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CTGPAC

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  1. What are the duties of the SP ? I will be starting a house calls practice. Want to know how to approach Docs - I will be "partnering with them" as a business but they will be contracting with me as i will be an IC LLC service in seeing their Medicare Home Bound patients. Where do I find this information - what is the official entity that regulates and has the rules written - were are those rules outlined? State Board of Physicians? Is it in the Delegation agreement?
  2. Getting some advice from my state APA that legally it sounds more kosher to refer to my House Calls business as a "Service" rather than "practice". Any thoughts about this? I am hatching a business: providing a " service to Doctors" So, marketing to them. Huge interest so far whom ever i approach. =
  3. In starting out with my house calls practice... i want to propose retaining my patients if i move on from the service contract with the DOC I'm in a service contract with...good idea? Is this a routine thing? House Calls still feels like the wild west ! What are the rules? So, I was about to send this to a potential service partner: "I have just left a contract that rendered me to having to say, “No, I cannot care for you any longer”. These patients are reporting to me now, that they are not being follow-up with and this makes me very uncomfortable. In preventing this from happening
  4. Anybody working with a fee-for service opt-out concierge like House Calls practice? Im talking with a doc to partner as an IC who has a fee-for service only practice but is considering medicare now as a part of a Direct Home Primary Care service. Question - what if the pt is a medicare eligible but not enrolled and wants to do fee-for service with me with this practice? AAPA confirmed that I CANNOT see any medicare patient as a fee-for-service patient - even if they want to pay fee-for-service….So if I work for a concierge service as an IC they must bill Medicare under my NPI...or
  5. Hi Ventana Yes please lets talk. Im in MD - i think you already know these folks down here. What is your suggestion to connect? I am avail through AAHCM and 443-858-9401. Keeping patients - meaning having in a limited non-compete - I will need a clause to be able to know that those patients whom I care for have “patient choice” to follow me if they so choose; if I ever leave our partnership.
  6. So I cut a deal with a Doc 60/40 to see his Medicare Home Bound patients....He is desperate for my services. I'm also wanting to make him agree to let me keep these patients..I would be seeing them on initial visits and follow them as their PCP. This helps me in getting my future new practice off the ground...I'll admit here that this is the brainy idea pf my accountant who feels strongly i should start my own service...I think he's crazy...Anybody else doing this? Right now I'm just 1099 LLC doing house calls ...but really really looking into house calls with lots of interest out there b
  7. So as an independent House Calls practitioner - I'm about to ask to keep the patients i see and when if we part ways i keep to attach with my next provider i partner with...any thoughts out there?

  8. "PA Gardella", "My PA" If "doctor" (I work with the elderly and demented - so its hard to get them to understand...wearing my badge and repeating I'm their PA) Since medicare reimburses at 85% I sometimes say "I'm 85% a Doctor" but with a wink and a nudge... or Advanced Practitioner
  9. We need Doctorates not so much for the clinical space but for research... PhD Researchers in our field to publish and advance our profession in every aspect...
  10. I was paid 60% fee for service medicare reimbursements as a 1099. Last week I separated from them and the employer did not want me to have access to the EHR - had to hand in my iPad asap and they shut me out of the EHR - New company take over of our small practice and the usual corporate BS policy (so I left the company 3 days after signing the contract - kinda yucky ending to an otherwise beautiful job) Thus, the paper charts. Good thing about the new company - they will have those coders you are talking about for the next guy. I panicked when i saw the enormity of the charts but it is t
  11. Great Forum! I WAS A High School History Teacher for a total of 15 years - also, a stay at home mom for a couple years and returned to the classroom where i met my fate and was stalked by a crazy young man and his parent....scared to death to return to the classroom and a little one at home, I decided to stay in the helping professions and looked into nursing when a good friend of mine who was a MD/PhD knew me better than myself at the time and suggested PA...I thought he was just being a snob about nurses - but he knew my abilities and he was right....started all over in my studies and be
  12. Recently I separated from an employer and they have asked me to complete my EMR charts (complete some random omitted/overlooked CPT codes, some billing codes, etc.) ...since the first of the year. (about 100) They gave me a stack of paper charts and asked me to complete them and sign. I was paid for the services rendered,( I thought) however, now I am told that I will be paid for these because now they can submit them...I am concerned why i am getting "paid twice" ...Didn't they submit them to to Medicare already? I believe maybe they paid me all along in good faith they would be reimburs
  13. Hello! I am looking into starting a House Calls Service in Maryland/DC metro area - I would like to be an independent contractor to extend the services of existing private internal/geriatric medicine practices and see only their Medicare home-bound patients. I currently have been working 3 years as a House Calls PA seeing Medicare pts. But recently our very cool private practice was sold to a large company and i was forced to go W2 and the whole place is a corporate mess. I want to return to my independent 1099 status which works out very well for me. I am in love with what i do! I fervently
  14. Hello! I am looking into starting a House Calls Service - I would like to be an independent contractor to extend the services of existing private internal/geriatric medicine practices and see only their medicare home-bound patients. I currently have been working 3 years as a House Calls PA seeing only Medicare pts. But recently our very cool private practice was sold to a large company and i was forced to go W2 and the whole place is a corporate mess. I want to return to my 1099 status which works out very well for me. I am in love with what i do! I fervently believe this is the future of he
  15. I want to start my own House Calls Service - in Maryland/DC metro area

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