive enough to support yourself, you can become partner.

I don’t want to poison the relationship at the outset by asking for more money which I know is coming from the business but I also don’t want to take a significant pay cut in a location where cost-of-living is higher in real estate is more expensive.

TLDR: is it reasonable to ask for a higher starting salary joining a physician owned group if you have experience at a residency compared to a new grad?

ETA: I am currently an employee of a multispecialty specialty group owned by a larger national organization without an opportunity for partnership currently. But I am in an eat what you kill model and I am quite busy and productive. I am aware that high cost of living places also typically pay less.

At the group, I’m talking to the current partners make as much as me or more depending on productivity and there is a very straightforward path to partnership. So there definitely is some deferred economic benefit.

I am about to complete 4 years in a private practice outpatient job. I live in the DFW metroplex. The owner is transitioning to semi retirement and is ready to give me a share of the practice and real estate. Is there a lawyer you recommend to help with the negotiations and due diligence? Or is this something better suited for an accountant or consultant? I appreciate any help in this matter. Thank you!

We've heard good things about IPA's but from what we've seen locally they're mainly Primary Care focused. We have an urgent care and see that most of the benefits don't really speak to us and their network of insurances was relatively weak. Has anybody worked with national IPA's, are they good? I would imagine theres a weaker referral network but if it gets us better rates with insurances that shouldn't be an issue.

Location: Florida

I’m a doctor in Florida. I work for a small private practice with another doc. I hired a lawyer but haven’t heard back yet.

My employer didn’t provide benefits as guaranteed in contract and also I believe there is some Medicare fraud going on from before I joined or foul play and I have a job offer within the noncompete (20) miles. Given these things I need to leave as I have a family and home for the other job. I later found out about the debt owed. Is there a chance this holds up?

We are in the process of closing our practice as the provider is retiring (he's 82 and a sole provider). We are looking to hire a company that will act as the custodian of medical records. They want $8k, which we pay up front, to take our electronic medical records and look after them for 21 years. Does that seem reasonable? We have no paper records or anything, and they will charge patients for access to them.

If there's a better sub to post this in, or you have any other advice, I'd love to hear it!