Practice Management

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  • 1.  Interventional call pay

    Posted 05-14-2020 19:07
    Would love to hear thoughts on "Fair Market Value" for an Interventional radiologists to carry a beeper.  I feel so bad they have to get up in the middle of the night, I want to carry a beeper as well and come in with them to help. 

    We hire out to Vision Radiology for other call.   I thought if it gets too bad, maybe we could just hire out the entire Interventional call. 
    Since I personally don't have to carry the beeper, I don't want to even contemplate what it would take to stand in their shoes.  But would like to know if others have set a dollar figure on this.  I said instead of paying a semi substantial amount for someone to be on call every night and if they beeper goes off they likely are upset:  maybe we just pay $2000.00 or $3000.00  to anyone if they have to come in.  And see who wants to volunteer to carry the beeper. 

    If anyone wants to share how you cover this or how you think through this, please respond her or text  or call: Gayle  843-475-3931.

    Thank you,
    Gayle Schreier,  MBA
    Business Manager, Roper Radiologists
    Charleston, SC

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    Gayle Schreier MBA
    Business Manager
    Roper Radiology
    Charleston SC
    (843) 724-2015
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  • 2.  RE: Interventional call pay

    Posted 05-15-2020 08:16

    Hi Gayle

     

    I think FMV is going to vary depending on how busy call is.  Ours is pretty busy, and we are in the process of making changes so that it will be a standalone shift separate from the workday about half the time.  For context, almost all of our radiologist comp is based on the number and types of shifts worked.

     

    We have historically paid about 30% of the rate we would pay for a work day (which works out to around $750) for a weekday evening/night call.  After concluding that the rate was too low in part because no one would ever take one voluntarily to make extra money, we're going to double that rate soon.

     

    We have paid 140% of a diagnostic weekend work day (about $4250) for a 24 hour weekend or holiday call.

     

    Hope this helps.

     

    Dave

     

    David Smith, FACMPE  |  Executive Director  |  785.393.8387

    5800 Foxridge Dr.  Ste. 240 |  Mission, KS  66202  |  www.uickc.com

     




    Original Message


  • 3.  RE: Interventional call pay

    Posted 05-15-2020 09:47
    Hi Gayle,

    In my prior life, I was as healthcare FMV compensation analyst before joining our radiology practice. I would echo what Dave said about intensity being the biggest factor. If you are talking about an internal beeper rate within your group vs. a hospital call subsidy, those discussions themselves vary on different factors. Some hospitals will not pay specialists for call coverage on principal and it becomes a larger contract discussion. The general benchmarks I saw in the market for beeper availability (excluding clinical billings) used to range roughly from 10-25% of a clinical hourly rate.

    However, before you pull a number from a survey or the market in general, keep in mind that there are several variables that are at play. FMV for call coverage payments has two major components:

               (1) Payment for physician availability (or paying an option on the physician's time)
               (2) Payment for risk of uncompensated care

    These components are impacted by several factors: intensity (or business), frequency/rotation, payer mix, community need, and physician qualifications. Here are a couple of blogs from some of my former team members that go into more detail on call factors and considerations:

    https://blog.hornellp.com/healthcare/6-questions-to-ask-when-assessing-a-physician-on-call-arrangement

    https://blog.hornellp.com/healthcare/valuation-issues-abound-in-physician-emergency-on-call-pay

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    Schaeffer Smith, MPH, CPA
    Administrator
    Comprehensive Radiology Services, PLLC
    Hattiesburg MS
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    Original Message


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