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05/10/2024
RESPONSES COMMENTS (NON-CLINICAL) - PART 1 A
From: Lawrence Rubin, DPM, Ivar E. Roth DPM, MPH
I agree with Dr. Udell's advice that any of our colleagues thinking about transitioning to "direct pay" discuss this with their accountants and family members before taking on the risk. I also suggest that if the main reason for transitioning to direct pay is eliminating the burden of dealing with insurance claims hassles, give careful consideration to outsourcing all coding, documentation, billing, and practice marketing functions to one of the many excellent, full-service revenue management companies that are expert in podiatric business management. This can eliminate the stress and usually results in maximal return on investment.
Lawrence Rubin, DPM, Las Vegas, NV
I just read Dr. Udell’s post and would like to add some context. From my perspective, only about 5 to 10 percent of podiatrists are cut out to be direct care practitioners. It requires tremendous effort and will to succeed. One must think long-term to be successful. When I started, I took an 80% income cut and it took years to catch up to the old insurance days, but day by day things progressed until I had a very successful direct care practice. I say that this type of practice is not for the faint at heart but in the end, it is well worth the investment if you have the will to succeed.
Ivar E. Roth DPM, MPH, Newport Beach, CA
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