Do any of you round on hospitalized pts?

[revolution1980]

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Hi guys
Question for those in practice. Is it still financially worthwhile to round on patients in the hospital?
The practice I recently joined does not, but they are not against me doing it if I wanted to. I'm with a dermatology PA and a solo family med doc. So his census is generally 1 or 2 patients in the hospital at any given time. Sometimes none.
We don't have a large Medicare population, so that's part of the reason.
In an ideal world, I would like to take care of my patients that need an admission, but I can see it being more of a hassle.
This is my first post residency job, so while I am getting familiar with how much we get reimbursed for levels of service/procedures from Medicare and the various commercial insurances we accept in the outpatient world, I have no idea what inpatient care gets you.

 

[cabinbuilder]

In all honesty I stopped doing inpatient strickly because of EMR. I have been burned too many times with a crappy EMR in a rural place where I didn't know what was happening with the patients and things got missed and the patient suffered from it. After that I stopped doing inpatient.

 

[deleted87716]

If the patients are admitted to your service, you'd better have somebody backing you up, unless you want to go in every weekend and holiday, and don't plan on taking any vacation.

Most of the people I know who are still doing inpatient aren't doing it for the money. They'd be better off financially spending that time seeing patients in the office. Everyone (to a person) that I know who has stopped doing hospital say they wish they'd done it sooner.

 

[septoplasty]

If the patients are admitted to your service, you'd better have somebody backing you up, unless you want to go in every weekend and holiday, and don't plan on taking any vacation.

Most of the people I know who are still doing inpatient aren't doing it for the money. They'd be better off financially spending that time seeing patients in the office. Everyone (to a person) that I know who has stopped doing hospital say they wish they'd done it sooner.

Depending on what you do in the office, wouldn't an inpatient reimburse more than say a 99214?

 

[deleted87716]

Depending on what you do in the office, wouldn't an inpatient reimburse more than say a 99214?

Maybe, but not necessarily. You have to factor volume and travel time into the equation, as well.

 

[DIce3]

Total RVU 99214= about 1.5 x RVU 99232 but work RVU 99214 is about the same as 99232.

 

[revolution1980]

If the patients are admitted to your service, you'd better have somebody backing you up, unless you want to go in every weekend and holiday, and don't plan on taking any vacation.

Most of the people I know who are still doing inpatient aren't doing it for the money. They'd be better off financially spending that time seeing patients in the office. Everyone (to a person) that I know who has stopped doing hospital say they wish they'd done it sooner.

Yea I know. It really is more worthwhile seeing 3-4 pts an hour in the office. It makes more sense. And I like my current office hours. I sort of don't want to work any harder than I already do.