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Found 14 results

  1. Hey everyone, I was recently accepted to a program in Florida! The school doesn't provide health insurance for their students so we are required to obtain our own health insurance. I currently have insurance through my employer, which I'll obviously no longer have once I begin school. Also, I can no longer be on my parents insurance. Since I start school in January, how early should/can I apply for insurance in Florida? I am from Washington state. Also, does anyone have any tips/insight on which insurances are the most affordable for a student? Thanks in advance.
  2. I've been using CM&F for some years. As a part-time PA, occurrence $500,000/ $1, 000, 000 policy they want $3,060 for the year. Cinch, a Berkshire Hathaway Specialty Insurance, sent me an offer of $500, 000/ $1,000,000, part time worker for $2196 -- $864 (30%) difference! It covers reputation insurance, licensing board and HIPAA claims. Has anyone used the Cinch malpractice? Any comments? I am leaning towards making the switch to Cinch.
  3. I am a 3.5-year experienced cardiology PA in a private single-MD practice. A month ago, I noticed that my MD was submitting a CPT code in his name for every single clinic patient I saw. He was sometimes putting the bill in the EMR before I finished my note and assessment and plan. He personally only saw my patients if they were new or complicated, accounting for 10% of my volume. At the time I saw all of these bills under his name, I was submitting paper superbills (for unrelated reasons). I thought this was just some misunderstanding where he didn't see me entering my own bills electronically, so he was putting in the billing under his name. I told my manager that he was double billing- his electronic CPT entry on top of my paper one. Could she please talk to him and ask him to stop? I did not want him to get himself in trouble and it seems to be a misunderstanding. Yes, oh yes she would... No, no no, he cannot do that. I made sure she had copies of the incident-to billing guidelines for Medicare in case he needed them. Days passed and I asked for an update. She said she was still discussing it with him. Then a week passed, and I asked again. She had spoken with him and shown him the incident-to guidelines. He said he was not going to stop billing all of my patients in his name. He said his personal lawyer advised him that he could do it. I told her that his personal lawyer is not my lawyer and he is kind of implicating me in fraudulent billing at this point and I don't want to be a part of it. She told him that if he refused to stop doing it, his PA might then quit. He told her, "ok." At this point it had progressed beyond a misunderstanding of billing to having full knowledge that what he is doing is against the rules and refusing to stop. She said she would speak with him again. We met again. "Well, there's good news and there's bad news. The good news is that he is going to stop billing all of your patients in his name. The bad news is, he wants you to look for a new job." I was totally stunned. This was not the outcome I was expecting. He did not clearly articulate to my manager why I was being asked to move on. I prepared my resignation letter to hand in at the end of my workday. Before the day ended, my MD spoke with me privately. He said his recommendation for me to find a new job was not based on money or billing or my job performance but on several other unrelated things. He did not want me to storm off the job today in anger. I could take my time finding my next job, he would provide recommendations, he would accommodate job interviews as needed. It was a positive discussion and I did not disclose that I was on the edge of quitting before he spoke with me. The next week was uneventful. At the end of each of my clinic days, I provided him with a list of the patients I saw that qualified as incident-to that he could bill in his name. On my last day of that week, he had a vacation scheduled so he was gone for the afternoon. When I finished seeing my last patient, my manager pulled me into her office and presented me with a letter from the MD. It said that this was my last working day and to finish all of my documentation by the end of the day. I would get 2 weeks severance, 4 weeks of unused paid vacation time. No explanation for why he was suddenly firing me. The manager did not see it coming. Perfectly timed for when he was going to the airport so he would not have to talk to me. The employee termination form required by my state says "reason for termination: wanted to replace PA with MD." My doctor has not spoken to me, emailed me, or anything else. That was a week and a half ago. I am currently looking for a job in the same area where this doctor is located. He is well-known and would certainly talk badly about me if he found out I was telling prospective employers the real reason why I got fired. My biggest obligation right now is to ensure I secure my next job. I have a 9 month old baby. Should I report the insurance fraud? If so, when? Does anyone have experience in reporting this or reporting an employer for firing them under such circumstances? I appreciate any comments or advice. I've learned to never underestimate a doctor's ego..... If he didn't fire me for finding the fraudulent billing, he definitely fired me for going to the manager about what he can and can't do.
  4. Hi everyone, I am a new graduate, and I just received an Ortho PA job offer in coastal California. I will start training (same salary) as soon as I finish my boards, while I am waiting for my licenses to process. The job is M-F from 8-5. OR 1-2 days/week, but not when I initially start. Call time was not mentioned in the contract, but it's about once/month (no additional pay) What's offered: - Base Salary: 100k - At-will contract; If I stay less than a year, then I have to repay the licenses, relocation bonus, CME. etc. back to the employer. - Health insurance, vision, and dental - Incentive bonus: available after 3 months (PA's at the company said that I probably wouldn't reach the bonus requirement until 9-12 months) - PTO: 10 days/year (accrue on a pro-rated semi-monthly basis from the date employment commences) - 9 paid holidays - sick days: 5 days/year (accrue after 3 months) - CME: $2,500 and 5 days off (in addition to the 10 days PTO) - All licenses covered: reimbursement for Board expenses, initial licenses and license renewals, including D.E.A. and California license - $4,000 relocation bonus - Three memberships reimbursed: example AMA or CMA - Gas reimbursement: I have to drive to the satellite locations a few days/week. - Malpractice: company covers professional liability insurance with tail coverage What's not offered: - retirement (401k) What do you think of this offer? Any feedback is greatly appreciated!
  5. I just heard from my new employer - a large hospital corporation - that HR thinks that it will take up to 90 days for me to be added to insurance payors after my credentialing paperwork is sent to them. I figured that as a new PA there would be fewer issues as far as the insurance was concerned because there are no disputes or claims, etc, against me. Also, the workplace does not accept Medicaid patients. How long does it take? Or how long did it take for you? I am concerned about being without a job over the holidays. I expected to start in November, but the doctor went on vacation before signing my SP forms. Ugh. Times are already financially tough in my household for my family.
  6. Hi everyone, I'm hoping for some advice in an area with which I am not familiar. I am starting physician assistant school in a few weeks and I'm very interested in emergency medicine. Some of the ER docs who I was previously working with as a scribe have offered to allow me to return to the ER on weekends as my schedule allows to get some practice doing histories, physicals and learning basic procedures on real patients --- sort of like a clinical rotation, I suppose, with the MD in the exam room, watching and listening the entire time. I am planning to take them up on this generous offer, as I am eager to learn and I want as much exposure to the ER as possible while i am in school. However, I would hate for one of the doctors to be held 100% accountable if I were to make a serious mistake. Is there such a thing as malpractice insurance for physician assistant students? If so, which insurance company has the best reputation for this purpose? Thank you in advance for your help!
  7. “Hey Ted, can you dip this urine?”, “Hey Ted, can I get an EKG in room 5?”, “Hey Ted, can you package 1A on the monitor for transport to Telemetry?”, “Hey Ted, we have a code coming in, get C3 setup, and prep the bedside nurse.”, “Hey Ted, I’ve got to get an IV in this baby in 5, can you watch my rooms, update vitals, and get any labs/POC tests done until I’m free?”, “Hey Ted, take a look at this EKG, should I get a repeat? Is that artifact or actual depressions in V3?” As an ED Tech at a Level 2 Trauma Emergency department with 50,000 visits per year, over the course of a 13 hour night shift I hear my name a lot. From a patient in the waiting room, to the charge nurse, to the attending ED physician, there is always someone calling and something to be done at any given moment. To that end, I am so grateful that I am exhausted at the end of my shift. I am so grateful that I get to spend 13 hours of my life next to some of the most intelligent, hard working, and driven people, all for the singular purpose of helping the sick and dying. One of the many dogma’s I have learned in my job is that if you do not truly believe what you are doing day to day, shift to shift, is your calling then you will not last in healthcare regardless of the setting but most definitely not in Emergency. I want to go to Physician assistant school to take the next step in my healthcare career, and gain the knowledge and clinical experience to do more for my patients, nurses, and doctors than I can now as an ED Tech. As an ED Tech you learn so much hands on clinical knowledge, but there is very little application for it in your job role. From the 100’s of EKG’s, to the 100’s of urine dips, codes, traumas, labs, cases I’ve been a part of I have learned telltale rhythms, lab values, and patient presentations. In the classroom I have learned the beginnings of what all that clinical knowledge means, but I’ve only scratched the surface. I love what I do, but I know I can do more. I want to enact change in the lives of my patients and hold greater responsibilities than I can now. Just as much as I want to help my patients, I want to help my coworkers, so that the next time I hear my name called I can do more for them than I ever could now. -Where do I put this paragraph?? “I heard you speak Chinese?! No way!”, “You're 30 years old?! I thought you were 25 at most!”, “Someone said you used to work on Wall Street? What are you doing here?! Haha!” My path to the ED was a long and winding road, but I am so grateful for all my experiences, and that I have now found my true calling in life. Yes I studied Chinese in college, and lived in Beijing for a few years. Yes, at the trough of the recession I took whatever job I could to pay my student loans and ended up as an assistant financial controller for a retail corporation. Although these experiences shaped who I am today, they do not define me. Sent from my XT1254 using Tapatalk
  8. Hi! I was just accepted to my first choice PA program and was wondering about student insurance. My husband currently is a reservist in the military but his contract ends right as PA school begins. Therefore, we will be seeking insurance elsewhere. We just aren't sure if it is possible to add him and our son to a student health plan offered by my school. Does anyone know if this is a possibility? We can definitely get our insurance from his employer but we aren't sure if it would be a better value through the student insurance plan. Thanks!
  9. 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 believe this is the future of health care and the right thing to do. Just getting started in discovering its feasibility/ in the R&D phase. Is what i want to do feasible?? Have a lot of info from attending the recent AAHCM conference but still much, much more to do... Any advice would be appreciated.
  10. Good afternoon, This may be a bit premature, but I'm wondering about student health insurance while attending PA school. If/when most of us are accepted, I'm sure there will be several of us that will need to quit our jobs which will leave us without insurance. Does anyone have any good advice about how to afford health insurance, including dental and vision? I know some schools offer insurance but beyond that, what are the options? Recommended plans? Etc.? Thanks!
  11. Hi, The PA school that I will be attending this fall has a tuition refund policy, but also offers a tuition refund plan through Dewar for a little less than $300 per one year. Has anyone purchased tuition insurance through Dewar? Does anyone recommend for or against it? Any insight is great! Thanks!
  12. Hi all. In my current position (my first job out of school - been there almost 3 years), my employer has stated I am covered by the hospital's malpractice policy, which has limits of 8M/24M. Admittedly, I had a very poor understanding of my insurance when I accepted the position. Over my time in this position, I became increasing curious of the details of the policy and after nearly 6 months of asking was supplied with only a letter stating I was covered by the policy and a form stating the above limits and that the policy is a claims-made policy. I am now in the process of transitioning to a new position at a new hospital, and will again be employed by the hospital and have been told I will be covered by the hospital's policy. Through my reading on the topic, it seems that I probably should have my own private policy (and should have for the past 3 years as well. This leads to several questions: 1. If you are a hospital-employed PA, how are you insured? Only hospital policy, or hospital policy + personal policy? 2. I am now leaving my first position and it seems to me that I am going to have to purchase tail insurance. Is this true? (I have already asked this question of my directors, and they are in the process of finding out) If so, how much can I expect to pay? 3. If you are hospital-employed and have a personal policy, do you pay for it or does your employer? 4. If you are hospital-employed, how much do you know about the hospital's insurance policy under which you are covered? 5. What is the best way to handle what looks to be a similar situation in my new position? Should I just purchase my own policy? Thanks for any help you can offer. I am also interested in any other knowledge wiser and/or more experienced others can impart on this particular topic.
  13. Negotiating a family practice job in the Mountain West as a new grad, trying to get a feel for a) How much liability insurance I need if I'm not covered under my employer and b) How much reimbursement per RVU I should expect. MedEdge offers a 100k/300k claims-made for pretty cheap but I've been told by some to purchase no less than 1M/3M... Any thoughts? I've also been offered a productivity bonus at $30/RVU. No info on thresholds or other specifics yet. Is $30 fair for family practice? I've heard pediatricans making $40 and orthopedic surgeons making $60/RVU to put it into perspective. Thank you.
  14. Hi all I am trying to raise my GPA, so I am going to re-take A&P 1, which I did horribly in (C+). I was thinking of taking the class online with the lab, but I originally did not take the class in an online format. Do you think it will be an issue? I really want to do the class online because of money (The online class is around $700 cheaper). Thanks for the input!
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