Monitoring for Gad reactions; what's the pay?

[Ligament]

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Hi All,

I'm not a radiologist, I'll clear that up right away. I'm a pain doc. Ok, I may glow in the dark like you guys from all the fluoro....

A local outpatient open MRI place wants to pay me to sit there and monitor for Gad reactions once in a while, so I can make some extra cash. What is a reasonable fee to charge for such a stressful job????

Also, what is the incidence of Gad reactions that actually requires some physician intervention (meds, codes, ambulance...that type of stuff)?

And lastly, just out of curiosity, what is a typical per diem charge for radiology locum tenens coverage in an outpatient MRI/CT/Xray joint?

Thanks!

 

[f_w]

I'm not a radiologist, I'll clear that up right away. I'm a pain doc. Ok, I may glow in the dark like you guys from all the fluoro....

Some people would argue that that is because many pain-docs have a rudimentary knowledge of radiation protection and use sub-par equipment for the job 😉

A local outpatient open MRI place wants to pay me to sit there and monitor for Gad reactions once in a while, so I can make some extra cash.

What type of outpatient facility is that ? If it is a medicare IDTF, they can´t legally have a non-radiologist supervise contrast injections (supervise as in the medicare supervision rules, if these are non goverment patients and you are there for purely medical supervision, you are ok). If this is a radiology practice OP facility or a hospital owned place, you are legally ok.

What is a reasonable fee to charge for such a stressful job????

Depending on the local market, people get around $40-60/hr for 'babysitting a scanner' as it is known.

Also, what is the incidence of Gad reactions that actually requires some physician intervention (meds, codes, ambulance...that type of stuff)?

Read !

And lastly, just out of curiosity, what is a typical per diem charge for radiology locum tenens coverage in an outpatient MRI/CT/Xray joint?

You don't want to know.

 

[Ligament]

Some people would argue that that is because many pain-docs have a rudimentary knowledge of radiation protection and use sub-par equipment for the job 😉


What type of outpatient facility is that ? If it is a medicare IDTF, they can´t legally have a non-radiologist supervise contrast injections (supervise as in the medicare supervision rules, if these are non goverment patients and you are there for purely medical supervision, you are ok). If this is a radiology practice OP facility or a hospital owned place, you are legally ok.



Depending on the local market, people get around $40-60/hr for 'babysitting a scanner' as it is known.



Read !



You don't want to know.

Some people would argue that that is because many pain-docs have a rudimentary knowledge of radiation protection and use sub-par equipment for the job 😉

I disagree with your bias. As a pain doc I make sure to use all possible precautions to minimize radiation, such as using the "turbo" button for faster fluoro images, never collimating so I get to see the "big picture," making sure I have magnification on at all times, and doing as many procedures as possible standing next to the beam generator while getting a lateral image.😱

What type of outpatient facility is that ? If it is a medicare IDTF, they can´t legally have a non-radiologist supervise contrast injections (supervise as in the medicare supervision rules, if these are non goverment patients and you are there for purely medical supervision, you are ok). If this is a radiology practice OP facility or a hospital owned place, you are legally ok.

It is an outpatient MRI/CT/Xray center in a strip mall. Privately owned by a radiology group.

Read !

C'mon man, I asked a simple question. Of course I'll look up the literature shortly myself, but I just wanted some quick info as I'm pretty busy this week.😎

Thanks.

 

[f_w]

I disagree with your bias.

That's ok. Hence the 😉

It is an outpatient MRI/CT/Xray center in a strip mall. Privately owned by a radiology group.

So you should be ok from the medicare fraud aspect. If it is considered a 'radiology practice' the supervising doc doesn't have to be a radiologist. So much for goverment logic.

C'mon man, I asked a simple question. Of course I'll look up the literature shortly myself, but I just wanted some quick info

Let me give you the short answer then: Very rare.

 

[Ligament]

That's ok. Hence the 😉



So you should be ok from the medicare fraud aspect. If it is considered a 'radiology practice' the supervising doc doesn't have to be a radiologist. So much for goverment logic.



Let me give you the short answer then: Very rare.

Thank you f_w. 😀