Pay structure

[TeslaCoil]

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Is it common for pain physicians to receive pay for a percentage of collections related to labs like urine screens, procedural sedation etc thats billed on their patients? I interviewed with a Florida group who does this.

 

[drusso]

Is it common for pain physicians to receive pay for a percentage of collections related to labs like urine screens, procedural sedation etc thats billed on their patients? I interviewed with a Florida group who does this.

Uh....no. Unless you're an owner in the lab or the anesthesia company (you get a percent of the profits proportional to your ownership, not volume) or a hospital employing physicians (who do this on the sly with SOS to subsidize salaries and call it "community benefit").

Google "Stark Law" and "Anti-Kickback."

 

[gdub25]

Agree completely. Violates antikickback.

 

[Ducttape]

you stated hospital employing. if you are targetting hospital employed physicians, then you are categorically wrong. they are not allowed a cut of the profits for urine screens.


please consider whether endlessly attacking your HOPD colleagues in pain is the proper approach, because it is definitely divisive, and frankly seems to show that you are not interested at all in Pain Medicine as a specialty but only in pain medicine as a financial tool.

 

[drusso]

you stated hospital employing. if you are targetting hospital employed physicians, then you are categorically wrong. they are not allowed a cut of the profits for urine screens.


please consider whether endlessly attacking your HOPD colleagues in pain is the proper approach, because it is definitely divisive, and frankly seems to show that you are not interested at all in Pain Medicine as a specialty but only in pain medicine as a financial tool.

All the money (facility fees, ancillary fees, pro fees, etc.) just gets divided up to pay for stuff including physician salaries.

 

[Ducttape]

and so does the money that comes in to a PP office, if the office does more than just office visits (DME, UDS, PT, psych).

 

[drusso]

and so does the money that comes in to a PP office, if the office does more than just office visits (DME, UDS, PT, psych).

No. Independents can't do that because of Stark. Independents are paid "eat what you kill" on productivity.

 

[Ducttape]

neither can HOPD physicians.

not specifically related to this thread, but please, stop trying to make the entire schtick an "us PP vs you HOPD. you bad bad."

if you want to criticize hospitals, they are clearly fair game.

ive said it before, i think labelling HOPD doctors as bad denigrates pain medicine as a profession.

 

[sloh]

HOPD physicians are complicit in the demise of the profession while receiving a pitiful proportion of the SOS juice.

 

[drusso]

neither can HOPD physicians.

not specifically related to this thread, but please, stop trying to make the entire schtick an "us PP vs you HOPD. you bad bad."

if you want to criticize hospitals, they are clearly fair game.

ive said it before, i think labelling HOPD doctors as bad denigrates pain medicine as a profession.

It’s time for ALL doctors to reclaim their independence.