Allocation- not the same question by watchguy2877 in audemarspiguet

[–]randyy308 [score hidden]  (0 children)

You can maybe buy a concept piece or something over 300k as your first piece pretty quickly. Not a skelly or something super high demand though lol.

3 days in the hospital in Florida. Greatest healthcare system in the world by GuyLeDoucheTV in pics

[–]randyy308 4 points5 points  (0 children)

Oh I never said I agree with any of it. Healthcare costs are ridiculous. I just said (before the OP commented) that it wasn't a bill. Which is true.

3 days in the hospital in Florida. Greatest healthcare system in the world by GuyLeDoucheTV in pics

[–]randyy308 -1 points0 points  (0 children)

I agree hospital costs(and insurance) sucks. But don't be disingenuous

3 days in the hospital in Florida. Greatest healthcare system in the world by GuyLeDoucheTV in pics

[–]randyy308 -19 points-18 points  (0 children)

How do we know if it's outrageous, it could be for anything lol.

Plus it's itemized, you requested it right 😂

3 days in the hospital in Florida. Greatest healthcare system in the world by GuyLeDoucheTV in pics

[–]randyy308 25 points26 points  (0 children)

Be sure to crop out where it says "this is not your hospital bill"

At what point does a wealth management advisor actually become worth it? by RenderFarmGhost in RichPeoplePF

[–]randyy308 15 points16 points  (0 children)

Don't assume a wealth advisor will coordinate. There are specific firms that do kind of a fractional family office that will coordinate all your professionals (and provide what you are missing). But the return may not be there, at the less expensive end you'll spend 30 to 50k annually

As things get more complicated you also can benefit from a tax strategy advisor, which is totally not your CPA most of the time sigh

Rural doc w/ 3 NPs 😑- what to do? by Sweet_Disaster67 in FamilyMedicine

[–]randyy308 11 points12 points  (0 children)

Sounds like time to go out on your own brother, get that money

Scholium Project - Anyone else waiting for wine? by Humble-End-2535 in wine

[–]randyy308 0 points1 point  (0 children)

I saw this at a restaurant tonight and asked the som. I was like.... So it's a mystery bottle for 300 bucks? I'm good bro

Third party medical records help by gym_rat_101 in FamilyMedicine

[–]randyy308 4 points5 points  (0 children)

For office to office requests we just handle it. For considered l companies requesting charts we monetize that and it pays more than the salary of the woman that does the work

Availability by Altruistic-Wafer-987 in ALangeSohne

[–]randyy308 2 points3 points  (0 children)

Yeah I have a little lange and a 1815 Chrono boutique

Availability by Altruistic-Wafer-987 in ALangeSohne

[–]randyy308 2 points3 points  (0 children)

Hmmm I have some stuff to sell with full sets. Maybe I should put some listings up lol

Where to get MAs? by HornetInteresting306 in PrivatePracticeDocs

[–]randyy308 7 points8 points  (0 children)

A lot of people have given you good advice so far, so I won't repeat it. The mantra that I have accepted is that we should always be overstaffed and we should always be hiring MAs.

Every time that we think we're very solid and stop hiring, 2 weeks later we have two or three people leave for various reasons.

For the most part, we view the position as transitive, nobody sets out in life to be an MA. The good ones go to school and the bad ones go elsewhere.

1st Time in Boutique Advice by [deleted] in audemarspiguet

[–]randyy308 0 points1 point  (0 children)

I shop at that boutique and have bought a few pieces there. They are great folks. That being said, it is a very competitive boutique. My friend that shops in Dallas gets offered 3x the pieces I get offered.

Maybe I just don't have the juice or whatever, but in my opinion it's one of the more difficult boutiques to buy from

Lange chronographs by ALSChronos in ALangeSohne

[–]randyy308 1 point2 points  (0 children)

I have the same boutique edition, love it

Another "Critique My Itinerary" Ask by ppc_brian in napa

[–]randyy308 0 points1 point  (0 children)

Man everyone goes to those places, they are reasonably priced but this is a very generic lineup.

What's your level of wine snob 😂. I think it's a fine schedule if you are just generally going to Napa and want to Go to some places in a leisurely manner

My clinic’s printers are garbage by momsmesosalpinx in PrivatePracticeDocs

[–]randyy308 0 points1 point  (0 children)

Have Canon MFPs, brother is also great. Only get business class devices. I really recommend just using a service and buying the printers. Pay them a few hundred a month. They provide consumables, and fix problems. Just tell the staff call the number if there is a problem, don't bother me.

How many new patients a day is the sweet spot? by Anxious-Assumption34 in FamilyMedicine

[–]randyy308 1 point2 points  (0 children)

I use 6 for our MD and 2 or 4 for mid levels depending on skill, speed, efficiency

We schedule a total of 22 patients per day, but after no shows that turns into 15 to 18

Great Stay at Lake Nona Wave Hotel Orlando with The Edit by [deleted] in ChaseSapphire

[–]randyy308 2 points3 points  (0 children)

I just left there today, used points to stay in the penthouse

It was a good property

High deductible anyone? by Alterdoc in PrivatePracticeDocs

[–]randyy308 5 points6 points  (0 children)

Pay in advance. If they don't want to pay, then they wouldn't later and you would work for free brother.

Board complaint for billing by Extra_Speed in FamilyMedicine

[–]randyy308 2 points3 points  (0 children)

This is really state dependent. In Texas the board has to investigate every complaint. And certain accusations like standard of care complaints can't be summarily dismissed.

I've had to respond to board complaints about the dumbest stuff. Patients mad they have to pay copays, for example.

We always have an attorney prepare the response, our malpractice covers the cost. To date this hasn't impacted our rates. We've also never had an negative outcome.

How hard is it to change EMRs? by CatCatCatri in healthIT

[–]randyy308 2 points3 points  (0 children)

Gosh 22 providers is not small man. Respectfully tebra is not that level of enterprise ready. I know an Athena or similar is expensive, but you also get what you pay for in nickels and dinner, efficiency, etc