Re: prior auths for radiology

[Guest guest]

does anybody know what this means...

" Most prior auths (for radiology) are done by the radiology firms. "

I have to do prior authorizations and sit on hold for any MRI/CT.

If I can find a " radiology firm " I would prefer that.

thanks,

Maggie

> > >

> > > From: Dr. Brady

> > >

> > <drbrady@...<http://mc/compose?to=drbrady%40thevillagedoctor.hrcoxmail.com>

> >

<mailto:drbrady@thevillagedoctor<http://mc/compose?to=drbrady@thevillagedoctor>

> > .

> > hrcoxmail.com>>

> > > Subject: RE: HELP FORK IN THE ROAD

> > > To:

> > >

> >

<http://mc/compose?to=%4\

0yahoogroups.com>

> >

<mailto:@yahoogr<http://mc/compose?to=@y\

ahoogr>

> > oups.com>

> > > Date: Friday, May 18, 2012, 10:45 AM

> > >

> > >

> > >

> > > ,

> > >

> > > Any chance you can try out your idea of a " health club " in addition to

> >

> > > the dollar a day practice. In other words, go retainer fee with extra

> >

> > > benefits? Maybe one of you could do the hospitalist thing (as a

> > regular

> > > paid gig) and the other can start up the retainer practice?

> > >

> > > The $300,000-$400,000 seems steep to me for a building, but that may

> > > just be the going rate in your area.

> > >

> > > Tough times for those of us trying to do the right thing. Good luck

> > > with all your decisions.

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > > From:

> > >

> >

<http://mc/compose?to=%4\

0yahoogroups.com>

> >

<mailto:@yahoogr<http://mc/compose?to=@y\

ahoogr>

> > oups.com>

> > >

[mailto: <http://mc/compose?to=Practiceimprov\

ement1%40yahoogroups.com>]

> > On Behalf Of Egly

> > > Sent: Thursday, May 17, 2012 11:13 AM

> > > To:

> > >

> >

<http://mc/compose?to=%4\

0yahoogroups.com>

> >

<mailto:@yahoogr<http://mc/compose?to=@y\

ahoogr>

> > oups.com>

> > > Subject: 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

> >

> >

> >

>

>

>

> --

>

>

>

> MD

>

>

> ph fax

>

>

[Guest guest]

This amazes me (radiology facility obtaining prior auths)! Here (upstate NY) the

first thing the scheduling person asks after you request a CT or MRI is " do you

have the prior auth number? " If not, they explain that " you will need to get

that and call us back. " I'm afraid it makes sense to me, also, since I am the

one that has the clinical info that justifies payment for the test. ---Sharlene

> > > >

> > > > From: Dr. Brady

> > > >

> > > <drbrady@<

> http://mc/compose?to=drbrady%40thevillagedoctor.hrcoxmail.com>

> > > <mailto:drbrady@thevillagedoctor<

> http://mc/compose?to=drbrady@thevillagedoctor>

> > > .

> > > hrcoxmail.com>>

> > > > Subject: RE: HELP FORK IN THE ROAD

> > > > To:

> > > >

> > > <

> http://mc/compose?to=%40yahoogroups.com>

> > > <mailto:@yahoogr<

> http://mc/compose?to=@yahoogr>

> > > oups.com>

> > > > Date: Friday, May 18, 2012, 10:45 AM

> > > >

> > > >

> > > >

> > > > ,

> > > >

> > > > Any chance you can try out your idea of a " health club " in addition to

> > >

> > > > the dollar a day practice. In other words, go retainer fee with extra

> > >

> > > > benefits? Maybe one of you could do the hospitalist thing (as a

> > > regular

> > > > paid gig) and the other can start up the retainer practice?

> > > >

> > > > The $300,000-$400,000 seems steep to me for a building, but that may

> > > > just be the going rate in your area.

> > > >

> > > > Tough times for those of us trying to do the right thing. Good luck

> > > > with all your decisions.

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >

> > > > From:

> > > >

> > > <

> http://mc/compose?to=%40yahoogroups.com>

> > > <mailto:@yahoogr<

> http://mc/compose?to=@yahoogr>

> > > oups.com>

> > > > [mailto: <

> http://mc/compose?to=%40yahoogroups.com>]

> > > On Behalf Of Egly

> > > > Sent: Thursday, May 17, 2012 11:13 AM

> > > > To:

> > > >

> > > <

> http://mc/compose?to=%40yahoogroups.com>

> > > <mailto:@yahoogr<

> http://mc/compose?to=@yahoogr>

> > > oups.com>

> > > > Subject: 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

> > >

> > >

> > >

> >

> >

> >

> > --

> >

> >

> >

> > MD

> >

> >

> > ph fax

> >

> >

>

[Guest guest]

I'm in Berkshire, which is about halfway between Ithaca and

Binghamton.---Sharlene

> > > > > >

> > > > > > From: Dr. Brady

> > > > > >

> > > > > <drbrady@<

> > > http://mc/compose?to=drbrady%40thevillagedoctor.hrcoxmail.com>

> > > > > <mailto:drbrady@thevillagedoctor<

> > > http://mc/compose?to=drbrady@thevillagedoctor>

> > > > > .

> > > > > hrcoxmail.com>>

> > > > > > Subject: RE: HELP FORK IN THE ROAD

> > > > > > To:

> > > > > >

> > > > > <

> > > http://mc/compose?to=%40yahoogroups.com>

> > > > > <mailto:@yahoogr<

> > > http://mc/compose?to=@yahoogr>

> > > > > oups.com>

> > > > > > Date: Friday, May 18, 2012, 10:45 AM

> > > > > >

> > > > > >

> > > > > >

> > > > > > ,

> > > > > >

> > > > > > Any chance you can try out your idea of a " health club " in addition

to

> > > > >

> > > > > > the dollar a day practice. In other words, go retainer fee with

extra

> > > > >

> > > > > > benefits? Maybe one of you could do the hospitalist thing (as a

> > > > > regular

> > > > > > paid gig) and the other can start up the retainer practice?

> > > > > >

> > > > > > The $300,000-$400,000 seems steep to me for a building, but that may

> > > > > > just be the going rate in your area.

> > > > > >

> > > > > > Tough times for those of us trying to do the right thing. Good luck

> > > > > > with all your decisions.

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > > From:

> > > > > >

> > > > > <

> > > http://mc/compose?to=%40yahoogroups.com>

> > > > > <mailto:@yahoogr<

> > > http://mc/compose?to=@yahoogr>

> > > > > oups.com>

> > > > > > [mailto: <

> > > http://mc/compose?to=%40yahoogroups.com>]

> > > > > On Behalf Of Egly

> > > > > > Sent: Thursday, May 17, 2012 11:13 AM

> > > > > > To:

> > > > > >

> > > > > <

> > > http://mc/compose?to=%40yahoogroups.com>

> > > > > <mailto:@yahoogr<

> > > http://mc/compose?to=@yahoogr>

> > > > > oups.com>

> > > > > > Subject: 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

> > > > >

> > > > >

> > > > >

> > > >

> > > >

> > > >

> > > > --

> > > >

> > > >

> > > >

> > > > MD

> > > >

> > > >

> > > > ph fax

> > > >

> > > >

> > >

> >

> >

>