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PA surgical first assist in NC

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This is very much an idea in its infancy, but I thought I would reach out to see if anyone else has started their own LLC for surgical first assisting and been successful at it.

I have about 7 years of ortho experience under my belt. I'm starting to feel quite a bit of burnout and am examining my options for what I might be able to do to still stay clinical. I know I'm good at what I do, so I don't want to walk away entirely from clinical medicine. Being in the OR is by far what I love most about my job, and the idea of something where I can make my own schedule and get some autonomy back about taking time off sounds incredibly appealing.

Did you hire someone to help with insurance billing?

How did you find a SP? (I'm pretty sure I could reach out to my last SP and he'd do it if I compensated him.)

How did you market/find MDs to work with?

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No answers yet?
I'm new here, and I've got all of the same questions as you.
Can someone direct us to information that clearly lays out how to do this? If it's on this site somewhere, a link to the discussion would be great to get.


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This is something I have been considering as well. I live in Texas and I did a little bit of research. They are some surgical assisting companies in the San Antonio area that would do the billing, they charge 8-11%. I would have to get a sponsoring physician, hospital privileges, and malpractice insurance. I have also started a PLLC. I have not pulled the trigger yet.

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