In general what are the most profitable in office procedures?
how about MIS (minimal incision surgery) procedures?? seems like if you could do lots of hammer toes and heal spurs in office you could pull in some decent profits. My grandpa used to fix corns that way as well, shorten the metatarsal just a hair so it didn't protrude further than the rest, with a burr in office.
Ive heard of these issues but had also read that with modern technology (scopes) MIS could see a rebirth of sorts.
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Many people have anomalous anatomical findins, and sticking a burr in a hole blindly can "wrap" a nerve, blood vessel, tendon, etc, around the burr.
Ive heard of these issues but had also read that with modern technology (scopes) MIS could see a rebirth of sorts.
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In general what are the most profitable in office procedures?
Big surgeons make big incisions
It depends what materials are needed for the specific procedure... you don't get paid for the suture, bandages, drapes, chemicals, etc etc.Today, every single procedure and surgery done in your office/surgical center will be more profitable than going to the nearby hospital.
It depends what materials are needed for the specific procedure... you don't get paid for the suture, bandages, drapes, chemicals, etc etc.
Lets say that you have a surgical center in your office that is equipped to do almost any podiatric surgical procedure. Give me an example where doing a procedure in the hospital instead would be more profitable.
Lets say that you have a surgical center in your office that is equipped to do almost any podiatric surgical procedure. Give me an example where doing a procedure in the hospital instead would be more profitable.
somewhat o/t but for the less informed, how does one make money on a procedure that pays 1k and needs 3k of implants?
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I see, why cant a surgery center?
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This requirement to provide an interpreter is part of the American Civil Disabilities Act. I'm not saying these patients don't require/need/deserve an interpreter, I just think it's absurd that the doctor has to cover the cost.
I'll say it: These patients don't deserve an interpreter. I don't understand how you have to use your personal property to pay for their mishap...
Can you refuse treatment to this patient? Or is that illegal too?
I believe that would be illegal.
See ADA Title III: Public Accommodations
http://www.ada.gov/cguide.htm
http://www.olrs.ohio.gov/right-to-sign-interpret
http://www.olrs.ohio.gov/sites/olrs.ohio.gov/files/u5/faq-interpreter-rights.pdf
I believe that would be illegal.
See ADA Title III: Public Accommodations
http://www.ada.gov/cguide.htm
http://www.olrs.ohio.gov/right-to-sign-interpret
http://www.olrs.ohio.gov/sites/olrs.ohio.gov/files/u5/faq-interpreter-rights.pdf
Can you just refer them to someone else? Maybe a practice where they have people who sign?
No, that's discrimination. It would be no different than referring out all your Asian patients, all your Muslim patients, all your Jewish patients, all your Hispanic patients, etc., etc. In the eyes of the law, it's discrimination. If you're in the game (practice) you have to play by the rules, and not make them up as they suit you. Basically, it's the price of doing business.
Great thread. My question is, if a deaf patient comes to your office - are you given a reasonable time frame to accommodate them, as in - you will see them once you find an interpreter? Legally, how long do you as a practice have to set this up? Or is it a must you call an interpreter the day they came to see you?
Can a practice hire someone who isn't an official sign language interpreter to perform signing?
I'm not an attorney, so my answer is simply based on my experiences, and not my knowledge of the actual laws.
We have had different scenarios. We've had deaf patients enter the office willing to simply use a pad and pen, and read lips during the visit. Some have requested interpreters on follow up visits and some new patients call ahead (or a service calls for them) and requests an interpreter. YOU have the option of providing an interpreter or hiring the one the patient recommends, but the patient can not insist on his/her interpreter. If you have to pay his/her interpreter X amount of dollars, and you can find an interpreter that will do the job for 1/2 X, you choose who you want, as long as the job gets done.
We actually had a staff member who "signed", since both her parents are deaf. When the deaf patient came to the office, the patient had known our employee since she was a child. The visit went very smoothly, but the patient requested a DIFFERENT interpreter during follow up visits, since she didn't want our employee to know her medical problems, etc. However, our employee did not look over her records, she simply interpreted for the patient who had heel pain (it wasn't exactly like she had a rare venereal disease!). Our staff signs privacy agreements, and as a result we did NOT have to comply and let her bring in her own interpreter. We provided an interpreter who signed a privacy agreement and that's who we insisted on using, or the patient was given the option of finding another provider.
So, you are not expected to have an interpreter on hand. When receive a call requesting an interpreter, you then have to make the appropriate arrangements for the patient's visit.
No, that's discrimination. It would be no different than referring out all your Asian patients, all your Muslim patients, all your Jewish patients, all your Hispanic patients, etc., etc. In the eyes of the law, it's discrimination. If you're in the game (practice) you have to play by the rules, and not make them up as they suit you. Basically, it's the price of doing business.