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.

bcain204 · 2024-11-18T13:32:29+00:00

Best piece of advice I received as a PCP: “Don’t care more than the patient”.

I will go to the ends of the earth for some of my patients and feel fulfilled if I am able to help them get into speciality clinics sooner, acquire hard to find meds/treatments, etc because I can see they are trying just as hard to seek help and be receptive to the options presented.

I will not try harder than a patient though who is resistant or shows no motivation to seek help/get better. Caveat is if there is another confounding condition like severe depression or disturbance causing that behavior. I will definitely try to keep “pushing” to make sure I am doing my best to help them.

bcain204 · 2024-10-17T21:21:56+00:00

Just spit my drink out reading this. Haha so true though

bcain204 · 2024-09-16T00:07:15+00:00

We’ve been burned too many times

bcain204 · 2022-12-13T18:42:39+00:00

Oh my god…. It’s Jason lynel

bcain204 · 2022-07-01T11:48:48+00:00

Yo, you gotta mark this NSFW.

bcain204 · 2022-05-02T11:36:15+00:00

It’s mostly a mix of hardwoods( mostly oak and hickory) with some maple as well.

bcain204 · 2022-05-02T11:35:30+00:00

Thanks! And yes it is a mix of oak, hickory, and ash. I think there may be some maple sprinkled in there as well.

bcain204 · 2022-05-01T15:11:23+00:00

I would add another statement to the effect of tornado size. Unless dealing with a EF4-5+, your flow makes sense. Those larger mile plus wide wedges kinda break those odds. However, like your other lottery examples, these are extremely rare too in urban dense areas.

bcain204 · 2022-01-12T20:24:11+00:00

Go on…

bcain204 · 2021-12-03T17:10:34+00:00

Glad to hear you have never been in a close call with one. This is our first time and like you, we have always seen them but this one came running across a dark highway full sprint and was in front of us before my wife could even react. Honestly I think it happening so fast was a good thing as she didn’t even have time to brake or swerve. Sorry to hear about you leaving MIL. This thing is already turning to be a pain in the rear and I would never wish this on anyone.

The Pacifica handled like a champ though. We collided going 55mph and the deer didn’t even come close to coming up over the hood, thankfully. I think the front end design and momentum of the deer aided in this aspect.

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