This thread is truly the RBMA community living out the value of progress through sharing! @Dianne Keen @Janinne Walker I would be happy to help collaborate on this representing multiple independent practices and participate from an RBMA board liaison perspective to see how the board can support!
Original Message:
Sent: 08-02-2024 10:08
From: Dianne Keen
Subject: small practices working together
Hi Everyone -
Shaeffer and group - yes, and great idea about national meetings.
@Janinne- yes! - let's make this happen for April.
We will discuss this idea in our Paradigm session planning meetings! Thank you!
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Dianne Keen , FRBMA
Vice President, Strategy & Growth
AbbaDox
cell 478-957-9777
Original Message:
Sent: 08-01-2024 18:50
From: Janinne Walker
Subject: small practices working together
Small group meetings at events are a great idea! RBMA is currently working on the speaker selection for Paradigm. It might be an excellent time to see if they can carve out some time for the small group meeting. I would be happy to help facilitate this happening.
Janinne Walker
SVP Business Development & Sales
Cell: 206.293.6784
Original Message:
Sent: 8/1/2024 4:50:00 PM
From: Schaeffer Smith
Subject: RE: small practices working together
I love seeing the excitement around small group collaboration, and I agree with David's caution to avoid splitting off into a new entity or separate collaborative which will ultimately limit our communication further. Over the years I've found that we've got some amazing resources within this group who are willing to share ideas while keeping us in line on compliance issues.
I think Anthony had a great idea looking to RBMA to provide some more focus in this area. Our group has 19 radiologists in rural MS, and I'd be interested in what ideas this group has as to what that might look like. Should national events have a "small group" roundtable or specific networking event? Are we interested in quarterly roundtable webinars? "How to" toolkits? etc.
I'm looking forward to hearing other ideas to keep this energy within our great organization.
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Schaeffer Smith, MPH, CPA
MPH, CPA
VP Finance & Operations
Comprehensive Radiology Services, PLLC
Hattiesburg MS
Original Message:
Sent: 07-25-2024 12:22
From: David Smith
Subject: small practices working together
This is what RBMA is all about. I would submit that there are very few challenges unique to smaller practices, though their options for addressing them may be different. Of course, we have to be careful to stay within the law in terms of collaboration.
If you're in a small practice, or a large one, post your issues here, or bring them to RBMA conferences to talk them over. Chances are you will hear from someone who has dealt with it, or at a minimum you can connect with others who have the same challenge and collaborate to tackle it. I can say that over the 24 years I've been an RBMA member, that approach has served me well.
I would caution against creating too many different channels for communication and collaboration. I believe that tends to limit collaboration and exposure to new information, which is generally not in keeping with the spirit of progress through sharing.
Dave
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David Smith FACMPE
Executive Director
United Imaging Consultants
Mission KS
Original Message:
Sent: 07-25-2024 10:31
From: Rob Saunders
Subject: small practices working together
Hello:
I've been working with independent radiology groups since 1989 nationally and yes, have witnessed numerous groups being forced to dissolve their corporations after going through the "death spiral" whereby key members of the group depart for higher-paying positions with a better lifestyle. In the meantime, the group is unable to recruit since their comp/benefit package is no longer competitive, leading to more departures. The death spiral can be swift and absolute. Consequently, we've been working nonstop for the past 2-3 years with those surviving groups securing significant subsidies from their facilities (often in the millions) - often both for the diagnostic and IR components. Sometimes, these subsidies take the form of the facility reimbursing the group for say, teleradiology coverage.
My advice (and as in the case with my friend, Keith Chew, am not looking for any consulting work) is as follows:
1. Ensure your billing operation/vendor is operating optimally;
2. Ensure you are being paid accurately including when MPPR rules apply. Payment inaccuracies are more common than one would think;
3. Attempt to negotiate higher rates with your commercial payers and you should ignore anyone who tells you payers are unwilling to offer at least minimal increases. I've only done about 1,000 negotiations in my career and while the NSA has certainly made it more difficult to secure reasonable increases, payers are typically (but not always) willing to offer at least nominal increases.
3. Develop a fact-based proposal for financial support from your facility(ies.
That's it.
Thanks.
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Original Message:
Sent: 7/17/2024 5:22:00 PM
From: Joseph Verderaime
Subject: RE: small practices working together
Linda,
This is a great post. We also are a small practice who work to serve our community with excellence and personalized services. There are a couple of groups we have come into contact with locally and beyond who often have larger affiliations. I often think the collaboration and common opportunities small practice like each of ours face is not necessarily solved by large conglomerates in a manner conducive to preserving what matters most to our practices. Often, the collaboration really depends on a common pain point. Solving for one pain point at a time in a methodical collaboration seems prudent. I would love to connect with more small practices of single physicians up to 12 radiologists. Let's establish a small think tank of opportunists who are out to beat the status quo of conglomeration. We are in a day and age where innovative thinking may provide plenty of opportunity to maintain our respective identities. Please let me know if you are interested. Linda and Keith what are your thoughts on us all working together to bring small independent practices together?
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Joseph Verderaime
CEO/COO
Cheyenne Radiology Group
Cheyenne CO
307-631-8519
Original Message:
Sent: 07-17-2024 13:52
From: Keith Chew
Subject: small practices working together
Linda – Yes. There are a number of practices across the country that have successfully established collaboration activities. I am not trying to sell my consulting services here, but I want you to know there are approaches that have been proven successful. I am happy to talk with you in the spirit of "Progress Through Sharing" if you would like. Just let me know.
Keith E. Chew, MHA, CMPE, FRBMA
Principal
Consulting with Integrity
217-971-5293
Original Message:
Sent: 7/17/2024 1:10:00 PM
From: Linda Bush
Subject: small practices working together
We are a small hospital based, private practice of 6 rads. Like so many small practices, we struggle to recruit, compete with salaries and keep up with the hospital demands for turn around times. We've put certain Band-Aids in place which have really helped us to continue forward and remain independent. So far so good. But almost weekly, I hear stories of groups just like ours, and often times twice the size, closing their doors. Former employees have reached out to say their new practice is closing or thinking about closing or that their hospital wants to employ them. I feel like there should be ways for groups like ours to help each other. The overall concept is simple but the logistics of actually making it happen are very complicated. Does anyone have experience in successfully collaborating with other groups? I would love to speak with you about your experience. Our industry in changing and we (small practices) all need to think outside the box in order to move forward.
Thank you!
Linda
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Linda Bush
Business Manager
Radiology Associates of Wyoming Valley
Dallas PA
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