Running the numbers AND the verdict is...

[LADoc00]

In terms of pure revenue generating income, hemepath is a total waste of f-ing time. For each marrow sign out I bill for a morph on the aspirate and core biopsy, reticulin stain, iron stain (so 2x Special Stain grpII) and 1 flow bill that is not broken down by antibody. Soooo
1 Aspirate charge
1 Core biopsy charge
2 Special Stain charges
1 Flow Charge for 15+ antibody interps
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5 charges
Time: 30-40 minutes.

Now,
time to read and signout 25 charges of GI 88305s = 40 minutes.

5x the number of charges, and the 88305s bill for MORE!

Do NOT go into hemepath, Im calling the retreat.

RyMQ I know you are a hemepather, what do you think all the scaleback in flow interps?? It has made the field a total P.O.S. graveyard.

And PS- NEVER ever do your bone marrow biopsies, crap, the procedure reimbursement for them vs. the time and risk is complete garbage, FNAs are much better.

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[RyMcQ]

Do NOT go into hemepath, Im calling the retreat.

RyMQ I know you are a hemepather, what do you think all the scaleback in flow interps?? It has made the field a total P.O.S. graveyard.

Since I've only been in practice for just over a year, I was never making obscene amounts of cash off flow interps. As it is though, it takes me about a minute to sign out a flow, and direct money to me (through my bonuses) is working out to be equivalent to what I get paid to interpret 2 bone marrow aspirates and biopsies.

You are right about hemepath not being a huge direct revenue generator, but it is my niche and it got me a pretty sweet job. Basically, having a hemepath fellowship has put me in a position to share in all that glorious GI polyp revenue.

Before I did my fellowship, I always told people I was going to have a referral practice specializing in hyperplastic polyps. All the jack, none of the risk. If I could only figure out how to get other labs to only send me only their easy cases...

And PS- NEVER ever do your bone marrow biopsies, crap, the procedure reimbursement for them vs. the time and risk is complete garbage, FNAs are much better.

Sounds like I made the right decision then.

 

[LADoc00]

You are right about hemepath not being a huge direct revenue generator, but it is my niche and it got me a pretty sweet job. Basically, having a hemepath fellowship has put me in a position to share in all that glorious GI polyp revenue.


Sounds like I made the right decision then.

Yes, I suck up marrows for the privelege of GI biopsies BUT were those to vanish I would be scrambling harder than a starving Ethiopian who crash landed at a casino buffet in Vegas to get replace that biz or get it back! Just the mere thought of not having it makes me repeatedly click on the MBA application links...