Recent content by Thewonderer

A few thoughts: 1) Anthem BlueCross and Aetna identify you by your group tax ID, while United HealthCare, MediCare, Cigna and Magellan identify you by your individual NPI number. But even in the latter group, there are some exceptions. I have found out the above facts when I have had...

For PistolPete, the bottom line is, do you trust the people who run the group? A basic amount of trust is important. And if your independent contractor gig is dependent on collection, are they forth coming about their private insurance rates? I mean how can their private insurance rates be...

30-40% is typical. Agree with F0nzie. 30% is a high number if the practice has a no show rate of 50% and no no-show policy in place. 40% is a better number if no-show rate is less than 5% and they charge full no-show fees. Very simple math. One practice has 25% no-show rate (not uncommon, mind...

I think you can join a group cash-only practice. It is just rare. It is hard for a cash-only private practice to fill doctors up with the number of patients, considering the limited number of referrals they get as it is. And let us say, you are the rain maker, and the patients are referred to...

Agree. Those rates are way too generous. If those rates are prevalent, I doubt any of us would do cash-only practice.

You are free to use whatever leverage you have. You are not an employee of the insurance company. For all intents and purposes, you are an independent contractor. So you are free to do whatever you want. If you like the rates, sign them. If you don't like the rates, don't sign them.

Short comment from me: MediCare actually reimburses quite well on 99213/99214/99215 because when MediCare calculates its reimburesment schedule for the procedural codes, it takes overhead/manpower, etc. into calculation. That's why traditionally, when psychiatrists were using 90801 (the...

I was able to make over $200k in academia a few years back. The key is, "making sure the department gives you revenue sharing on the services." I know there is an argument about the revenue split in academia a few months back, but I am pretty certain most academic departments do 50/50 split...

I am excited about brexipiprazole. When I was in training, aripiprazole first came out and we had all these autistic kids with agitation who was brought to the ER while we were on call and the same thing happened to all of them: they were all recently switched from another antipsychotic to...

MediCare in my state pays $78 for 99213 and $115 for 99214. And obviously MediCare is federal so the rates are pretty consistent across the country save some adjustment for cost of living, depending on which part of the country you are in. However, Medicaid pays $23 for 99213 and $35 for 99214...

$900 for 23 patients is not a lot. You are better off taking insurance contracts. 99213 could pay $50. 99214 could pay $65.

I doubt it. Lots of red tape to practice in Canada. Agree that B.C. is tougher than Ontario. Agree that Canadian board exam is different. Psychiatrists do make more in the U.S. than in Canada. It is simple. Just compared to what the ministry of health pays in each province v.s. what...

75% split is very favorable. You can probably make more if you do 15-min med evals.

Thank you for saying ortho can even make up to $1.5 million. Derm is still doing very well with procedures after procedures. Ophthal can still make a lot via volume. They are getting very efficient. Anesthesia can still make very high salary. I have seen it. The movement toward making the...

I really find it fascinating that I can get on people's nerves so much. You are giving me too much credit.