Actual Podiatry Job Postings

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the owner stated he has MBAs/CPAs/compliance attorneys, so he must be safe from audits or the feds. Plus the job position got filled quickly!

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Podiatry.....the best kept secret in medicine

Open a PCR lab and be a millionaire

We need to open up more schools,...there are still more wounds out there that are not being treated with PCR wound cultures by podiatrists. We must save lives!!
 
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PCR wound culture is the biggest scam I’ve ever seen and podiatrists in the Facebook thread think it’s awesome. The desperation is out of control.

I do wound care and limb salvage cases every day and I’ve never needed a PCR wound culture. This stuff is so embarrassing.
 
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We use PCR (outside lab, no kickback) because of accurate results in 24-48 hrs. Quicker identification of organisms, thus quicker use of appropriate abx. Glad to be done with basic cultures where “STAT” results still take 7 days.

But when it comes to what y’all mention above, I agree. Some PP Podiatrists are desperate for more income no matter what... so sure, lets use PCR swabs on everything (web spaces)!!! Ugh, yet another “flavor of the month” like epidermal nerve fiber biopsies.
 
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Maybe this isnt the best discussion for a public forum?
 
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Plaintiffs allege that without the knowledge or consent of the [Individual Plaintiffs], [ ] Nolan’s spouse was paid a salary of two hundred forty-five thousand dollars ($245,000.00) and received a 401K contribution of nineteen thousand dollars ($19,000.00) from Piedmont as an employee despite not performing any work for the practice during said period, while said expenses were shared equally by [the Individual Plaintiffs] as part of the total employee expenses despite said expense not being a valid business expense. [W]ithout the knowledge or consent of the [Individual Plaintiffs], [ ] Nolan’s son was paid a salary of nineteen thousand nine hundred ninety-five dollars ($19,995.00) from Piedmont despite not doing any actual work for the practice, and said expense was shared equally by [the Individual Plaintiffs] as part of the total employee expenses despite said expense not being a valid business expense. [W]ithout the knowledge or consent of the [Individual Plaintiffs], [ ] Hauser’s spouse was paid a salary of one hundred sixty thousand three hundred ninety-five dollars ($160,395.000), received a 401K contribution of twenty-five thousand dollars ($25,000), and was provided a dental insurance coverage contribution of one thousand five hundred nine dollars and four cents ($1,509.04), received a health savings account contribution of seven thousand eight hundred dollars ($7,800.00), received a medical insurance contribution of eleven thousand six hundred eighty-eight dollars and fifty-six cents ($11,688.56); and received a vision insurance contribution of two hundred thirty dollars and thirty-six cents ($230.36) from Piedmont despite not doing any work for the practice during said period, while said expenses were shared equally by [the Individual Plaintiffs] as part of the total employee expense despite said expense not being a valid business expense.

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Can't imagine being a minor shareholder and not seeing the books.
 
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Plaintiffs allege that without the knowledge or consent of the [Individual Plaintiffs], [ ] Nolan’s spouse was paid a salary of two hundred forty-five thousand dollars ($245,000.00) and received a 401K contribution of nineteen thousand dollars ($19,000.00) from Piedmont as an employee despite not performing any work for the practice during said period, while said expenses were shared equally by [the Individual Plaintiffs] as part of the total employee expenses despite said expense not being a valid business expense. [W]ithout the knowledge or consent of the [Individual Plaintiffs], [ ] Nolan’s son was paid a salary of nineteen thousand nine hundred ninety-five dollars ($19,995.00) from Piedmont despite not doing any actual work for the practice, and said expense was shared equally by [the Individual Plaintiffs] as part of the total employee expenses despite said expense not being a valid business expense. [W]ithout the knowledge or consent of the [Individual Plaintiffs], [ ] Hauser’s spouse was paid a salary of one hundred sixty thousand three hundred ninety-five dollars ($160,395.000), received a 401K contribution of twenty-five thousand dollars ($25,000), and was provided a dental insurance coverage contribution of one thousand five hundred nine dollars and four cents ($1,509.04), received a health savings account contribution of seven thousand eight hundred dollars ($7,800.00), received a medical insurance contribution of eleven thousand six hundred eighty-eight dollars and fifty-six cents ($11,688.56); and received a vision insurance contribution of two hundred thirty dollars and thirty-six cents ($230.36) from Piedmont despite not doing any work for the practice during said period, while said expenses were shared equally by [the Individual Plaintiffs] as part of the total employee expense despite said expense not being a valid business expense.

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Can't imagine being a minor shareholder and not seeing the books.
Happens ALL the time. The major share holders simply “bully” the minor share holders. They have all the power and with it comes all the threats.
 
Plaintiffs allege that without the knowledge or consent of the [Individual Plaintiffs], [ ] Nolan’s spouse was paid a salary of two hundred forty-five thousand dollars ($245,000.00) and received a 401K contribution of nineteen thousand dollars ($19,000.00) from Piedmont as an employee despite not performing any work for the practice during said period, while said expenses were shared equally by [the Individual Plaintiffs] as part of the total employee expenses despite said expense not being a valid business expense. [W]ithout the knowledge or consent of the [Individual Plaintiffs], [ ] Nolan’s son was paid a salary of nineteen thousand nine hundred ninety-five dollars ($19,995.00) from Piedmont despite not doing any actual work for the practice, and said expense was shared equally by [the Individual Plaintiffs] as part of the total employee expenses despite said expense not being a valid business expense. [W]ithout the knowledge or consent of the [Individual Plaintiffs], [ ] Hauser’s spouse was paid a salary of one hundred sixty thousand three hundred ninety-five dollars ($160,395.000), received a 401K contribution of twenty-five thousand dollars ($25,000), and was provided a dental insurance coverage contribution of one thousand five hundred nine dollars and four cents ($1,509.04), received a health savings account contribution of seven thousand eight hundred dollars ($7,800.00), received a medical insurance contribution of eleven thousand six hundred eighty-eight dollars and fifty-six cents ($11,688.56); and received a vision insurance contribution of two hundred thirty dollars and thirty-six cents ($230.36) from Piedmont despite not doing any work for the practice during said period, while said expenses were shared equally by [the Individual Plaintiffs] as part of the total employee expense despite said expense not being a valid business expense.

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Can't imagine being a minor shareholder and not seeing the books.

That's well over $400k paid out to ghost workers who are generating zero revenue. And we were all hollering that a practice wanted to pay $300k base to an actual worker who will generate revenue.

Let that sink in.
 
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While we are on the subject - has anybody been following the modern vascular case unfold?
 
That's well over $400k paid out to ghost workers who are generating zero revenue. And we were all hollering that a practice wanted to pay $300k base to an actual worker who will generate revenue.

Let that sink in.
Both are wrong,....nothing is sinking in
 
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You are saying a practice cannot afford to pay an associate $300k or even $200k base? If a practice can pay over $400k in ghost workers then I don't see how a similar practice can't afford to pay an associate $300k base.

Most practices can pay more base salaries but choose not to pay more since new grads continue to accept the $100k base. A business owner is not required to voluntary raise salary if the market (new grads) does not demand it. With the new schools opening and pumping out more pods, unfortunately the $100k base jobs are not going anywhere or going any higher.

This is simply demand and supply economics at play here affecting base salary of new grads.
 
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You are saying a practice cannot afford to pay an associate $300k or even $200k base? If a practice can pay over $400k in ghost workers then I don't see how a similar practice can't afford to pay an associate $300k base.

Most practices can pay more base salaries but choose not to pay more since new grads continue to accept the $100k base. A business owner is not required to voluntary raise salary if the market (new grads) does not demand it. With the new schools opening and pumping out more pods, unfortunately the $100k base jobs are not going anywhere or going any higher.

This is simply demand and supply economics at play here affecting base salary of new grads.
I think the questionable part was the near 8 million collections by a single provider in a calendar year. Raises a few eyebrows.

That or the part about the new associate will be able to collect a million easy the first year, likely more, practically guaranteed.
 
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It is funny and also not funny but I bet that this same practice in North Carolina that paid out over $400k salary to ghost workers most likely hired their associates at $80k to $100k base with the typical 20-25% bonus after 3x collection. Let that sink in again.
 
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It is funny and also not funny but I bet that this same practice in North Carolina that paid out over $400k salary to ghost workers most likely hired their associates at $80k to $100k base with the typical 20-25% bonus after 3x collection. Let that sink in again.

All of this is already fully sunken in. Everybody here is well aware that the pod private practice owner is royally screwing the associate out of their hard earned money.
 
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Podiatry creates a need for “creative” income more than most other fields in medicine.
For what it's worth, Dermatologists hawk private label creams, lotions, sunscreens, and a bunch of other garbage that don't really do much or aren't any better than OTC stuff. They also peddle laser BS.

In addition, I had a Derm who removed a melanoma on me using Mohs. I went to several other Derms afterward because that lady sucked and they all said that Mohs is not the gold standard for superficial melanoma and she did it because it reimburses alot more than wide excision does.

This is not to excuse our profession's shyster behavior, but just to say that there is some scum in other medical fields as well.
 
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We have no idea the exact billing practices or accounting practices at either practice.

I would (obviously) not be surprise if both practices are a bit "creative":

I have said before the owner seemed to be more generous than many at Achilles, but paybacks or worse can still happen. Millions of likely unnecessary dollars spent on testing, helping to make Medicare more unsustainable than it already is, is not right (to me at least). Maybe just maybe they will keep all that money without paybacks...but it does not seem right.

Are some podiatrists just as creative and doing very well and yet still pay as little as possible to associates ....yes.

I am to starting think there might be something to this responsible capitalism movement.
 
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We have no idea the exact billing practices or accounting practices at either practice.

I would (obviously) not be surprise both practices are a bit "creative":

I have said before the owner seemed to be more generous than many at Achilles, but paybacks or worse can still happen. Millions of likely unnecessary testing, helping to make Medicate unsustainable is not right (to me at least). Maybe just maybe they will keep money without paybacks...but to me at least it does not seem right.

Are some podiatrists just as creative and doing very well and yet still pay as little as possible to associates ....yes.

I am to starting think there might be something to this responsible capitalism movement.

I have been in practice long enough and have been involved with insurance audits (as a consultant) to realize there’s no such thing as creative billing. Don’t fool yourself, it doesn’t exist that way. Creative billing is simply fraud. I’ve seen more than any of you can imagine.
 
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I have been in practice long enough and have been involved with insurance audits (as a consultant) to realize there’s no such thing as creative billing. Don’t fool yourself, it doesn’t exist that way. Creative billing is simply fraud. I’ve seen more than any of you can imagine.
I agree.....it is usually fraud.

Sometimes it is fraud with very good documentation making it harder to prove it was fraud and sometimes it is very egregious.

Also using something more than medically necessary or was more excessive treatment than necessary to begin with.
 
I agree.....it is usually fraud.

Sometimes it is fraud with very good documentation making it harder to prove it was fraud and sometimes it is very egregious.

Also using something more than medically necessary or was more excessive treatment than necessary to begin with.
Fraud. Period.
 
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Also using something more than medically necessary or was more excessive treatment than necessary to begin with.
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This practice always has an ad up on PMnews looking for the next prey associate
 
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Like I have said podiatrists are not less ethical people than any other profession.

Many podiatrists can only make a respectable living in PP by opening their own practice and over utilizing more profitable services. After the necessity goes away for many, the greed continues and a new lifestyle develops which can only be maintained by more of the same.

Other specialties are not saints, they just have guaranteed good jobs where they can make a good living without fraud and are more often part of larger organizations with more oversight. There are certainly other specialties that get in trouble also. Why make $500K straightforward when you can find ways to make 2 million type greed in other specialties.

Obviously some are in the right place at the right time and in the right legitimate healthcare investments and made lots of money without fraud.
 
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View attachment 361649


This practice always has an ad up on PMnews looking for the next prey associate
I actually once had a conversation with her and she told me how much money she was making. And I saw pics of her office and it was pretty impressive. But after speaking with her for 30 seconds it was obvious she was all about dispensing and over utilizing.

I’m glad she was finally “discovered”. These docs get so greedy that the get complacent because they think they are Teflon.
 
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Mel Gibson America GIF


what's goin on up in here?!
 

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Two outstanding citizens. And they are both still practicing like nothing happened. And they will revert back to their evil ways. Leopards don’t change their spots. Or they will make a left hand turn and find a new scam and way to abuse the system.
 
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You all are absolutely the most pedantic group
 
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If they eventually lose their license they will probably either

A. Already scammed enough money that they will likely be OK

B. Will become a non practicing CEO podiatrist of their PP podiatry group will lots of locations, employing lots of young podiatrists and teaching them how to scam the system and continue to make lots of money

****Sadly B is much more common than you would think.
 
On the topic of this thread

I would never post a job here or drop someone’s name at the risk of anonymous imbeciles commenting about it
 
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General Podiatry for UPMC in Williamsport, PA​

Williamsport, Pennsylvania​


UPMC in Williamsport, PA is seeking a Full-Time BE/BC Podiatrist to provide routine podiatric care with this well-established group. Enjoy a rich referral base and excellent work-life balance.
As an employed “service partner” you will benefit from:
  • MGMA competitive salary and benefit package
  • Annual incentive bonuses
  • Relocation
  • Generous CME days and dollars
  • Medical malpractice/tail insurance coverage
  • Robust retirement and benefits package
Teaching opportunities are available through our Family Practice Residency program.
About UPMC in North Central Pa.
UPMC in North Central Pa. consists of five hospitals, including UPMC Cole, UPMC Lock Haven, UPMC Muncy, UPMC Wellsboro, and UPMC Williamsport, and various medical office locations. Our network of more than 600 experienced physicians, surgeons, mid-level providers, and caregivers strive to provide clinically excellent health care through a wide range of services. Caring for a 12-county region, we employ practitioners in a broad range of specialties recognized at the national and state levels for quality of care. In fiscal year 2020, we provided more $51.5 million in community benefit to those in the regions we serve.

UPMC in North Central Pa. serves a thriving rural community with affordable housing and strong school options. There is always something to do — local festivals, community events, and a wide variety of outdoor recreational activities including hiking, biking, boating, and skiing throughout the region. Williamsport has a vibrant cultural scene, excellent restaurants with diverse cuisines, a regional airport, two colleges, and is within a three-hour drive to urban life in Philadelphia, Pittsburgh, New York, and Baltimore.
Contact Information
Mary Grieco at [email protected] or via phone at 570-320-7696
 

General Podiatry for UPMC in Williamsport, PA​

Williamsport, Pennsylvania​


UPMC in Williamsport, PA is seeking a Full-Time BE/BC Podiatrist to provide routine podiatric care with this well-established group. Enjoy a rich referral base and excellent work-life balance.
As an employed “service partner” you will benefit from:
  • MGMA competitive salary and benefit package
  • Annual incentive bonuses
  • Relocation
  • Generous CME days and dollars
  • Medical malpractice/tail insurance coverage
  • Robust retirement and benefits package
Teaching opportunities are available through our Family Practice Residency program.
About UPMC in North Central Pa.
UPMC in North Central Pa. consists of five hospitals, including UPMC Cole, UPMC Lock Haven, UPMC Muncy, UPMC Wellsboro, and UPMC Williamsport, and various medical office locations. Our network of more than 600 experienced physicians, surgeons, mid-level providers, and caregivers strive to provide clinically excellent health care through a wide range of services. Caring for a 12-county region, we employ practitioners in a broad range of specialties recognized at the national and state levels for quality of care. In fiscal year 2020, we provided more $51.5 million in community benefit to those in the regions we serve.

UPMC in North Central Pa. serves a thriving rural community with affordable housing and strong school options. There is always something to do — local festivals, community events, and a wide variety of outdoor recreational activities including hiking, biking, boating, and skiing throughout the region. Williamsport has a vibrant cultural scene, excellent restaurants with diverse cuisines, a regional airport, two colleges, and is within a three-hour drive to urban life in Philadelphia, Pittsburgh, New York, and Baltimore.
Contact Information
Mary Grieco at [email protected] or via phone at 570-320-7696
Paying MGMA for “routine” care? Hmm.

Williamsport, home of the Little League World Series. And I know Bucknell is about 15 miles away from when I played against them in college.

Really nice campus. Not a whole lot of excitement in that neck of the woods.
 
newbie here:
What is “MGMA competitive salary and benefit package”?
I have searched the internet but can’t seem to find these MGMA surveys that people are referencing
 
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I’m not sure they understand the point of board certification.
Routine podiatry care is not just toenails except if the new hire decides to build the practice on nail care. A BE/BC Podiatrist will not be hired to clip nails all day.

For me routine podiatry care encompasses everything we see in clinic from heel pain to ingrown nail to warts to ankle sprain etc. Basically non-surgical clinic care which we all practice. Either way this job will pay more and provide better benefits than 99% of other PP jobs out there (with the exception of Achilles foot and ankle offering $300k)
 
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Paying MGMA for “routine” care? Hmm.

Williamsport, home of the Little League World Series. And I know Bucknell is about 15 miles away from when I played against them in college.

Really nice campus. Not a whole lot of excitement in that neck of the woods.

Yeah I think they should have said “non-surgical” instead of “routine.” I think that’s what they meant. You’ll do nails, but also heel pain and ingrowns and warts…etc.

If I’m wrong then they are compensating someone around $300k to do nails…I’d want to blow my brains out but that’d be real easy money.
 
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Paying MGMA for “routine” care? Hmm.

Williamsport, home of the Little League World Series. And I know Bucknell is about 15 miles away from when I played against them in college.

Really nice campus. Not a whole lot of excitement in that neck of the woods.
Opens up surgical schedule for other docs? Thats my assumption. THe provider isnt operating but is still generating surgical money in an indirect way.
 
Here you go buddy
Look at the podiatry foot and ankle surgical numbers and then look at the orthopedic surgeon foot and ankle numbers. Reality in a nutshell.
 
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Yeah I think they should have said “non-surgical” instead of “routine.” I think that’s what they meant. You’ll do nails, but also heel pain and ingrowns and warts…etc.

If I’m wrong then they are compensating someone around $300k to do nails…I’d want to blow my brains out but that’d be real easy money.
I know a pod who before I started school did nursing homes 4 days a week 7am-11am (sometimes noon). He made 300k a year doing that. Next to no overhead.

I think about it from time to time. I have a busy schedule, travel a couple days a month, about 2 surgeries a week, lots of calls Primary docs, ER, etc. I will make more than that this year (for the first time), but my life is way more stressful than 4 or 5 hours of nails.
 
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I know a pod who before I started school did nursing homes 4 days a week 7am-11am (sometimes noon). He made 300k a year doing that. Next to no overhead.

This has been covered ad nauseam. Not possible without fraud.

Clipping nails in office is like $20-30 in clinic. Reimbursement is lower in living facilities. Most sedentary individuals do not have calluses and weekly debridement of wounds is well…not optimal care.

Your source was…

1. Seeing huge volumes in those truncated days.
2. Inflating income to boast.
3. Performing questionable cares.
4. Participating in questionable billing.
5. All of the above.
 
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I know a pod who before I started school did nursing homes 4 days a week 7am-11am (sometimes noon). He made 300k a year doing that. Next to no overhead.

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Nails will pay something like $24 in a facility setting. Let’s pretend these folks have calluses (they don’t walk enough to get them, so this won’t be the case, but let’s pretend). 11056 also reimburses around $25 in a facility setting. So $50 for each patient encounter. We’ll also pretend there is zero overhead. And we’ll pretend you collect 100% of those billed services which will never happen. Medicare with no secondary means you’re getting 80%, Medicare with Medicaid as a secondary, also 80%. Inevitably there will be some MA plans that just don’t pay you. But hey, best case scenario, you get every penny you are owed.

$300,000/50 = 6,000 patient encounters a year

500 encounters per month. 125 per week. 31-32 encounters per day. 8 encounters per hour. With no overhead it means no MA to help or get patients set up for you. Going room to room or having the facility staff bring you patients makes 8 encounter per hour physically impossible.

I didn’t include any new level 2 e/m’s. But there is no way that alone makes the numbers/info you gave plausible. I’ve worked in nursing homes and assisted living facilities. Nobody needs avulsions, they don’t have calluses, they don’t have other complaints that you actually address/treat to justify e/m codes with any regularity. In reality it’s a boat load of $25 visits. You don’t collect 100% of what you are owed. There is overhead. You can’t see 30 patients in a 4 hour window. You aren’t going to make $300k after expenses doing nursing home work 16 hours per week.
 
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Down the street from my old practice there was a hospital paying non surgical podiatrists a boatload, rumor was that they can/would charge a facility fee for nail care
 
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Medicare physician reimbursement is higher for hospital-employed doctors because Medicare ties rates to fee schedules based on site of care. Under the Outpatient Prospective Payment System (OPPS) for hospital-employed physicians, there are two payments versus the one under the Medicare Physician Fee Schedule. Outpatient payments include a professional component and a facility component.

The facility component of the reimbursement is generally higher than the reduction in the office expense component of the professional payment, leading to a payment disparity between hospital-employed physicians and independents, explained healthcare economist Michael E. Chernew, PhD, of Harvard Medical School, in an accompanying commentary.

“These payment rules create an arbitrage opportunity. Hospital‐based billing increases total payments, and the additional payments can be allocated, explicitly or implicitly, between hospitals and physicians. As a result, there is an incentive for hospitals to buy, and physicians to sell, physician practices,” the healthcare economist explained.

Policymakers have tried to address the growing reimbursement gap through site-neutral payment policies. However, the hospital groups have challenged the reimbursement policies in court, arguing that outpatient providers employed by hospitals face higher expenses compared to independent physicians and sicker patients.
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The study of integrated and non-integrated physicians who billed Medicare between Jan. 1, 2010, and Dec. 31, 2016, found that Medicare physician reimbursement would have been $114,000 higher per physician a year if a physician were integrated compared to working in a physician practice.

Specifically, integrated primary care physicians earned 78 percent more in Medicare physician reimbursement, medical specialists 74 percent, and surgeons 224 percent.
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Down the street from my old practice there was a hospital paying non surgical podiatrists a boatload, rumor was that they can/would charge a facility fee for nail care
 
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