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mgriffiths

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mgriffiths last won the day on March 19

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About mgriffiths

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  1. I don't disagree with you...except that your math for the PA salary doesn't add up ($70k PA income with $40k and $40k), has the same tax rate for both salaries (30%)...which isn't reality, and your math ignores the time it takes to become an MD. But, your math also aligns up with what I said: PA with $100k salary has tax rate of around 25% taxes ($100k - $25k - $40k)...$35k toward debt will take ~3 years... MD with $300k salary has around 35% taxes ($300k - $105k - $40k)...$155k pays off debt in ~2 years. (Note: for taxes I'm assuming single and including FICA, not just income tax rate.) So, it takes maybe 1 extra year to pay off the debt...and you begin accruing wealth MUCH sooner...totaling ~6 years from start of PA school vs. 9 years from start of med school. Do you win financially long term going to medical school...yes...but when I was deciding PA vs. medical school the calculation came out to be approximately 15 years for physician to finally overtake PA. Of course after those 15 years the physician curve grows rapidly...but my goal is to be financially independent in approximately 10 years and relatively retired in 20. The financial earnings of a physician barely even apply.
  2. I would not take google (or other) reviews as a negative...viewing medicine as something to review like customer service is not OK (that's a "customer" problem). But, the turnover could definitely be a concern. I would DEFINITELY ask to speak with the other PAs/NPs (if any are there) and discuss their point of view - without administration and/or MD/DO around.
  3. I'm not sure I agree...it's about the same for the average medical school these days in terms of debt to income (approximate total school debt = 1 year of income) - except we make more out of the gate, and of course MD/DO income is very dependent on area of medicine. But, it's definitely not as advantageous as several years ago when schools were more in the $30k-$50k range total.
  4. I think the intention is the key - I've had several who have pimped me from a place of instruction, NOT to belittle me or show superior. In fact, the ones who pimped me would ask me questions on occasion due to some of my experiences they have not had. As for an interview I had where the doc started pimping and was obvious from the idea of - "I know more than you...know your place..." - yeah, politely declined the rest of the day of interviews.
  5. I have been out almost 3 years now, and out of the programs I applied to - several had tuition approaching, at, or even above $100k. So, depending on where the student is living, if tuition is $100k - factor in 2+ years of normal expenses. $50k does seem excessive depending on location, but it's almost ubiquitous to ignore the "cost" of student loans until out of school.
  6. There is NOT a union where I currently work, but voted that I would if available. BUT, this is highly variable. When I used to be a teacher I did NOT join the union because of how the union spent the dues on political activism that had nothing to do with teaching (i.e. abortion rights and similar - regardless of someone's view on abortion, it has nothing to do with education/teaching therefore a teacher's union has no business being involved). But, when I worked in a hospital before PA school I DID join the union because it was useful and it actually focused on our needs. So, assuming the union was more like the one I joined I would, otherwise HARD NO!
  7. RVU compensation is quite common as a bonus system beyond a base salary. I am aware of some that are paid strictly on RVUs, but I don't believe that is quite as common. Pros: you are getting paid to work above and beyond. You get a cut when your schedule gets overloaded. Cons: often your base salary is lowered because you will "make it up" in the bonus if you work hard...counter productive in my opinion, you lose RVUs when you go on vacation, have meetings, CME time, etc. - basically if you're not producing RVUs you are hurting your income, can increase over billing, wastes time when you chart more than you need to to "justify" the overcoding, burnout from pushing to make a larger bonus Mayo clinic from my understanding has done away with productivity bonuses, or is in the process due to mainly concerns for burnout. They found that productivity and reimbursements actually went up as providers didn't overcode and waste time charting to justify so were more efficient and providers who undercoded tended to code more appropriately (i.e. higher) when the RVU bonus was removed. So, using that example the RVU bonus works backwards from an employer and employee point of view.
  8. Final Update: the situation has been corrected! Still a nightmare though.
  9. I just love it when I tell a patient they don't need an antibiotic and they respond saying, "I work medical, I know what I'm talking about...I need an antibiotic!" Every time I follow up immediately with, "Oh really!!! What do you do?" Just had a patient do this and told me is the front desk attendant at a local optometrist's office...seriously...YOU'RE medical...my dog is more "medical" than her...I guess there goes my Press Ganey score for the day!
  10. UPDATE: so it seems that this was simple mistake of identity. Two individuals with the same name (different race and birthdays) confused by medicare and medicaid. Basically fraudster MP is a provider and committed bank fraud in some way that affected insurance payouts. Therefore medicare and medicaid went complete scorched earth and anyone named "MP" was caught in the path. Unfortunately, while it seems like a simple fix, nothing is with Medicare and Medicaid. They are refusing to accept the error, so it's headed to court. Thankfully the hospital is supporting MP and has hired MP a lawyer, but that is also self-preservation for the billing both past and present.
  11. Absolutely regarding a situation like that, and the fraud I changed jobs over was the actual changing of my billing codes without my input. Then by changing my billing it effected my RVU bonus, which could be deemed withholding income. It was a mess, and so glad to be away from there. But, even the billing codes being changed was found simply by accident and then was eye-opening once I actually started looking.
  12. Thankfully this is not me, but curious about other's input to prevent this type of situation. Unfortunately I don't have all of the information, and I'm also not going to post specific details I do know to protect the privacy of this individual (and myself I guess). Basically, it was recently found out that someone supposedly committed fraud using another medical provider's name (MP). This MP has been with the same employer since before this potential fraud occurred, and hospital management is "confident" MP did not do this - I don't know how this has been verified or if it has. Unfortunately I don't know the nature of the fraud, but I am assuming it is something medical as the MP's DEA has been suspended, and while the MP still currently has medical license and state license they are in jeopardy. Also, all medicare/medicaid billing for the last several years is in jeopardy of not being paid out if it has not been paid already, and there is the potential for claw back of previously paid claims since the potential fraud occurred. Of course, private insurance claims would follow if medicare/medicaid set precedent. As a result, MP is currently on administrative leave (I don't know paid vs. unpaid status), but since hospital administration clearly is supporting MP they are looking for some type of work that MP can do to be "helpful" that wouldn't involve patient care/billing/etc. until issue is resolved. My question: how can we prevent this from happening? One of the rumors circulating (valid or not) is that another provider in another office within our "greater hospital system" used MP's name for "medical stuff." While I don't know my colleagues login information, honestly for some individuals it would be very easy to learn. But, furthermore I could easily put orders and scripts in using another provider's name using my own login. It would show that I am the one putting them in, but the orders/scripts still have the other provider's name. In the present, this would easily be resolved as they can track keystrokes, but even a few years ago the logs were not as strict. The bottom line, fraud is everywhere, medical or otherwise. I recently changed jobs because of rampant billing and employment fraud and we read about it in the news pretty regularly. So, how do we prevent this from happening to keep our own licenses and therefore our ability to work from being in jeopardy? This MP claims to have no knowledge about any of this, and assuming MP is truly innocent that would obviously make sense!
  13. As a healthy 29yo male, your story is pretty close to why I haven't had an exam in probably 5 years. I was going to last year and at the visit request blood work just to see what my cholesterol and so forth are since I am "obese" at BMI = ~31. Ended up getting the labwork when setting up my life insurance so never had the exam - labwork was normal, just wish my HDL was higher... Bottom line, the only provider in the area I live that I know that I would like to see is the doc I worth with...but honestly I don't want him knowing my medical history, and he has a GOOD policy against seeing coworkers (including support staff like MAs, front desk, etc.). Weird and sad to be part of a system like this...and I don't mean my employer, I mean healthcare in general.
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