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Billing and Financial

Next Reply: Re:Hospice medical director contract
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Post Hospice medical director contract
Author: MarkDay
Date: Sep 7, 2008 9:34 pm
I am an internist. About 9 months ago I agreed to volunteer as the hospice medical director in the small county where I live. We typicaly have about 10-12 patients on hospice at any one time. My responsibilities include going to a monthly meeting, signing careplans, being available 24/7, and occasional home visits. I do about one visit every month or two. I am not doing this for the money. I was a nurse for many years before I started medical school, and I always felt drawn to hospice patients. Yet, I do believe I should be paid something for my labor. Up until now I have been paid zero. What should I ask for my responsibilities here? I am not certified, but I would like to be. I am, however a creative thinker on how to manage pain and other medications and quite honestly the best physician for this job in my little county because I have the disposition to deal with these patients and their families. Please give me your thoughts. Thank You, Mark Day
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Re:Hospice medical director contract (by Kathy_Rousset on 09/08/2008)
We, too are a small hospice. Our census is about double yours. Our Medical Director is paid a flat monthly fee for attending the care planning meetings and providing 24/7 backup for the attending physicians. We have a contract with a second physician for times when the Medical Director is out of town. Any patient visits he does for hospice clients are billed at his routine office charge and are in addition to the monthly fee. His office provides billing for both the routine fee and client visits.

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