Guest guest Posted May 22, 2012 Report Share Posted May 22, 2012 e_MD's. Has everything built in. From: [ ] On Behalf Of Ben Brewer [brewermd98@...] Sent: Monday, May 21, 2012 12:32 PM To: Subject: Re: HELP FORK IN THE ROAD What EMR and tech tools are you using Jim? Thanks, Ben To: " " < > Sent: Monday, May 21, 2012 1:23 PM Subject: RE: HELP FORK IN THE ROAD Our computer generates referrals directly from a note, and we can do the billing from the computer in about 5 minutes a day. Takes about 2 hours a month for AR handling. Would take me longer to have someone. Most prior auths (for radiology) are done by the radiology firms. Meds are infrequent, since I use mostly generics and can be done quickly on the web. Never leave after 6. From: [ ] On Behalf Of dharwood100@... [dharwood100@...] Sent: Friday, May 18, 2012 7:12 PM To: Subject: Re: HELP FORK IN THE ROAD Honestly I do not know how you guys with no staff are doing this. Today I saw 5 patients and generated 3 referrals and 2 preauths. I still have. 4 other referrals with preauths from earlier in the week. This alone will take me several hours. Connected by DROID on Verizon Wireless HELP FORK IN THE ROAD > > > > > > Dear IMPS, > > > > I need your input and wisdom for help in making a tough change in practice. > > > > and I have been sharing our practice for 8 years in a small 5 > room office with three bathrooms total 660 sq-ft. Plus community > hallway linking the rooms in the south hallway of our community > hospital. For this we pay rent $884 per month or $10,000 per year > including heat, cooling, electricity, water, cleaning, sharps, and > hazardous waste removal. They maintain the parking lot, grounds, snow > removal. > > > > This hospital will be building 16 new beds starting 8/2012 to be > complete by 9/2013. At that time they will likely tear down the > existing space we rent. We will have to change office locations. > > > > Most of the other physicians in town work for a nearby hospital > competitor and a few have signed up with the in town hospital sponsored > group. Our patient population is falling for lack of visibility and > group association. > > > > The ER group is offering hospitalist shifts at our hospital for $75 per > hour with in house responsibility 7AM- & PM and call coverage 7PM to > 7AM. They are offering no benefits. They would like me to resign from > my own clinic to not scare away hospital business from the other major > groups in town. > > > > The medical office building in town is leasing space at $26 per sq-ft > increasing 3%per year. Minimum 1500 sq-ft. or $39,000 per year > increasing over 10 years to $51,000 per year 10 years out. > > > > Options: 1. Wait and see. > > 2. Scour the area for cheap office space to re-establish as > solo IMP and I become hospitalist. Employ staff to keep from > going crazy full time with newborn at home. > > 3. We close our IMP and we both become hospitalists. > > 4. Go all in in this small community and buy land and build a building > for our IMP practice. Estimate $3-400,000 clearly about the same as > leasing example above or cash flow of $1500 per month for just > mortgage, insurance, and taxes. Additional expense unknow Quote Link to comment Share on other sites More sharing options...
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