Recent content by resxn

First time post in a few years here, but was bored and got a PM from pyriform here, so thought I'd chime in. I've had both situations, in-house billing and outsourced billing. It's always better in-house when you can afford it. There is an s-curve for how you control billing. Cheaper to have it...

uh, no, you don't have to quit tennis unless you're using grenades.

As the managing partner of an 8 person practice, I've now hired 8 docs since I started (2 left the practice--one was fired, one got married and moved away), so I can at least respond to your questions even though I'm not a recent grad. 1 - Most applicants have approached us in the middle of...

There's several ways to do this. DrB mentioned one low-maintenance way of having unequal overhead without being overly burdensome. I favor that for small practices like this two person one you describe. A higher income generating doc is nearly always going to take more overhead so having an...

I agree this is operator dependent. However, in my hands, the visualization and thoroughness allowed by an endoscopic technique is unrivaled by either loupes or just a headlight alone both of which I did in training before migrating to an endoscopic technique 10 yrs ago. I'll never look back...

If there's a practice willing to show you their books the last 5 years, either their absolute idiots or they have no competition witihn 50 miles (and they're still idiots). I've now hired 5 docs in 7 years. Here's what I expect a smart applicant to ask, and what I'll say. These are not in any...

We do SLIT. 70% of our immunotherapy patients are on SLIT rather than injection immunotherapy (IT). It's VERY profitable because it's cash pay. It was a very easy set up because we were already doing injections, so not sure how you would need to start from scratch. I can say for sure that you...

Good points, Dr.B. FWIW, I really wasn't trying to say I was any more or less successful than the other guys on the forum. Rather, I was trying to point out I'm not as busy as other guys and cannot afford to see as many patients because of the competitiveness of my area and the volume of other...

Makes zero difference the location of your residency in terms of getting a job in a particular private practice area. It may have a modest impact for academic positions (i.e. West Coast tends to favor West Coast while East Coast favors East Coast) but there are so many exceptions to that...

My schedule is a lot different than many of my colleagues on here whom I respect. For perspective, I finished residency in 2004. I am the managing partner of my 7 person practice and also am the Chief of Surgery and Vice Chief of Staff of a decent size hospital in my area, though, so I do have...

1 - Stupid to fight, agree. Interesting angle for someone with your handle, btw. 2 - Obviously, people care if they are called "surgeon" otherwise you wouldn't have people trying to label themselves as one. I'm fully comfortable with only general surgeons calling themselves surgeons, btw. I'm an...

Bought the DFV 2.5x with light 1 year ago. Everything you said was spot on. Good, not great, light, but haven't had quality issues. Frames are great. Loupes have reasonable but not exceptional DoF and they do blur at the periphery. This isn't noticed during surgery, but definitely is visible...

Short answer is not all have to accept medicaid if one does, but the longer answer depends on how the group works. CMS functions under the tax id of the provider(s). If the group practices under one tax id, and one doc takes medicaid, then it doesn't require all docs to see medicaid, but all can...

I just don't understand why a dermatologist can't just say they're a dermatologist. Why do they have to say they're a surgeon? I don't say I'm a surgeon, I tell people who ask that I'm an ENT. I'll even say I'm a booger doctor. But I don't go out of my way to call my self a surgeon even though a...

Almost as ludicrous as calling those pictures surgery. Seriously. If you want to be a surgeon, fine be a surgeon. But don't go be a dermatologist to call yourself a surgeon. It's just as stupid for an Ob/Gyn to call themselves a pelvic surgeon rather than just saying they're an Ob/Gyn. A rose...