SoCal_PA Posted January 31, 2017 Share Posted January 31, 2017 When looking for positions online, I always see postings mention "Busy practice in need of PA". Why would this make any of us want to apply? Unless there's some great bonus structure, I'm pretty sure the majority of us would like to see as little patients as possible. I'm actually glad they use it because I automatically skip their applications... Link to comment Share on other sites More sharing options...
mandrew1 Posted January 31, 2017 Share Posted January 31, 2017 That's an interesting take on things! Link to comment Share on other sites More sharing options...
WeBuyAndSellJunk Posted January 31, 2017 Share Posted January 31, 2017 Gotta agree, it strikes me as instantly saying "Stress! Patient overload! Expect to work through lunch and after work for the same pay!" I waltz right on by... Link to comment Share on other sites More sharing options...
overthehorizen Posted January 31, 2017 Share Posted January 31, 2017 I agree. I have always ignored those ads. It sounds like a practice where the doctors are making a lot of money off the backs of PAs. If anyone ever sees an ad for "PA for partnership in medical practice and the terms of buy in are spelled out" I would strongly encourage exploring it further. Link to comment Share on other sites More sharing options...
Reality Check 2 Posted January 31, 2017 Share Posted January 31, 2017 "Busy Practice" to me equates to "assume you will see an illogical number of patients every single day forever". If they were honest - it would make me laugh and think they might be real. HONEST: Woefully understaffed office with large number of spoiled, needy patients desiring benzos seeks PA to see illogical number of patients per day in short, stupid visit slots with minimal staff support, no RNs. Candidate will work on charts after hours in suboptimal EHR with no tech support and frequent outages and more illogical use of meaningless use..... At least that would be honest. No sunshine and unicorns................. Link to comment Share on other sites More sharing options...
BruceBanner Posted January 31, 2017 Share Posted January 31, 2017 "Busy practice needs and enthusiastic, energetic self-starter with at least _ years of experience who love a fast-paced environment and can hit the ground running. No new grads. Come join our team!" Translation: a provider left because they were burnt out and couldnt handle being dumped on anymore so we need someone ASAP to see all of their patients for a very standard salary and no real incentives other than a job and some vague talk of profit-sharing down the road. There are so many private practices out there who do this. Link to comment Share on other sites More sharing options...
Katera Posted January 31, 2017 Share Posted January 31, 2017 Boy do I agree with the premise of this thread.... I skip those ad's outright. Also, in Urgent Care no one wants to work at the "busy location". Why? No more money, increased liability, people are stressed out, patients are stressed out.....and the corporate overlords are going out of their way to constantly understaff and save money. No thanks. Link to comment Share on other sites More sharing options...
DizzyJ Posted January 31, 2017 Share Posted January 31, 2017 ugh "busy". I want "slow practice in need for minimally motivated to see 1-2 patients per day" Link to comment Share on other sites More sharing options...
Reality Check 2 Posted February 1, 2017 Share Posted February 1, 2017 In all seriousness - I have determined in my family practice setting that 9 before lunch and 9 after would suffice. Many would be 99214 with a healthy slew of 99213s and several physicals. I could give the people the time they need and actually finish the charting during daylight hours and, oh, maybe handle some phone calls. Have been told by not so trained people that 18 per day "doesn't make my salary". Never shown numbers or data but they say it doesn't pay the bills. So, I continue to dream and look at other options. Link to comment Share on other sites More sharing options...
cop to pa Posted February 1, 2017 Share Posted February 1, 2017 In all seriousness - I have determined in my family practice setting that 9 before lunch and 9 after would suffice. Many would be 99214 with a healthy slew of 99213s and several physicals. I could give the people the time they need and actually finish the charting during daylight hours and, oh, maybe handle some phone calls. Have been told by not so trained people that 18 per day "doesn't make my salary". Never shown numbers or data but they say it doesn't pay the bills. So, I continue to dream and look at other options. This piqued my interest. I'm not sure how accurate this is, but: http://www.beckersasc.com/asc-coding-billing-and-collections/30-statistics-on-average-commercial-reimbursement-by-specialty-in-2014.html According to this, 99213 in primary care averaged $73.50 in 2014. At the 85% rule, that's $64 a visit. At 18 a day that's $1,152 generated a day. Link to comment Share on other sites More sharing options...
feedme Posted February 1, 2017 Share Posted February 1, 2017 On the flipside if there is a good incentive, this would mean good pay. You do not want to enter into a slow practice because your job could be in danger of getting laid off or if there is an incentive, you won't see it. Link to comment Share on other sites More sharing options...
Reality Check 2 Posted February 1, 2017 Share Posted February 1, 2017 This piqued my interest. I'm not sure how accurate this is, but: http://www.beckersasc.com/asc-coding-billing-and-collections/30-statistics-on-average-commercial-reimbursement-by-specialty-in-2014.html According to this, 99213 in primary care averaged $73.50 in 2014. At the 85% rule, that's $64 a visit. At 18 a day that's $1,152 generated a day. I made my judgment on 18 per day solely on sanity and actually accomplishing anything with fairness to the patient. I would bet that 8 would be 99214, 3-4 complete physicals and the rest 99213. So, whatever that calculates out to..... For the sake of round numbers - $50 per hour for the PA calculated as salary for a 40 hour week then overhead and benefits. It is late here and I am not doing the math right now. And someone still wants a "profit" or share of the take. Is this viable??? I firmly believe in the part time walk in provider or switching providers on certain days of the week to see ONLY walk in/ call in / sick call. I have seen that work quite well. Now, let's move on to the front desk issue and how to UNtrain receptionists who were badgered by the old now retired doc to "shove them in" and he used to see 35 per day - no lie - all paper charts, dictaphone and REALLY bad documentation and poor records of drugs. She sees her job as secure and successful if she "keeps us busy" despite ZERO insight into putting people in correctly. I am tired, long day. Any suggestions welcome..... Link to comment Share on other sites More sharing options...
GetMeOuttaThisMess Posted February 1, 2017 Share Posted February 1, 2017 One of our local Mega HC Networks is looking for UC PA's for both FT/PT shifts. If my position were to go belly up I would look into this as a PT 2 shifts/week person. I'd take a flat rate of $75/hr (I have no clue what they pay). And get my health ins. through my wife and just keep my own disability. With my luck they'd say MS only (only a couple of years left to go so not cost-effective if I have to pay myself). Link to comment Share on other sites More sharing options...
Katera Posted February 1, 2017 Share Posted February 1, 2017 One of our local Mega HC Networks is looking for UC PA's for both FT/PT shifts. If my position were to go belly up I would look into this as a PT 2 shifts/week person. I'd take a flat rate of $75/hr (I have no clue what they pay). And get my health ins. through my wife and just keep my own disability. With my luck they'd say MS only (only a couple of years left to go so not cost-effective if I have to pay myself). $75 is high for UC. I make $70, but I am an independent contractor locum. Not sure what region you are in, but for UC in Texas, around $65/hr as an employee is very close to the top at the UC's around here. Link to comment Share on other sites More sharing options...
GetMeOuttaThisMess Posted February 1, 2017 Share Posted February 1, 2017 Texas as well but scenario was based on IC status, not as employee since it would be PT, ahh, I like the sound of that. PT.... Link to comment Share on other sites More sharing options...
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