Revenue sharing ideas

[Algiatrist]

Hi folks,

I wanted to run this by the forum and maybe get some fresh ideas.

An Oncology group about 35 minutes away from me wants me to spend two days per month seeing their Cancer pain patients in their office. They tell me I'll be very busy with procedures (pumps, stims, kyphos) in about a month.

They are even willing to build out a procedure suite in their location just for me. The problem is that I am a salaried/contracted employee of my current practice and they may not want to "rent" me out.

Can anyone think of a model where I see patients/do procedures on someone else's turf, but can continue to generate revenue for my original practice?

Essentially, both sides want to benefit from the procedures and consults, but is there a way to make this happen?

Any info appreciated.

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[Ducttape]

Best solution.

It's called "Saturday hours".

What u do on your free/own time is the only time your employers won't regulate.

 

[ampaphb]

Not sure that's true. Check ur employment contract

 

[drusso]

Hi folks,

I wanted to run this by the forum and maybe get some fresh ideas.

An Oncology group about 35 minutes away from me wants me to spend two days per month seeing their Cancer pain patients in their office. They tell me I'll be very busy with procedures (pumps, stims, kyphos) in about a month.

They are even willing to build out a procedure suite in their location just for me. The problem is that I am a salaried/contracted employee of my current practice and they may not want to "rent" me out.

Can anyone think of a model where I see patients/do procedures on someone else's turf, but can continue to generate revenue for my original practice?

Essentially, both sides want to benefit from the procedures and consults, but is there a way to make this happen?

Any info appreciated.

Just lease the space and staff for a time you use it per diem.

 

[lonelobo]

Most employment contracts I have seen would forbid this

 

[painj]

A thought--can you have your current practice contract you out with the oncology group-the onc group would basically pay your practice for your time there, then your practice pays you for the work--you would come up with a number that makes financial sense for you to do the extra work--that would still allow you to be covered legally with malpractice or if there is any contract issues that you may have with your employer. This should be a win-win as any revenue generated to your practice would be a bonus as they would not have that income with out you doing the work--it would also help increase the breadth and leg of your practice's services to another location potentially assisting with future personal revenue and/or increased referrals. Obviously, this only works if everyone were on board and interested in this type of situation--but I would think this would be the easiest and least troublesome way to do it.

 

[ParaVert]

They want to turn a profit on you. Why do you need to see patients in their facility when you can see them in yours? (see sentence 1). Why would your current employer have a big problem with you doing work outside their facility? (see sentence 1). Are they already sending you patients? Have you found the only oncology group in the USA that values interventional pain treatment for their patients?!

What sort of procedures would you be doing on cancer patients in an office environment? Certainly not pumps, stims and kyphos. Take it from a former MD Anderson guy. By the time an oncologist considers a procedure for pain, the patient weighs 80 lbs (half of which is ascites and pleural effusion), has a white count of 0.3 and a platelet count of 10k. Not exactly a low-risk population, and you may find yourself in the hospital more than you would prefer.

It will be hard to convince your employer that it is in HIS best interest to allow you work elsewhere (but that is your only chance of success here). If you are a hospital employee, then you could sell them on the idea of doing clinic and basic injections at the Onc office, but bringing in your implants and kyphos home. If your employer is not generating facility fee income off your surgery (ASC or hospital), then it probably won't work.

Again, try to find a scenario that improves your employer's bottom line.

 

[hyperalgesia]

Build out a procedure suite for 2 days/month? That doesn't seem economical.

 

[Yo GabbaPentin]

Keep it simple.

PASS. I can't see an angle that this would benefit you in any way.

 

[lobelsteve]

Whp says his motive is help himself. Maybe he doesnt want to see his local cancer patients die without dignity in excruciating pain.

 

[ultm8frisbee]

Sounds like a great opportunity to me, and I wouldn't just dismiss it. They probably want you on-site to facilitate convenience for their patients given that you are a half-hour away (this can seem much longer for terminal cancer patients). Cannot hurt to explore it. It looks like they won't have any dough to make of you initially, you'll essentially be using their office space and doing e/m off the bat. See if you can negotiate a daily rate that doesn't rely on volume initially. You can evaluate and make medication adjustments in the clinic and send the procedural volume (celiacs, kypho, pumps) to your home institution. I would think your current employer would also find this attractive if they are generating facility fees from your procedures. And they really said they would get you busy with stims right away? Most oncologists do not even know or have much experience with that treatment modality.

 

[SSdoc33]

altruism aside, this doesnt make sense from a financial standpoint for either your group or theirs. you will not generate enough procedures for this to make any real money. now, if this other group wants to offer the service of a pain specialist "in-house" to make their center more attractive, then you should get compensated for this added service above what you would collect in E/M fees and what little procedure fees there are. if you do it, have them pay you for your time, not for your productivity.