RE: practicing part-time

[Guest guest]

I

schedule 2 people / hour

8

AM – 12 & 1 PM – 5

Mon

– Fri

Bud Freeman

Re:

practicing part-time

Thanks -

I was feeling like the ultimate minimalist for seeing only 10 patients a day. I

do house calls for hospice patients already (I'm the medical director of a

small hospice in addition to my low overhead practice) but haven't done many

for my regular patients.

Can I query those in the goup who have an established solo practice with no or

minimal staff - how long is your average visit? How many patients in a 3 hour

time block are normal for you? I'm trying to judge how many patients a day will

feel right when I'm not seeing 2-3 new patients every day. How long do people

schedule for a physical?

Guinn

Yahoo!

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[Guest guest]

Sure,

I usually bill a 99345 or 99344 for new

patients and a 99350 or 99349 for established patients. I accept the going medicare

reimbursement. This will vary state

to state. I also get a small fee

(or at least they promised one) for being the medical director of a home health

agency. I also get a bit of income

on codes G0179, G0180, G0181 G0182 for home health patients of which I have

many. When needed I perform an EKG,

clean out impacted cerumen, PFTs,

and Medicare pays a whopping $3.00 for me to perform a venipuncture.

I also inject a few joints, Rocephin, etc. I also average 0-3 in-patients So I’m thinking that the

average reimbursement per patient is about $120. 120x5x5x46=$138,000. Add on the home health recerts and hospital and you have a livable living with

very appreciative patients, good satisfaction, unique

position in the community. For

example, adult protective services calls me to assist

with rescuing abused elders. I give

my cell phone number out to my patients, file papers into my electronic charts

myself, pick up the mail myself, post payments myself.

My wife answers the phone and comes

with me on initial visits and does the billing. When needed, the hospitalists are glad to cover for me as I take their

patients if they cannot arrange follow up in the home. I have someone who will cover for me

when I am gone but this usually amounts to some phone calls and a rare Housecall

only. I started doing this full

time in SEP and I am no longer able to take new patients. The demand for this service is

unbelievable. I am looking for a

partner if anyone is interested.

J. Weber, MD

Housecall Family Practice

Memphis, TN 38112

practicing part-time

> >>

> >>

> >> Hello,

> >>

> >> I am currently working 3 days per

week to have more time with my

> young

> >> daughters. I have the goal to

eventually have a practice like

you

> > guys,

> >> so

> >> I've been following the discussions

with interest. What are

people's

> >> thoughts on doing it in a limited

fashion? Maybe sharing with

> another

> >> like-minded physician? What do

you think is the minimum amount

of

> >> practice

> >> time per week to provide good care

in this type of practice?

> >>

> >> Thanks,

> >>

> >> Sharon

> >>

> >>

> >>