David Joyce MD, MBA

To Dr. Taj’s possible solution of “A way to measure time and RVU is to allot RVU value to 10 mins of time. Then time spent when not reading cases can be adjusted to RVU”

Whereas I totally sympathize with the issue at hand, this suggestion is probably not quite workable. RVU are determined nationally at CMS. Hence, paracentesis under imaging…[Read more]

As an employer and partner physician in a large  primary group practice, I found it really interesting to think about negotiations from both sides of the table. I love the idea of more formally structuring our mentoring program. Perhaps making a written check list of skills  that need to be evolving and learned during that mentoring period,  …[Read more]

What jumps out at me was that some one in the billing department took a vacation in August and September.  The charges were reasonably high during those months but the collections in the following 2 months were way too low.  And they showed back up on October and wrote it all off!

This is why we dumped our billing agency, and now do our b…[Read more]

Its interesting, having recently gone through the negotiation process last year, listening to these lectures. As one of the younger members of the class, my perception (and correct me if I am wrong) is that the younger physicians are starting to be more savvy about this than previously. I have had lots of open conversations with my…[Read more]

Job interviewing and buying a car gives me the same nauseous, viceral feeling. I don’t like either, and that is because both processes have involved tactics that I was not accustomed to. My very first professional job did not have much negotiating. I got a phone call from a non-md who did the hiring; a woman who I later found out did all the…[Read more]

Most frustrating, time consuming problem in my practice is non-unified, unequal productivity allotment. As a private group, the mantra is always, equal work and equal pay. But, t when it comes to counting RVU vs time spent for “work” there seems to be a huge discrepancy. This comes from the non-unity of the group, the us vs them, diagnostic vs IR.…[Read more]