Practice Management

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  • 1.  Creative Structuring for group considering adding Rad position that would be JUST remote reading

    Posted 12-05-2023 18:44

    Good afternoon all,

    Anybody recruiting over the past couple of years I know is experiencing the same issues (not enough rads, plenty of positions, etc).  I am NOT asking for $$ or specific compensation information -- but rather asking for anybody who is considering or has been successful in bringing on a position that will ONLY be remote reading while the existing group members are all local and on-site as needed to please share their thought processes and what they may have looked at on the way such as % breakdowns (ie, remote reader is considered XX% of an on-site position), additional % for call positions, etc..

    We are looking at all scenarios, but this is all new territory for myself and our Administrative Manager, so picking brains for out of the box ideas and things we may NOT have thought of.

    Thank you in advance for your time and ideas.



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    Michelle Juette
    Business Services Manager
    Treasurer, WSRBMA
    Yakima Valley Radiology
    Yakima WA
    (509) 961-1776
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  • 2.  RE: Creative Structuring for group considering adding Rad position that would be JUST remote reading

    Posted 12-07-2023 15:32

    Michelle, I complete understand the question. However I have not been lucky enough to face needing an answer. Our remote reader options have all wanted to be 1099 contractors that request per day or production-based pay.  I haven't had enough interest to be able to dictate terms at all. They apply as basically this is my offer of when and where I will work remotely and the group accepts those terms or not. We know our approximate break-even on a per day basis and work with that in making decisions. We have discussed disallowing remote 1099 readers from finalizing pre-lim exams and I know some groups expect higher RVU targets when radiologists are working remote shifts (due to fewer interruptions during the work day).

    I hope that soon we will see some market adjustments and then I'll feel fortunate that this is again an issue I need to investigate further.



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    Janet E. Hoffman, LLC
    Vienna VA
    571-295-4550
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  • 3.  RE: Creative Structuring for group considering adding Rad position that would be JUST remote reading

    Posted 12-08-2023 10:54

    Hi Michelle! 

    I work with one group who has done this in the last year. There was a lot of what Janet described where the candidates name their price and/or what they'll do - and essentially say take it or leave it. The rads that DID come on with that group came on as independent contractors - one paid per RVU and one paid at a % of collections. The hospital provided the workstations, and the group paid malpractice. It's hard to stay really competitive without losing money on these deals when there are job offers out there offering a significant amount of money on top of sign on bonuses, paid insurance, CMEs, etc. We feel your pain! 

    Another of our groups has done this but with a night swing shift position. That is still new, but they really lucked out on a few of the remote readers they found - one of whom actually already knew one of the group's partners. That group has these positions structured as employee positions where the rads are paid a salary, workstations/benefits/malpractice provided. 

    We know this is a struggle everywhere and have actually worked with a group of rads on another solution. Reach out to me anytime and I can discuss that one with you further! 

    Julia Varner
    Catalyst Billing Solutions

    Director of Operations
    A: 5707 Jenny Lind Rd. Fort Smith, AR 72908
    P: 479.242.3321 F: 479.242.1990
     



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    Julia Varner
    Director of Operation
    Radiologists, PA
    Fort Smith AR
    jmatthew@radpa.com
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  • 4.  RE: Creative Structuring for group considering adding Rad position that would be JUST remote reading

    Posted 12-08-2023 11:59

    Hi,

    I think this is a great thread and something we are all struggling to navigate.  I have a related question.  Can anyone point me in the right direction to find a dollar amount associated to RVUs?  We are looking at this for some of our compensation considerations for remote radiologists.

    Thank you in advance,

    Heather



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    Heather Rady
    Chief Operating Officer
    Radiology Associates of Ridgewood, PA
    Waldwick NJ
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  • 5.  RE: Creative Structuring for group considering adding Rad position that would be JUST remote reading

    Posted 12-08-2023 12:18

    Hey Heather! 

    We have had trouble finding any solid guidance on what that number should be. And the telerad recruiting world seems to be turning into the wild west more and more every day, allowing that number to be ever-changing as well. 

    One of our groups decided on the $/RVU to pay their remote rads by looking at what they collect themselves, which we pulled from our Imagine software reports. 

    We also work with a few telerads and have been keeping an eye on the market from job postings and what their peers are doing - but that is also constantly changing and has revealed an insanely wide range. We have seen some of the big telerad companies that are paying their rads in the $30s per RVU, to some other (much rarer) offers that are as high as $70.  You'll also have to consider what other benefits your group is paying for - malpractice, workstation, insurance benefits, retirement, etc. 

    I know that is not a solid answer, but I hope it helps give some direction! 

    Julia



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    Julia Varner
    Director of Operation
    Radiologists, PA
    Fort Smith AR
    jmatthew@radpa.com
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