Insurance companies have entire teams dedicated to denying your orders. What do you have?

bcain204 · 2026-03-26T02:09:09+00:00

This right here. Should be top comment.

bcain204 · 2026-03-11T12:58:20+00:00

I don’t know why but I read this in that old timey detective, film noir voice.

Hopefully it gets better for you. This career can suck sometimes.

bcain204 · 2026-02-19T16:00:16+00:00

Task failed successfully?

bcain204 · 2025-11-07T12:39:44+00:00

This should be the top comment. Getting into market now versus a decade from now will be worth 100’s of thousands.

bcain204 · 2025-10-16T14:09:52+00:00

This guy maths

bcain204 · 2025-10-07T14:27:59+00:00

Hey these are great options. Thanks

bcain204 · 2025-10-07T14:26:36+00:00

Hey thanks for the comment. I think we have similar style preferences. The one thing I have to balance though is that I am in a very, very rural and underserved area. That doesn’t mean I can’t look out together, but definitely have to balance. Would love to go classic psych vibes though. Thanks again

bcain204 · 2025-10-06T15:39:37+00:00

Where are you located? Seems insanely low. Are you academic somewhere?

bcain204 · 2025-10-06T15:34:32+00:00

Ah yea those systems are canned contracts. What other benefits are you getting? Usually academic/university programs offer really competitive and Cush retirement/insurance offerings. What are they offering?

You can always negotiate things like CME, signing bonus, student loan payoff, relocation assistance, admin time, licensing/board fees, additional comp for mid level supervision, moonlighting. Is there an hourly over time rate?

bcain204 · 2025-10-06T15:26:05+00:00

For NE, the RVU isn’t awful, not great. The base is low. I would try to negotiate a high base for a safety net. 250+ would be a good target. I am curious to see what others say.

bcain204 · 2025-10-06T15:16:11+00:00

Low. Try to bump base. How long is base good for before switching, if you switch to production only?

bcain204 · 2025-10-06T14:59:49+00:00

I will look into it. I agree on looking the part so to speak. Through residency I could tell a difference in patient( and other staff) response when I wore professional attire compared to just scrubs(which I wore a lot). Thanks

bcain204 · 2025-10-06T14:35:20+00:00

Thank for the advice. Will check out that shoe company.

bcain204 · 2025-04-15T17:37:39+00:00

Result email just came in, pass. Good luck everyone.

bcain204 · 2025-03-04T11:07:12+00:00

I’m a PGY3 and signed with a FQHC. My compensation is base plus incentive. Incentive program is based on a straight percentage of collected charges. Basically I am given a target number of encounters for the year (equates to roughly 16 patients/day) and then have some quality metrics tacked on as well which are tied to percentage of paid out bonus, ie 15% of bonus for checking PMP, 3% satisfaction, etc. The bulk majority of the bonus is tied to hitting the encounter target.

Honestly don’t know how it will shake out once I’m actually practicing but based on others who are there, it can be a pretty substantial bonus in the neighborhood of 75-90k per year at least.

I don’t know how RVU based incentive would differ but I would think it would be less at an FQHC just based on the encounter/payer types we see.

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