Pain + SNF/SAR/IPR

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PainDoc2025

Resident Physician [PM&R]
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Any pain docs here do a weekend or something each month doing SNF/SAR/IPR work and rounding? What does it typically pay? Is it worth it? How do you go about doing it? My spouse is a hospitalist (7 on 7 off) and I was hoping to do SNF/SAR/IPR work the weekends she's on to make some extra money.

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Difficult to just do SNF/SAR work only on the weekends. You will miss the therapists, DOR, and others you need to rub elbows with to maintain/cultivate relationships so that your presence is appreciated. If your presence is not appreciated, you will be replaced by another competitor physiatrist.
 
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Yea I’m not sure how you’d do SNF once a month on the weekend. What would even be the point for the facility to arrange such an agreement? Would you be taking calls all month on the patients you saw?

Weekend IPR depends a lot on your location and how you’re set up. If you’re 1099, you have malpractice insurance and should be able to cover anywhere looking for coverage. You can just send your resume to the facility program director and tell them what you are looking for. The trick is finding someplace that needs call coverage and without vacation coverage. Might take some time to find, but not impossible. Or you may have to commute to find.

If you’re employed, you’ll have to figure out your malpractice and if it would really be worth it or not with such low coverage.

I agree with Steve above, probably just easier and more financial sound to be busier with pain. Call pay can vary quite a bit based on location and what you are doing. If you are just on call for admissions there might not be much to do or you could be quite busy. If you’re seeing everyone on the unit then could be very busy. Also depends if you are planning to directly bill and collect or just take a stipend. For average stipend I would expect to be offered between $1000-2500 for a first gig (but again depends on a lot of variables).
 
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Would love to have some backup weekend coverage at our inpatient unit. Do a handful of admissions, 10-20 f/u. Probably get done in 4-5hrs per day. Make $2000+. Yeah malpractice is probably the biggest barrier, also need to be credentialed with insurers. Not complicated but takes some time to get setup.
 
Would love to have some backup weekend coverage at our inpatient unit. Do a handful of admissions, 10-20 f/u. Probably get done in 4-5hrs per day. Make $2000+. Yeah malpractice is probably the biggest barrier, also need to be credentialed with insurers. Not complicated but takes some time to get setup.
Where are you located? And what's the best way to reach out for these types of open spots? Just reach out to the Medical Director of the unit?
 
Where are you located? And what's the best way to reach out for these types of open spots? Just reach out to the Medical Director of the unit?
Yeah you can reach out to the medical director or CEO. The CEO is the one who usually recruits physicians.
 
Wanted to bump this thread to see if anyone was able to find a way to combine pain/SNF work. Hats your weekly break down for days doing each? TIA!
 
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I worked at an Encompass prior to this job and there were 2 pain docs that were in the pool of people that rounded and help to cover on the weekends. When interviewing at other Encompass facilities I found many used outside docs to help on the weekend so the main inpatient docs were not working each weekend. In those situations the pay was based on billing, so more patients seen means more billing. It was never a set shift/hourly rate.
 
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I worked at an Encompass prior to this job and there were 2 pain docs that were in the pool of people that rounded and help to cover on the weekends. When interviewing at other Encompass facilities I found many used outside docs to help on the weekend so the main inpatient docs were not working each weekend. In those situations the pay was based on billing, so more patients seen means more billing. It was never a set shift/hourly rate.
Whats a possible typical pay for someone seeing like ~15-20 patients + few admissions over the weekends?
 
Assuming you have malpractice and insurance credentialing all set:

f/u ~ $75
admit ~ $175-$200

Billing company will probably take 5-8% of collections
 
Whats a possible typical pay for someone seeing like ~15-20 patients + few admissions over the weekends?
Assuming you have malpractice and insurance credentialing all set:

f/u ~ $75
admit ~ $175-$200

Billing company will probably take 5-8% of collections


Issa is correct. with 15-20 patients and a couple admits a day then should expect around $1500-$2000 a day. Many units have more patients so you may be able to do more. If one of the weekend guys I worked with wanted to see more I would gladly give them as I just wanted as a short day. IF I was doing it on the weekend for extra money then I would probably want to be loaded up.
 
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