RE: questions about start up

[Guest guest]

The site review I had focused on quality of practice questions: "how long for the next appointment, how long to wait for an appointment for a physical, acute visits, access to care, quality of record keeping." The nurse doing the site review sent in her family to establish with me after the review, so no problem with an "atypical" office.

Guinn

Albuquerque

[Guest guest]

1) Is there a problem getting on insurance plans?

This is probably quite variable among different geographic localities.

Most hospitals will have a Medical Staff Organization and can help you assess

the situation. AlWAYS assume the entire credentialing process will take 4-5

months. also some county medical societies can help you get the scoop.

while you are starting your practice and are slow to begin with..it might be

tempting to sign up with multiple insurance plans. DO NOT DO THIS. many plans

have contract language that is not fair to the physician. in many instances the

big plans (CIGNA, BLUES..etc..) will require you to take on a minimal of several

hundred patients. the administration of multiple plans will be impossible for

you to manage without hiring expensive fulltime help.

alternative income sources in the first year that should be considered.

1. State Disability exams.

2. Part-time Locum tenens in your same county.

3. Teaching med students,residents or PA's.

4. make it a point to personally meet as many physicians in your commnunity

as possible. Opportunities often arise . When first started I met one

of our local psychiatrists who needed help with History and Physicals for

a busy inpatient psychiatric unit. I must have done 12/week for 6 months

The income was great

2) Is there a problem passing the site inspection with an office that

looks atypical. The reason i ask is that most of these people are

beaurocratic RNs who take a very superficial look and i wonder if the small

offices scare them off?

shouldn't be a problem....but office location/looks is most important for the

first year of practice...as you get esatblished it becomes less of an issue

3) Should I join a PO? YES....PO's can simplify your applications.

miguel

[Guest guest]

USUALLY a pHYSICIANS ORGANIZATION THAT CONTRACTS WITH INSURANCE COMPANIES

TO NEGOTIATE FEE SCHEDULES FOR ITS MEMBERS

> What is a PO ?

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> Bud Freeman

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> Re: questions about start up

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> suggests PO participation could be a real boon. I suspect he may

> be right, with one caveat: POs are not all the same. Find out what the

> PO is all about. What do they see as their core business? What do they

> make you do? Where will they give you flexibility?

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> G

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[Guest guest]

what is a PO ?

here's a good article http://www.physiciansnews.com/law/203.html

managed care contracts ...how to evaluate ?

here's a good article

http://www.appealsolutions.com/tal/managed-care-contracts.htm

to participate or not participate with medicare?

see http://www.donself.com/benefitsMedicarepage.html

miguel

[Guest guest]

I had no problem getting on insurance plans or passing site inspection with a

very small low overhead practice. It takes about 5 months to get

credentialed/contracts signed etc. I am still waiting not so patiently for my

first check (it took an extra 60 days to coordinate webmd with the individual

insurance companies).

Rothe DO

379 Piney Branch Way

Burnsville, NC 28714

(828)273-2889