Guest guest Posted November 20, 2006 Report Share Posted November 20, 2006 I have found a way to get labs cheaply for the uninsured. You can "bill account." Meaning first of all you need an account with a lab, second of all you need to draw blood in your office, thirdly you let the lab charge your office. The last part involves looking at the price list and telling the patient they need to pay you up front for the labs you are drawing. With one of the local hospitals a TSH costs "me" $4.50!!! can you believe that? A lipid profile is also less than $10. I just drew a CBC, TSH, ferritin and CMP for $27!!! The patient was so pleased, and so was I, b/c my heart is really for the uninsured. I almost opened a non-profit office specifically to treat the unisured, but got too nervous about going under financially. , if you are reading this Sentara also has a service called Sentara Health Check where pateints can get tests at a fraction of the "normal" price. , MD Virginia Beach, VA Sponsored Link Mortgage rates as low as 4.625% - $150,000 loan for $579 a month. Intro-*Terms Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2007 Report Share Posted January 30, 2007 Re: money Dear , Thank you for your interest. We really dislike the semantics of " retainer " , " boutique " and " concierge " practices to try and describe what we do. Basically, among imps and non-profit do-gooder folks they are pejoritive terms -- but hey, it's the jargon we have. More to my liking is Gordon's label of " a Robin Hood practice. " We are an imp that uses an annual pre-payment to fund care to the uninsured. It wouldn't work for every community, but certainly it will work for more than just ours. Our primary focus is free care to the uninsured. In California, there are many who have no coverage. No MediCal (MedicAid), no MIA (Medically Indigent Adults Program), no nothing -- those folks are the primary recipients of our practice. We fund our practice by providing " boutique " type payment for great service -- the same kind of service you are all providing to your patients utilizing an imp model. We are in the enviable setting of having: 1. Solid, established (10-15 year) reputations in a medium-sized community (200K). 2. Living in a relatively primary care doctor deficient area with a history of less than optimal customer service to patients. 3. The support of our local Catholic and do-gooder community. 4. A Board of Directors. 5. A favorable 501©(3) ruling from the IRS after a protracted process. , I am not surprised that you have never heard of a medical office operating as a 501©(3) before; because as far as we know from discussions with many imps, do-gooder groups and the IRS, none of them have either. However, with the help of our Board, Benefactors and Donors we have set the precedent. Now the challenge is up to a few of you to adopt, adapt and improve the model to help worthy causes (like the uninsured) your communities and carve out a sustainable lifestyle and practice high-quality imp medicine at the same time too. Again, please take a look at our website www.stlukesfp.org. On the " News " page in the left hand column, you will be able to read the articles from the Modesto Bee about how the community perceives and supports our practce. Soon we will post the recent article from Catholic Digest (July 2006). You may also view our IRS ruling letter. I look forward to trying to answer your further questions as it may help me form my thoughts for future presentations and publications. Bob Forester > > > > Recently I have had money on my mind. After 2 years in my new > > practice I an finally close to making $150,000 which is still less > > than I made at my old job. However I am finding it difficult to > > figure out how to make anymore than that since I don't think that I > > can see any more patients in a day. The median income of FP's is > over > > $160.000/yr. How many of you are making more than the median FP > > income and what are you doing to make that much. If the > micropractice > > model is not capable of producing enough income to provide at least > > the median income it is probably not going to be a viable model. > > Larry Lindeman MD > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2007 Report Share Posted January 30, 2007 January is a bit slower, I noticed the same thing but it was happening at my old practice as well. I am filling my time (and budget) by doing some contracting work for a house calls company in the city. > > > Re: money > > Dear , > Thank you for your interest. We really dislike the semantics > of " retainer " , " boutique " and " concierge " practices to try and > describe what we do. Basically, among imps and non-profit do-gooder > folks they are pejoritive terms -- but hey, it's the jargon we have. > More to my liking is Gordon's label of " a Robin Hood practice. " > > We are an imp that uses an annual pre-payment to fund care to the > uninsured. It wouldn't work for every community, but certainly it > will work for more than just ours. Our primary focus is free care to > the uninsured. In California, there are many who have no coverage. > No MediCal (MedicAid), no MIA (Medically Indigent Adults Program), > no nothing -- those folks are the primary recipients of our > practice. > > We fund our practice by providing " boutique " type payment for great > service -- the same kind of service you are all providing to your > patients utilizing an imp model. We are in the enviable setting of > having: > 1. Solid, established (10-15 year) reputations in a medium-sized > community (200K). > 2. Living in a relatively primary care doctor deficient area with a > history of less than optimal customer service to patients. > 3. The support of our local Catholic and do-gooder community. > 4. A Board of Directors. > 5. A favorable 501©(3) ruling from the IRS after a protracted > process. > > , I am not surprised that you have never heard of a medical > office operating as a 501©(3) before; because as far as we know > from discussions with many imps, do-gooder groups and the IRS, none > of them have either. However, with the help of our Board, > Benefactors and Donors we have set the precedent. Now the challenge > is up to a few of you to adopt, adapt and improve the model to help > worthy causes (like the uninsured) your communities and carve out a > sustainable lifestyle and practice high-quality imp medicine at the > same time too. > > Again, please take a look at our website www.stlukesfp.org. On > the " News " page in the left hand column, you will be able to read > the articles from the Modesto Bee about how the community perceives > and supports our practce. Soon we will post the recent article from > Catholic Digest (July 2006). You may also view our IRS ruling > letter. > > I look forward to trying to answer your further questions as it may > help me form my thoughts for future presentations and publications. > > Bob Forester > > > > > > > > Recently I have had money on my mind. After 2 years in my new > > > practice I an finally close to making $150,000 which is still > less > > > than I made at my old job. However I am finding it difficult to > > > figure out how to make anymore than that since I don't think > that I > > > can see any more patients in a day. The median income of FP's is > > over > > > $160.000/yr. How many of you are making more than the median FP > > > income and what are you doing to make that much. If the > > micropractice > > > model is not capable of producing enough income to provide at > least > > > the median income it is probably not going to be a viable model. > > > Larry Lindeman MD > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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