Guest guest Posted January 9, 2009 Report Share Posted January 9, 2009 Anybody out there with an all cash practice that is doing WELL?In addition, does each insurance (including Medicare/Medicaid) have rules/regulations that put limits on a practicing doctor that orders labs/medications/other studies that has a cash practice? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2009 Report Share Posted January 13, 2009 yeah, actually, doing well except i'm still a tthe office at 8, but i'm mostly reading email. i mean, not buying a bmw or anything, but not eating ramen for dinner every night either. they all have rules abotu ordering, each specific, but what i have found it medicare is fine with tests/ consults/ meds as long as the facility is a medicare provider. the hmos are more strict, but as a rule as long as the test/consult does not require a referral, it is covered, some very jerky exceptions, but i think the compaies are just trying to be difficult, telling the patients meds, or non referral tests won't be covered if i order them. i have a contact with the dept of banking and insurance that says that seems incorrect, but since patients won't actually try to get things done if they think they won't be paid, i have no documentation as of yet. that has been the only trouble i've run into, but because my practice is what it is, many people stay despite thier lack of out of network benifits. more info on my blog at bootscrowley.blogspot.com you emphasize " doing WELL " , have you heard of many that are not? everything i've ever read about cash practices i couldn't find any that were doing poorly! tac Anybody out there with an all cash practice that is doing WELL?In addition, does each insurance (including Medicare/Medicaid) have rules/regulations that put limits on a practicing doctor that orders labs/medications/other studies that has a cash practice? -- Crowley, MD Family MedicineCape May Courthouse NJPatients, please allow up to 48 hours for response. If you are having an urgent problem please go to the emergency department or call 911. If you have a problem or question that can't wait 48 hours, or you have not received a timely response, just call the office at 465-0882. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2009 Report Share Posted January 13, 2009 Chirag, I’m doing well. Working part-time at my clinical practice, because I want to; making same as before at part-time HMO and faculty practices. Much, much more freedom, taking better care of patients. They are happy; I am happy. I charge a monthly fee for primary care. Sharon Sharon McCoy , MD Renaissance Family Medicine 10 McClintock Court, Irvine, CA 92617 Phone: ; Fax: Email: SharonMD@... website: www.SharonMD.com From: [mailto: ] On Behalf Of Crowley Sent: Monday, January 12, 2009 5:12 PM To: Subject: Re: All Cash Practice yeah, actually, doing well except i'm still a tthe office at 8, but i'm mostly reading email. i mean, not buying a bmw or anything, but not eating ramen for dinner every night either. they all have rules abotu ordering, each specific, but what i have found it medicare is fine with tests/ consults/ meds as long as the facility is a medicare provider. the hmos are more strict, but as a rule as long as the test/consult does not require a referral, it is covered, some very jerky exceptions, but i think the compaies are just trying to be difficult, telling the patients meds, or non referral tests won't be covered if i order them. i have a contact with the dept of banking and insurance that says that seems incorrect, but since patients won't actually try to get things done if they think they won't be paid, i have no documentation as of yet. that has been the only trouble i've run into, but because my practice is what it is, many people stay despite thier lack of out of network benifits. more info on my blog at bootscrowley.blogspot.com you emphasize " doing WELL " , have you heard of many that are not? everything i've ever read about cash practices i couldn't find any that were doing poorly! tac Anybody out there with an all cash practice that is doing WELL? In addition, does each insurance (including Medicare/Medicaid) have rules/regulations that put limits on a practicing doctor that orders labs/medications/other studies that has a cash practice? -- Crowley, MD Family Medicine Cape May Courthouse NJ Patients, please allow up to 48 hours for response. If you are having an urgent problem please go to the emergency department or call 911. If you have a problem or question that can't wait 48 hours, or you have not received a timely response, just call the office at 465-0882. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2009 Report Share Posted January 13, 2009 Well. I am not doing WELL. I am making no where near what I was making when I was at the mill. BUT I am WAY happier and that is worth a lot. I am home every night for dinner instead of after 9:00. I am bringing home small money. This year is looking very promising. The other IMP in town, Greaves is having her 3rd baby in another couple months and has decided to close her practice for good (sob), so she is sending me many patients. I am getting busier. I think the economy may be right for a cash practice that is not overpriced. Bad for the economy, but I may be well positioned.Lonna Anybody out there with an all cash practice that is doing WELL?In addition, does each insurance (including Medicare/Medicaid) have rules/regulations that put limits on a practicing doctor that orders labs/medications/ other studies that has a cash practice? -- Crowley, MD Family MedicineCape May Courthouse NJPatients, please allow up to 48 hours for response. If you are having an urgent problem please go to the emergency department or call 911. If you have a problem or question that can't wait 48 hours, or you have not received a timely response, just call the office at 465-0882. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2009 Report Share Posted January 13, 2009 Lonna, Wow, I didn’t know Greaves was closing. Is she going to be a stay at home mom for awhile or do another kind of practice? Sharon From: [mailto: ] On Behalf Of Lonna Larsh Sent: Monday, January 12, 2009 8:23 PM To: Subject: Re: All Cash Practice Well. I am not doing WELL. I am making no where near what I was making when I was at the mill. BUT I am WAY happier and that is worth a lot. I am home every night for dinner instead of after 9:00. I am bringing home small money. This year is looking very promising. The other IMP in town, Greaves is having her 3rd baby in another couple months and has decided to close her practice for good (sob), so she is sending me many patients. I am getting busier. I think the economy may be right for a cash practice that is not overpriced. Bad for the economy, but I may be well positioned. Lonna Anybody out there with an all cash practice that is doing WELL? In addition, does each insurance (including Medicare/Medicaid) have rules/regulations that put limits on a practicing doctor that orders labs/medications/ other studies that has a cash practice? -- Crowley, MD Family Medicine Cape May Courthouse NJ Patients, please allow up to 48 hours for response. If you are having an urgent problem please go to the emergency department or call 911. If you have a problem or question that can't wait 48 hours, or you have not received a timely response, just call the office at 465-0882. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2009 Report Share Posted January 13, 2009 She is going to stay home for a while and is considering her options. It sounds like she really doesn't want to go back to her practice when she goes back to work, but she will go back to doctoring eventually. When we last talked she said she was considering hospice. I wish I could tell you more about her decision, but I don't really understand fully. I have 2 kids and I think a third would make me want to not work for a long time. Aside from that, I don't want to put words in her mouth. I will be seeing her on Thursday and will let her know that inquiring minds want to know. I'll encourage her to post.Lonna Anybody out there with an all cash practice that is doing WELL? In addition, does each insurance (including Medicare/Medicaid) have rules/regulations that put limits on a practicing doctor that orders labs/medications/ other studies that has a cash practice? -- Crowley, MD Family Medicine Cape May Courthouse NJ Patients, please allow up to 48 hours for response. If you are having an urgent problem please go to the emergency department or call 911. If you have a problem or question that can't wait 48 hours, or you have not received a timely response, just call the office at 465-0882. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2009 Report Share Posted January 13, 2009 Thanks for the update. I sent her a message also. It is not an easy life we have chosen. Sharon From: [mailto: ] On Behalf Of Lonna Larsh Sent: Monday, January 12, 2009 10:18 PM To: Subject: RE: All Cash Practice She is going to stay home for a while and is considering her options. It sounds like she really doesn't want to go back to her practice when she goes back to work, but she will go back to doctoring eventually. When we last talked she said she was considering hospice. I wish I could tell you more about her decision, but I don't really understand fully. I have 2 kids and I think a third would make me want to not work for a long time. Aside from that, I don't want to put words in her mouth. I will be seeing her on Thursday and will let her know that inquiring minds want to know. I'll encourage her to post. Lonna Anybody out there with an all cash practice that is doing WELL? In addition, does each insurance (including Medicare/Medicaid) have rules/regulations that put limits on a practicing doctor that orders labs/medications/ other studies that has a cash practice? -- Crowley, MD Family Medicine Cape May Courthouse NJ Patients, please allow up to 48 hours for response. If you are having an urgent problem please go to the emergency department or call 911. If you have a problem or question that can't wait 48 hours, or you have not received a timely response, just call the office at 465-0882. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2009 Report Share Posted January 13, 2009 Cash only practices vary in how well they do by locality OF course some do poorly! there is only one I know of in MAIne .Up in BAngor. She has about 100 patietns and is barely alive This is the unevenness dead zone issues of the country yes? Populations. population income, etc etc 42% of my state is on public health care funding- medicare medicaid . 42% !! This is the state overall - In my neck of the woods god knows what it is ! There is n o cash to be had!ANd it is a rural population So it is not like there are millions of bodies out there and I could find enough of the other58% to see me. (maine gets these high marks on commonwealth studies about access and interventions and immuinizations rates But maine has hundreds of doctor shortages and primary care is starving to death very very badly Medicaid is a great program For the patient who can find a doctor.) while my malpractice is less than 30% of what , say , Egly pays in Illinois, his reimbursement balances that somewhat plus he has population to uh come in and be seen! CAsh only practices can do well only in certain circumstances this is a big part of why the appeal of the health care consumer paying directly for services to the person w ho provides them cannot be a universal solution for this country.we need simple reliable universal sytems -ONE- that works for everyone Folks doing cash only practices offer much but I mean it is just not applicable across the boardSorry to rant but when people successful at something -anything - say I don't understand why this can;t work everywhere --it is like saying I can bake a great souffle so everyone can.NO some people can't Sorry will go have a cup of tea.crabby in Maine ( I got people in pain I can't't diagnose I hate that I got people in pain the surgeons are giveng ME grief about " he wants it done right away " yeah no shit he wants a procedure to take his pain aaway right away !! " I got a teenager in bi trouble(No not mine I do not do children) etcetc growl. you emphasize " doing WELL " , have you heard of many that are not? everything i've ever read about cash practices i couldn't find any that were doing poorly! tac Anybody out there with an all cash practice that is doing WELL? In addition, does each insurance (including Medicare/Medicaid) have rules/regulations that put limits on a practicing doctor that orders labs/medications/other studies that has a cash practice? -- Crowley, MD Family Medicine Cape May Courthouse NJ Patients, please allow up to 48 hours for response. If you are having an urgent problem please go to the emergency department or call 911. If you have a problem or question that can't wait 48 hours, or you have not received a timely response, just call the office at 465-0882. -- If you are a patient please allow up to 24 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD ph fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2009 Report Share Posted January 13, 2009 Thanks for sharing the news, Lonna. Please give our best, and let us know what she would like to share with us about her situation. A. Eads, M.D. Pinnacle Family Medicine, PLLC phone fax P.O. Box 7275 Woodland Park, CO 80863 www.PinnacleFamilyMedicine.com From: [mailto: ] On Behalf Of Lonna Larsh Sent: Monday, January 12, 2009 11:18 PM To: Subject: RE: All Cash Practice She is going to stay home for a while and is considering her options. It sounds like she really doesn't want to go back to her practice when she goes back to work, but she will go back to doctoring eventually. When we last talked she said she was considering hospice. I wish I could tell you more about her decision, but I don't really understand fully. I have 2 kids and I think a third would make me want to not work for a long time. Aside from that, I don't want to put words in her mouth. I will be seeing her on Thursday and will let her know that inquiring minds want to know. I'll encourage her to post. Lonna Anybody out there with an all cash practice that is doing WELL? In addition, does each insurance (including Medicare/Medicaid) have rules/regulations that put limits on a practicing doctor that orders labs/medications/ other studies that has a cash practice? -- Crowley, MD Family Medicine Cape May Courthouse NJ Patients, please allow up to 48 hours for response. If you are having an urgent problem please go to the emergency department or call 911. If you have a problem or question that can't wait 48 hours, or you have not received a timely response, just call the office at 465-0882. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2009 Report Share Posted January 15, 2009 I think a cash practice is feasible if your other half has an income, but it is to provide for a family, FUHGET ABOUT IT! To: Sent: Monday, January 12, 2009 11:47:22 PMSubject: RE: All Cash Practice Lonna, Wow, I didn¢t know Greaves was closing. Is she going to be a stay at home mom for awhile or do another kind of practice? Sharon From: Practiceimprovement 1yahoogroups (DOT) com [mailto:Practiceimp rovement1@ yahoogroups. com] On Behalf Of Lonna LarshSent: Monday, January 12, 2009 8:23 PMTo: Practiceimprovement 1yahoogroups (DOT) comSubject: Re: [Practiceimprovemen t1] All Cash Practice Well. I am not doing WELL. I am making no where near what I was making when I was at the mill. BUT I am WAY happier and that is worth a lot. I am home every night for dinner instead of after 9:00. I am bringing home small money. This year is looking very promising. The other IMP in town, Greaves is having her 3rd baby in another couple months and has decided to close her practice for good (sob), so she is sending me many patients. I am getting busier. I think the economy may be right for a cash practice that is not overpriced. Bad for the economy, but I may be well positioned.Lonna Anybody out there with an all cash practice that is doing WELL?In addition, does each insurance (including Medicare/Medicaid) have rules/regulations that put limits on a practicing doctor that orders labs/medications/ other studies that has a cash practice? -- Crowley, MDFamily MedicineCape May Courthouse NJPatients, please allow up to 48 hours for response. If you are having an urgent problem please go to the emergency department or call 911. If you have a problem or question that can't wait 48 hours, or you have not received a timely response, just call the office at 465-0882. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2009 Report Share Posted January 15, 2009 , I am the sole income for my family of four. It can be done if in the right place, right frame of mind and right patient population. We are not living the high life, by any means, but I am doing okay with much less stress than I was before I went to my current cash based model last August . Durango, CO 2009/1/15 nancy blake I think a cash practice is feasible if your other half has an income, but it is to provide for a family, FUHGET ABOUT IT! To: Sent: Monday, January 12, 2009 11:47:22 PMSubject: RE: All Cash Practice Lonna, Wow, I didn't know Greaves was closing. Is she going to be a stay at home mom for awhile or do another kind of practice? Sharon From: Practiceimprovement 1yahoogroups (DOT) com [mailto:Practiceimp rovement1@ yahoogroups. com] On Behalf Of Lonna Larsh Sent: Monday, January 12, 2009 8:23 PMTo: Practiceimprovement 1yahoogroups (DOT) comSubject: Re: [Practiceimprovemen t1] All Cash Practice Well. I am not doing WELL. I am making no where near what I was making when I was at the mill. BUT I am WAY happier and that is worth a lot. I am home every night for dinner instead of after 9:00. I am bringing home small money. This year is looking very promising. The other IMP in town, Greaves is having her 3rd baby in another couple months and has decided to close her practice for good (sob), so she is sending me many patients. I am getting busier. I think the economy may be right for a cash practice that is not overpriced. Bad for the economy, but I may be well positioned. Lonna Anybody out there with an all cash practice that is doing WELL?In addition, does each insurance (including Medicare/Medicaid) have rules/regulations that put limits on a practicing doctor that orders labs/medications/ other studies that has a cash practice? -- Crowley, MDFamily MedicineCape May Courthouse NJPatients, please allow up to 48 hours for response. If you are having an urgent problem please go to the emergency department or call 911. If you have a problem or question that can't wait 48 hours, or you have not received a timely response, just call the office at 465-0882. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2009 Report Share Posted January 15, 2009 For anyone in NY wondering how to structure cash only, check out these guy's website. http://amgmedicalgroup.com/ They even had a copy of their membership agreement online. heh...heh....heh Wayne CoghillPractice ManagerMidtown Primary Carewww.doctorcoghill.com To: Sent: Thursday, January 15, 2009 2:53:27 PMSubject: Re: All Cash Practice , I am the sole income for my family of four. It can be done if in the right place, right frame of mind and right patient population. We are not living the high life, by any means, but I am doing okay with much less stress than I was before I went to my current cash based model last August . Durango, CO 2009/1/15 nancy blake I think a cash practice is feasible if your other half has an income, but it is to provide for a family, FUHGET ABOUT IT! To: Sent: Monday, January 12, 2009 11:47:22 PMSubject: RE: All Cash Practice Lonna, Wow, I didn't know Greaves was closing. Is she going to be a stay at home mom for awhile or do another kind of practice? Sharon From: Practiceimprovement 1yahoogroups (DOT) com [mailto:Practiceimp rovement1@ yahoogroups. com] On Behalf Of Lonna LarshSent: Monday, January 12, 2009 8:23 PMTo: Practiceimprovement 1yahoogroups (DOT) comSubject: Re: [Practiceimprovemen t1] All Cash Practice Well. I am not doing WELL. I am making no where near what I was making when I was at the mill. BUT I am WAY happier and that is worth a lot. I am home every night for dinner instead of after 9:00. I am bringing home small money. This year is looking very promising. The other IMP in town, Greaves is having her 3rd baby in another couple months and has decided to close her practice for good (sob), so she is sending me many patients. I am getting busier. I think the economy may be right for a cash practice that is not overpriced. Bad for the economy, but I may be well positioned.Lonna Anybody out there with an all cash practice that is doing WELL?In addition, does each insurance (including Medicare/Medicaid) have rules/regulations that put limits on a practicing doctor that orders labs/medications/ other studies that has a cash practice? -- Crowley, MDFamily MedicineCape May Courthouse NJPatients, please allow up to 48 hours for response. If you are having an urgent problem please go to the emergency department or call 911. If you have a problem or question that can't wait 48 hours, or you have not received a timely response, just call the office at 465-0882. Quote Link to comment Share on other sites More sharing options...
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