Guest guest Posted June 5, 2006 Report Share Posted June 5, 2006 HI Having a slow monday so I thought I would post how I turned out at one year Have posted this to the radical and confident and optimistic bunch at Practice Improevement 1 and the more oppressed-seeming people at aafp's pracice management list serv.Neither bunch seems any more wealthy than the other... I have finished 12 months I work entirely by myslef no staff though I outsource billing Two rooms one an office/exam room andone an exam room Share watiitng room and bath and med refrig/counter space. I opened for about $9,000 No loans though I ran up a Mastercard balance. Laptop and all in one and a small printer for scripts Open access no hospital work MUch Nursinghome skilled care and some chronic care work house calls. good reminder system(tickler) via the laptop- Constant internet access for patient handouts and instant answers via up- to- date and md consult(get both free through hospital membership staff dues) for extra income precept and reveiw charts for disability Will be doing also soon some independent medical examiner work for the same company I reveiw disability charts for- they pay great Lap top makes reports/registries easy though I am not sure yet that i USE the cheap little emr to the best of its abilitties It has taken using an emr 1 yr to see what things I want it to do and what it cannot do. no email with patients yet or virtual visits though considering it practice ordinary standard medical care nothing much alternative in a rural middle to low income setting heavy on medicare EVERYONE also has maine care- medicaid but to survive I limit it to about 10% of my practice About 25 % of the state is on it.. On call 24/7- use my homephone and ellphone Have a collegaue in his pwn practice who will cover if I really go AWAY but Have taken the lap top with me on long summer weekends and check in twice a day. Painless. Take medicare and maine care and indemnity bluecross i have NO other affiliations or in -networks contracts with any insurances. I balance bill. In this year 2 people have not paid me as of now That is a few were written off and then later paid etc. What everyone wants to know is MONEY.OK! I began to make about 60,000 a year from the practice at about 5 mo Now for the last 3 months I make 64,000 . From t hat I pay my health insurance- have HSA , disability taxes etc of course.etc. My schedule is about 3/4 full daily . Well today is about half- an unusually slow day . Have 451 patients . I guess about 400 are active. If 64,000 is 75% then when the scedhule is full I can expect over 80,000 yearly income . That was my goal(becasue I can live quite well on that , as I have worked like a dog and paid off my school loans and I live nicely but I have cheap habits.Who goes out to eat?? We have few restauarnts!! etc I can always supplement with precepting at the residency MORE if I want to give up days off. I work very long hrs about 11 in the office 4 dyas a week and i do some work at home so i try NOT to work too many days a month precepting. But i can and have) BUT my business plan says that at a max of 12 people a day once the maine care IS really limited (early on of course medicaid just fills up a new practice) with an assumtption of $60.00 rec'd per patient at 4 days a week I can earn about 103,000/yr When I first posted that I was going to do this on aafp practice managemnt i got a " Jean! why would you do this?? " and some other private " I bet you can I crunched the numbers you will have lower costs which will be good for self pay folks " So .I am happy . I am hoping I take good care of patients . I have had many other jobs in medicine and this is the only thing to do at all ever. I would Never practice the " old " way agian. And at one yr I support myslef though not fabulously butadequaltey WITHOUT TAKING INSURANCE wihtout doing conciegre boutigue alternative herby or even osteopathic manipulations ( I amNOT disrespecting any of these I am describing my situation) and it is onely 1 yr and there is only UP to go! happy to answer any questions Jean Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2006 Report Share Posted June 5, 2006 I am sooooooo happy for you!! I think you are in the IMP cohort. If you are not then consider it because this message needs to get out there. Have you considered sharing your success with FPs in training? I guess if you do preceptor work they have exposure to you. Yes, it is the ONLY way to live a meaningful life in medicine. The factory production line doesn't cut it and it demeans our profession.I have never been on the aafp practice management site. Your description is a deterrent.Keep up the good work! Pamela HI Having a slow monday so I thought I would post how I turned out at one year Have posted this to the radical and confident and optimistic bunch at Practice Improevement 1 and the more oppressed-seeming people at aafp's pracice management list serv.Neither bunch seems any more wealthy than the other... I have finished 12 months I work entirely by myslef no staff though I outsource billing Two rooms one an office/exam room andone an exam room Share watiitng room and bath and med refrig/counter space. I opened for about $9,000 No loans though I ran up a Mastercard balance. Laptop and all in one and a small printer for scripts Open access no hospital work MUch Nursinghome skilled care and some chronic care work house calls. good reminder system(tickler) via the laptop- Constant internet access for patient handouts and instant answers via up- to- date and md consult(get both free through hospital membership staff dues) for extra income precept and reveiw charts for disability Will be doing also soon some independent medical examiner work for the same company I reveiw disability charts for- they pay great Lap top makes reports/registries easy though I am not sure yet that i USE the cheap little emr to the best of its abilitties It has taken using an emr 1 yr to see what things I want it to do and what it cannot do. no email with patients yet or virtual visits though considering it practice ordinary standard medical care nothing much alternative in a rural middle to low income setting heavy on medicare EVERYONE also has maine care- medicaid but to survive I limit it to about 10% of my practice About 25 % of the state is on it.. On call 24/7- use my homephone and ellphone Have a collegaue in his pwn practice who will cover if I really go AWAY but Have taken the lap top with me on long summer weekends and check in twice a day. Painless. Take medicare and maine care and indemnity bluecross i have NO other affiliations or in -networks contracts with any insurances. I balance bill. In this year 2 people have not paid me as of now That is a few were written off and then later paid etc. What everyone wants to know is MONEY.OK! I began to make about 60,000 a year from the practice at about 5 mo Now for the last 3 months I make 64,000 . From t hat I pay my health insurance- have HSA , disability taxes etc of course.etc. My schedule is about 3/4 full daily . Well today is about half- an unusually slow day . Have 451 patients . I guess about 400 are active. If 64,000 is 75% then when the scedhule is full I can expect over 80,000 yearly income . That was my goal(becasue I can live quite well on that , as I have worked like a dog and paid off my school loans and I live nicely but I have cheap habits.Who goes out to eat?? We have few restauarnts!! etc I can always supplement with precepting at the residency MORE if I want to give up days off. I work very long hrs about 11 in the office 4 dyas a week and i do some work at home so i try NOT to work too many days a month precepting. But i can and have) BUT my business plan says that at a max of 12 people a day once the maine care IS really limited (early on of course medicaid just fills up a new practice) with an assumtption of $60.00 rec'd per patient at 4 days a week I can earn about 103,000/yr When I first posted that I was going to do this on aafp practice managemnt i got a "Jean! why would you do this??" and some other private " I bet you can I crunched the numbers you will have lower costs which will be good for self pay folks" So .I am happy . I am hoping I take good care of patients . I have had many other jobs in medicine and this is the only thing to do at all ever. I would Never practice the "old" way agian. And at one yr I support myslef though not fabulously butadequaltey WITHOUT TAKING INSURANCE wihtout doing conciegre boutigue alternative herby or even osteopathic manipulations ( I amNOT disrespecting any of these I am describing my situation) and it is onely 1 yr and there is only UP to go! happy to answer any questions Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2006 Report Share Posted June 5, 2006 I am sooooooo happy for you!! I think you are in the IMP cohort. If you are not then consider it because this message needs to get out there. Have you considered sharing your success with FPs in training? I guess if you do preceptor work they have exposure to you. Yes, it is the ONLY way to live a meaningful life in medicine. The factory production line doesn't cut it and it demeans our profession.I have never been on the aafp practice management site. Your description is a deterrent.Keep up the good work! Pamela HI Having a slow monday so I thought I would post how I turned out at one year Have posted this to the radical and confident and optimistic bunch at Practice Improevement 1 and the more oppressed-seeming people at aafp's pracice management list serv.Neither bunch seems any more wealthy than the other... I have finished 12 months I work entirely by myslef no staff though I outsource billing Two rooms one an office/exam room andone an exam room Share watiitng room and bath and med refrig/counter space. I opened for about $9,000 No loans though I ran up a Mastercard balance. Laptop and all in one and a small printer for scripts Open access no hospital work MUch Nursinghome skilled care and some chronic care work house calls. good reminder system(tickler) via the laptop- Constant internet access for patient handouts and instant answers via up- to- date and md consult(get both free through hospital membership staff dues) for extra income precept and reveiw charts for disability Will be doing also soon some independent medical examiner work for the same company I reveiw disability charts for- they pay great Lap top makes reports/registries easy though I am not sure yet that i USE the cheap little emr to the best of its abilitties It has taken using an emr 1 yr to see what things I want it to do and what it cannot do. no email with patients yet or virtual visits though considering it practice ordinary standard medical care nothing much alternative in a rural middle to low income setting heavy on medicare EVERYONE also has maine care- medicaid but to survive I limit it to about 10% of my practice About 25 % of the state is on it.. On call 24/7- use my homephone and ellphone Have a collegaue in his pwn practice who will cover if I really go AWAY but Have taken the lap top with me on long summer weekends and check in twice a day. Painless. Take medicare and maine care and indemnity bluecross i have NO other affiliations or in -networks contracts with any insurances. I balance bill. In this year 2 people have not paid me as of now That is a few were written off and then later paid etc. What everyone wants to know is MONEY.OK! I began to make about 60,000 a year from the practice at about 5 mo Now for the last 3 months I make 64,000 . From t hat I pay my health insurance- have HSA , disability taxes etc of course.etc. My schedule is about 3/4 full daily . Well today is about half- an unusually slow day . Have 451 patients . I guess about 400 are active. If 64,000 is 75% then when the scedhule is full I can expect over 80,000 yearly income . That was my goal(becasue I can live quite well on that , as I have worked like a dog and paid off my school loans and I live nicely but I have cheap habits.Who goes out to eat?? We have few restauarnts!! etc I can always supplement with precepting at the residency MORE if I want to give up days off. I work very long hrs about 11 in the office 4 dyas a week and i do some work at home so i try NOT to work too many days a month precepting. But i can and have) BUT my business plan says that at a max of 12 people a day once the maine care IS really limited (early on of course medicaid just fills up a new practice) with an assumtption of $60.00 rec'd per patient at 4 days a week I can earn about 103,000/yr When I first posted that I was going to do this on aafp practice managemnt i got a "Jean! why would you do this??" and some other private " I bet you can I crunched the numbers you will have lower costs which will be good for self pay folks" So .I am happy . I am hoping I take good care of patients . I have had many other jobs in medicine and this is the only thing to do at all ever. I would Never practice the "old" way agian. And at one yr I support myslef though not fabulously butadequaltey WITHOUT TAKING INSURANCE wihtout doing conciegre boutigue alternative herby or even osteopathic manipulations ( I amNOT disrespecting any of these I am describing my situation) and it is onely 1 yr and there is only UP to go! happy to answer any questions Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2006 Report Share Posted June 5, 2006 You are not missing much from the AAFP Practice Mgt list. A few months ago when I was on it it was all “doom & gloom” stuff. You know: family medicine is dead, all insurance companies are tyrants, we should not be flagged for coding >90% of visits as 99205/99215, etc. I also got tired of hearing how FP’s were supposedly seeing max pt’s every day but still barely making ends meet financially, etc. The Practice Improvement Group is much more upbeat & forward thinking. Re: 1 yr report I am sooooooo happy for you!! I think you are in the IMP cohort. If you are not then consider it because this message needs to get out there. Have you considered sharing your success with FPs in training? I guess if you do preceptor work they have exposure to you. Yes, it is the ONLY way to live a meaningful life in medicine. The factory production line doesn't cut it and it demeans our profession. I have never been on the aafp practice management site. Your description is a deterrent. Keep up the good work! Pamela HI Having a slow monday so I thought I would post how I turned out at one year Have posted this to the radical and confident and optimistic bunch at Practice Improevement 1 and the more oppressed-seeming people at aafp's pracice management list serv.Neither bunch seems any more wealthy than the other... I have finished 12 months I work entirely by myslef no staff though I outsource billing Two rooms one an office/exam room andone an exam room Share watiitng room and bath and med refrig/counter space. I opened for about $9,000 No loans though I ran up a Mastercard balance. Laptop and all in one and a small printer for scripts Open access no hospital work MUch Nursinghome skilled care and some chronic care work house calls. good reminder system(tickler) via the laptop- Constant internet access for patient handouts and instant answers via up- to- date and md consult(get both free through hospital membership staff dues) for extra income precept and reveiw charts for disability Will be doing also soon some independent medical examiner work for the same company I reveiw disability charts for- they pay great Lap top makes reports/registries easy though I am not sure yet that i USE the cheap little emr to the best of its abilitties It has taken using an emr 1 yr to see what things I want it to do and what it cannot do. no email with patients yet or virtual visits though considering it practice ordinary standard medical care nothing much alternative in a rural middle to low income setting heavy on medicare EVERYONE also has maine care- medicaid but to survive I limit it to about 10% of my practice About 25 % of the state is on it.. On call 24/7- use my homephone and ellphone Have a collegaue in his pwn practice who will cover if I really go AWAY but Have taken the lap top with me on long summer weekends and check in twice a day. Painless. Take medicare and maine care and indemnity bluecross i have NO other affiliations or in -networks contracts with any insurances. I balance bill. In this year 2 people have not paid me as of now That is a few were written off and then later paid etc. What everyone wants to know is MONEY.OK! I began to make about 60,000 a year from the practice at about 5 mo Now for the last 3 months I make 64,000 . From t hat I pay my health insurance- have HSA , disability taxes etc of course.etc. My schedule is about 3/4 full daily . Well today is about half- an unusually slow day . Have 451 patients . I guess about 400 are active. If 64,000 is 75% then when the scedhule is full I can expect over 80,000 yearly income . That was my goal(becasue I can live quite well on that , as I have worked like a dog and paid off my school loans and I live nicely but I have cheap habits.Who goes out to eat?? We have few restauarnts!! etc I can always supplement with precepting at the residency MORE if I want to give up days off. I work very long hrs about 11 in the office 4 dyas a week and i do some work at home so i try NOT to work too many days a month precepting. But i can and have) BUT my business plan says that at a max of 12 people a day once the maine care IS really limited (early on of course medicaid just fills up a new practice) with an assumtption of $60.00 rec'd per patient at 4 days a week I can earn about 103,000/yr When I first posted that I was going to do this on aafp practice managemnt i got a " Jean! why would you do this?? " and some other private " I bet you can I crunched the numbers you will have lower costs which will be good for self pay folks " So .I am happy . I am hoping I take good care of patients . I have had many other jobs in medicine and this is the only thing to do at all ever. I would Never practice the " old " way agian. And at one yr I support myslef though not fabulously butadequaltey WITHOUT TAKING INSURANCE wihtout doing conciegre boutigue alternative herby or even osteopathic manipulations ( I amNOT disrespecting any of these I am describing my situation) and it is onely 1 yr and there is only UP to go! happy to answer any questions Jean Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2006 Report Share Posted June 5, 2006 You are not missing much from the AAFP Practice Mgt list. A few months ago when I was on it it was all “doom & gloom” stuff. You know: family medicine is dead, all insurance companies are tyrants, we should not be flagged for coding >90% of visits as 99205/99215, etc. I also got tired of hearing how FP’s were supposedly seeing max pt’s every day but still barely making ends meet financially, etc. The Practice Improvement Group is much more upbeat & forward thinking. Re: 1 yr report I am sooooooo happy for you!! I think you are in the IMP cohort. If you are not then consider it because this message needs to get out there. Have you considered sharing your success with FPs in training? I guess if you do preceptor work they have exposure to you. Yes, it is the ONLY way to live a meaningful life in medicine. The factory production line doesn't cut it and it demeans our profession. I have never been on the aafp practice management site. Your description is a deterrent. Keep up the good work! Pamela HI Having a slow monday so I thought I would post how I turned out at one year Have posted this to the radical and confident and optimistic bunch at Practice Improevement 1 and the more oppressed-seeming people at aafp's pracice management list serv.Neither bunch seems any more wealthy than the other... I have finished 12 months I work entirely by myslef no staff though I outsource billing Two rooms one an office/exam room andone an exam room Share watiitng room and bath and med refrig/counter space. I opened for about $9,000 No loans though I ran up a Mastercard balance. Laptop and all in one and a small printer for scripts Open access no hospital work MUch Nursinghome skilled care and some chronic care work house calls. good reminder system(tickler) via the laptop- Constant internet access for patient handouts and instant answers via up- to- date and md consult(get both free through hospital membership staff dues) for extra income precept and reveiw charts for disability Will be doing also soon some independent medical examiner work for the same company I reveiw disability charts for- they pay great Lap top makes reports/registries easy though I am not sure yet that i USE the cheap little emr to the best of its abilitties It has taken using an emr 1 yr to see what things I want it to do and what it cannot do. no email with patients yet or virtual visits though considering it practice ordinary standard medical care nothing much alternative in a rural middle to low income setting heavy on medicare EVERYONE also has maine care- medicaid but to survive I limit it to about 10% of my practice About 25 % of the state is on it.. On call 24/7- use my homephone and ellphone Have a collegaue in his pwn practice who will cover if I really go AWAY but Have taken the lap top with me on long summer weekends and check in twice a day. Painless. Take medicare and maine care and indemnity bluecross i have NO other affiliations or in -networks contracts with any insurances. I balance bill. In this year 2 people have not paid me as of now That is a few were written off and then later paid etc. What everyone wants to know is MONEY.OK! I began to make about 60,000 a year from the practice at about 5 mo Now for the last 3 months I make 64,000 . From t hat I pay my health insurance- have HSA , disability taxes etc of course.etc. My schedule is about 3/4 full daily . Well today is about half- an unusually slow day . Have 451 patients . I guess about 400 are active. If 64,000 is 75% then when the scedhule is full I can expect over 80,000 yearly income . That was my goal(becasue I can live quite well on that , as I have worked like a dog and paid off my school loans and I live nicely but I have cheap habits.Who goes out to eat?? We have few restauarnts!! etc I can always supplement with precepting at the residency MORE if I want to give up days off. I work very long hrs about 11 in the office 4 dyas a week and i do some work at home so i try NOT to work too many days a month precepting. But i can and have) BUT my business plan says that at a max of 12 people a day once the maine care IS really limited (early on of course medicaid just fills up a new practice) with an assumtption of $60.00 rec'd per patient at 4 days a week I can earn about 103,000/yr When I first posted that I was going to do this on aafp practice managemnt i got a " Jean! why would you do this?? " and some other private " I bet you can I crunched the numbers you will have lower costs which will be good for self pay folks " So .I am happy . I am hoping I take good care of patients . I have had many other jobs in medicine and this is the only thing to do at all ever. I would Never practice the " old " way agian. And at one yr I support myslef though not fabulously butadequaltey WITHOUT TAKING INSURANCE wihtout doing conciegre boutigue alternative herby or even osteopathic manipulations ( I amNOT disrespecting any of these I am describing my situation) and it is onely 1 yr and there is only UP to go! happy to answer any questions Jean Quote Link to comment Share on other sites More sharing options...
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