Re: Ethics of billing for asst. fees while a resident

by podiatrist (no login)

 
Perhaps, the answer can be gleamed from other disciplines. Do
medical doctor residents bill as assistants when they are in theater ? I am aware that Dentists in some parts of the US do not even have to perform task as a resident so I believe they bill out uniformly as their peers.

We should be uniform across the board with billing; however, the reality is the insurance companies are not uniform. Example: I perform wound care debridement and bill out at an acceptible CPT code and the general sx or the plastic sx bills out with the same code----I believe the real doctor collects more!!!!

The problem with resident salaries is an ungoing problem. My salary was $15,000 gross for 12 months and then WOC for 12 months. So 7,500 per year 20.54 dollars a day 85 cents an hour if you count 24 hour a day ER call for 2 years. I do agree the council should review the salary issue. (We both know they are not going too). They have made great accomplishments with CASPR and Crips but problems still persist.

Another sign of the times is found in the admissions to the colleges of Podiatry-for years the practicing podiatrists voiced concern that the pie was to small and we should limit class size. Some schools listened--on the other hand 4 schools arrive on the scene over the last 15 years. Review the class sizes they over the last 3 years they were steady but this year enrollment is up more spots opening up. College admissions translates to dollars even if some one fails out.
Money rules all aspects--some would like to us to believe we got into this profession for noble reasons. If you did not get into this profession to make money then consider another profession.

Podiatry is a business. If you are not selling items either front end OTCs or using your suppliers number for DME items to maxize your investment dollars (you are missing the boat). Life as is our profession is a balance sheet $$ in - $$$$ out =profit. So how can you blame the residency directors for paying what they consider is a fair salary ? Examine what the salary for an associate is from state to state. The days of $150,000 pay check are long gone for the majority of podiatrists in US.

Posted on Oct 31, 2004, 3:39 AM
from IP address 216.79.73.226

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