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[Piebaldi]

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Hey all,
So I am thinking of doing some possible coverage while I do my fellowship for some extra cash since it will be a big salary drop from attending to fellow for a year.

Since my employer will be kind of short on physicians I am thinking of offering to cover the typical weekeday call (from home) overnight which tends to be pretty chill - what would be a reasonable rate in terms of coverage? We don't actually go into the hospital during the week any emergencies are handled by the hospitalists/ER/ICU type peeps.

Also what would be a reasonable rate if they wanted weekend coverage (Saturday and Sundays) to round on patients, consults, etc?

Thoughts? Thanks!

 

[timisdaman]

I don't remember how much I've made for home-call, but I would say minimum 1000 for 12 hour shift in-house.

 

[Piebaldi]

I don't remember how much I've made for home-call, but I would say minimum 1000 for 12 hour shift in-house.

This wouldn't be in house. Typically round on the patients, and then take phone type call. I was thinking 1000-1200 daily yes.

 

[timisdaman]

This wouldn't be in house. Typically round on the patients, and then take phone type call. I was thinking 1000-1200 daily yes.

Then yes, 1000 is the absolute minimum per day, especially if you have to do admissions/consults.

Depending on geography and need, you can push that to 1500+

 

[j4pac]

I was making $90/hour doing urgent care with only an internship under my belt. You should absolutely be making more than that as a locums PM&R doc.

 

[Piebaldi]

I was making $90/hour doing urgent care with only an internship under my belt. You should absolutely be making more than that as a locums PM&R doc.

More than what? 1000/shift?

 

[Piebaldi]

I don't remember how much I've made for home-call, but I would say minimum 1000 for 12 hour shift in-house.

What do you think of this offer? So it would just be from about 5pm Fri-7am Monday, paying 200$/hr for the rounding part on Saturday and Sunday, and then $300/night for phone call coverage plus hotel and mileage. Thoughts? About 6hours of rounding daily on the weekends, so roughly $1500 or so per day.

 

[j4pac]

More than what? 1000/shift?

I worked 12 hour shifts. So a little over $1000 pre-tax.

 

[timisdaman]

What do you think of this offer? So it would just be from about 5pm Fri-7am Monday, paying 200$/hr for the rounding part on Saturday and Sunday, and then $300/night for phone call coverage plus hotel and mileage. Thoughts? About 6hours of rounding daily on the weekends, so roughly $1500 or so per day.

is there a hospitalist helping out with medical issues?

$1500/day is good in my opinion. I would ask about late admissions on Friday. And if there are admissions on Sunday. Remember, patients can be seen within 24 hours.

 

[Piebaldi]

is there a hospitalist helping out with medical issues?

$1500/day is good in my opinion. I would ask about late admissions on Friday. And if there are admissions on Sunday. Remember, patients can be seen within 24 hours.

I asked - so recruiter tells me that the non rounding times for call coverage (ie - the evenings, say from Fri 5pm to 7am Saturday, etc is phone call only). Also said that if I had to go in I'd be paid 200$/hr I did inquire about hospitalist and it seems they do have hospitalist coverage - I will have to double check though. My understanding is that it would only be for PM&R issues - so I asked if there were codes, etc and it seems I would not cover any of that but again I would have to double check. On the email I was sent apparently H&P's and what not are done by hospitalist but not sure - these are things I have to double check. Yes, for Sunday admissions same thing - I think H/P s are done by hospitalist. I get the impression that PM&R is the consulting role here, but it's something I have to learn more about. And yes I would expect that late admissions on one day are seen the following day - that's the model we have at our current hospital. So essentailly it would be 6-7 hours of patient care at $200/hr plus 300$/night for phone call - I would hope they can bump that up a little bit. They also cover hotel, and mileage.

 

[RangerBob]

I asked - so recruiter tells me that the non rounding times for call coverage (ie - the evenings, say from Fri 5pm to 7am Saturday, etc is phone call only). Also said that if I had to go in I'd be paid 200$/hr I did inquire about hospitalist and it seems they do have hospitalist coverage - I will have to double check though. My understanding is that it would only be for PM&R issues - so I asked if there were codes, etc and it seems I would not cover any of that but again I would have to double check. On the email I was sent apparently H&P's and what not are done by hospitalist but not sure - these are things I have to double check. Yes, for Sunday admissions same thing - I think H/P s are done by hospitalist. I get the impression that PM&R is the consulting role here, but it's something I have to learn more about. And yes I would expect that late admissions on one day are seen the following day - that's the model we have at our current hospital. So essentailly it would be 6-7 hours of patient care at $200/hr plus 300$/night for phone call - I would hope they can bump that up a little bit. They also cover hotel, and mileage.

That sounds like a pretty nice gig to me. It sounds like the hospitalist is the attending, so they'll get the majority of the calls, and obviously anything critical. And they are the ones that will need to come in if anything goes wrong. $1200-$1400 plus another $300 for night call sounds like good deal... If you average $1500 per day, five days per week, that's $390k (assuming no vacation and being on call all week...). For 6-7hr days (ie, coming in a 7 and being done by 2pm!), that sounds like one heck of an income for a really good life. I get that you're not working M-F and 52 weeks per year, but I'm just trying to put things in perspective for you.

On our unit, PM&R admits the patients. We do have hospitalist coverage, but they're consultants-we're the ones who would need to come in if the patient needs to be transferred emergently. I'm a sole proprietor/independent contractor, and while I'm still learning what I can expect to actually bring in, multiple experienced providers have told me to expect about $90-$120 per patient per day, on average. That takes into account people with Medicaid, non-paying patients, higher level reimbursement from H&P's and level 3 visits, etc.

I also only get paid from seeing a patient. While I can bill for time spent talking with the patient's nurse (if it's about their care, obviously), I can't bill for the amount of time it takes to write my note. If you're paid by the hour, you can sure count note-writing towards your time...

Please keep in mind recruiters often tell you the wrong thing--usually because they don't know what's going on. I would ask to be put in touch with the medical director of the unit and get clarification from them about hospitalist coverage, H&Ps, etc. Though, if you're being paid by the hour, some of this is moot (sure, H&P's take longer, but if you're paid by the hour that's to your benefit).

 

[Piebaldi]

That sounds like a pretty nice gig to me. It sounds like the hospitalist is the attending, so they'll get the majority of the calls, and obviously anything critical. And they are the ones that will need to come in if anything goes wrong. $1200-$1400 plus another $300 for night call sounds like good deal... If you average $1500 per day, five days per week, that's $390k (assuming no vacation and being on call all week...). For 6-7hr days (ie, coming in a 7 and being done by 2pm!), that sounds like one heck of an income for a really good life. I get that you're not working M-F and 52 weeks per year, but I'm just trying to put things in perspective for you.

On our unit, PM&R admits the patients. We do have hospitalist coverage, but they're consultants-we're the ones who would need to come in if the patient needs to be transferred emergently. I'm a sole proprietor/independent contractor, and while I'm still learning what I can expect to actually bring in, multiple experienced providers have told me to expect about $90-$120 per patient per day, on average. That takes into account people with Medicaid, non-paying patients, higher level reimbursement from H&P's and level 3 visits, etc.

I also only get paid from seeing a patient. While I can bill for time spent talking with the patient's nurse (if it's about their care, obviously), I can't bill for the amount of time it takes to write my note. If you're paid by the hour, you can sure count note-writing towards your time...

Please keep in mind recruiters often tell you the wrong thing--usually because they don't know what's going on. I would ask to be put in touch with the medical director of the unit and get clarification from them about hospitalist coverage, H&Ps, etc. Though, if you're being paid by the hour, some of this is moot (sure, H&P's take longer, but if you're paid by the hour that's to your benefit).

Right, I actually initially was contactd by a jr recruiter who did not know that much but then I talked to the senior recruiter who filled me in and some of the information was apparently inquired directly from whoever is hiring. This is just a weekend gig - I will be doing a fellowship in afew months but want to wind down my full time gig in order to move across the country for fellowshpi - so it's just weekend coverage really. I think it would be about $3700 for the whole gig, but I think I can push it to maybe a little over $4k - which yes I agree is not bad. It's not full time, again just weekned coverage. But it's mostly just so that I can cover mortgage and living expenses while I get ready to move across, and maybe here and ther while I come back to the state on weekends when I visit family. So I agree not too bad. I of course want to double check some information but it's not bad from what it seems like - it's about 2 hours from a major city so I think that's why the pay is a little higher than where I am where everything is super saturated. But thank you for your input! It's always great to hear from other colleagues! I am a recent grad like you as well, and learning the ropes too. So much to learn!

 

[timisdaman]

I am assuming this is acute inpatient rehab. Even if there is a hospitalist, you must see the patient and have a note within 24 hours. Patient must have at least 3 progress notes per week.

Basically, recall everything you are putting in your inpatient admission notes; eg: individualized plan of care, patient is appropriate for inpatient rehab, expected length of stay, etc.

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Inpatient_Rehab_Fact_Sheet_ICN905643.pdf

 

[Piebaldi]

I am assuming this is acute inpatient rehab. Even if there is a hospitalist, you must see the patient and have a note within 24 hours. Patient must have at least 3 progress notes per week.

Basically, recall everything you are putting in your inpatient admission notes; eg: individualized plan of care, patient is appropriate for inpatient rehab, expected length of stay, etc.

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Inpatient_Rehab_Fact_Sheet_ICN905643.pdf

Ok guys so I am going to be covering part time elsewhere and they are offering me $850/day (not inpt, subacute rehab), and $2000 per call shift (call is M-M but it's from home and I don't have to go in) with weekend rounding and admits/consults. Typically rounding is in the morning, and admits that come after we've left the hospital are seen next day. Seems kind of low to me, but I will be doing for a few months, and want a low stress job. Thoughts?

 

[timisdaman]

Sorry, I don't know what good subacute rates are, as I think most gigs pay per patient. However, similar considerations apply: how many patients are you expected to see each day? Are you the primary provider or is there someone in-house managing medical issues even during the day? Most importantly, is the time/effort needed worth $850 to you?

 

[Piebaldi]

Sorry, I don't know what good subacute rates are, as I think most gigs pay per patient. However, similar considerations apply: how many patients are you expected to see each day? Are you the primary provider or is there someone in-house managing medical issues even during the day? Most importantly, is the time/effort needed worth $850 to you?

I already work with the group, i just want to cut down due to personal reasons prior to starting fellowship. the patients vary, and no i', not the primary person and i'm not the one called for medical issues. i of course would like to get paid the most possible however i am trying to figure out what's a reasonable rate.