burnout

[Guest guest]

I have been around when I actually ran a more cash based practice,

provided a superbill the patient could turn into insurance. When the

hospital purchased the practice all the competing doctors were non

participating. This was 15 years ago plus. The hospital basically

forced the issue to get them all to participate with medicare. What a

mistake it was. Why? It puts us in the fight with insurance mode, one

against 20 or so companies compared to thousands against 20.

A cash based practice could work in your enviroment. It will take some

promoting and information. It will definitely work when you can

provide personal service and same day access for so many dollars

today.

We are closed to new medicaid and medicare patients. There is only so

much of you to go around. All a mid level brings to the situation is

the ability to see a few more numbers but I do not believe will help

your bottom line, they will increase your risk because simply of the

numbers.

You have to look at each employee. Are they producing the work they

should? Do you have quality staff that are empowered to make decisions

for you such as some common med refills, filling appt slots when

already booked.

Brent