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  • Need Prelim telerad company with good TAT

    Posted by cedrimedic_752 on March 23, 2023 at 12:49 pm

    So the telerad company my PP group contracts with has been pretty dismal with TAT for the last, say, 6 months or so.  I will keep them nameless but it is one of the bigger boys.  
     
    They improve for a week or so, then the bottom falls out again.  TAT of 3 hours many nights.  Our ER is not happy.  Many complaints to admin.
     
    Anyone have any suggestions of who we can look at if a switch is necessary.  Bread and butter ED cases.
     
    Thanks.  

    150902sflores_855 replied 1 year, 6 months ago 9 Members · 17 Replies
  • 17 Replies
  • farzadahmadimedrn710_43

    Member
    March 23, 2023 at 12:55 pm

    pay me to do your nights. 750/hr.

    • gmail.com

      Member
      March 23, 2023 at 1:49 pm

      pesos?

      Quote from bluedeep

      pay me to do your nights. 750/hr.

  • gmail.com

    Member
    March 23, 2023 at 1:52 pm

    Good luck.  In the same boat but w/ final reads.  Heck would do prelims too.   Let me know if you find someone.
     
    Wondering how all this plays out in the next year or 2?   Does this become the new normal?  What if the exception becomes TATs that are 30min or better?    What if patients start flocking there and then their TATs go into the toilet also?
     
    When do we expect the pain to end?

    Quote from Hal2001

    So the telerad company my PP group contracts with has been pretty dismal with TAT for the last, say, 6 months or so.  I will keep them nameless but it is one of the bigger boys.  

    They improve for a week or so, then the bottom falls out again.  TAT of 3 hours many nights.  Our ER is not happy.  Many complaints to admin.

    Anyone have any suggestions of who we can look at if a switch is necessary.  Bread and butter ED cases.

    Thanks.  

    • ipadfawazipad_778

      Member
      March 23, 2023 at 1:57 pm

      2-3 hrs is the new normal.  ERs should get used to it.  Might motivate them to not order useless exams.   So many calls for CT A/P from ER just wanting a prelim, “I’m not worried about anything,  I just ordered it and need a preliminary negative before I can d/c patient.”   
       
      “Nice thing you ordered it, I was thinking about buying a bigger yacht because there’s really no other reason to do it!”
       
       

      • farzadahmadimedrn710_43

        Member
        March 23, 2023 at 2:06 pm

        I can promise 10 min TAT and 15-20 rvu an hour. But itll cost you 🙂

      • gmail.com

        Member
        March 23, 2023 at 2:14 pm

        you should recommend extra studies just to rule it out and make sure we are not missing anything not covered by the CT abd pelvis.   God forbid you do an H&P or physical exam.

        Quote from AKOMAN

        2-3 hrs is the new normal.  ERs should get used to it.  Might motivate them to not order useless exams.   So many calls for CT A/P from ER just wanting a prelim, “I’m not worried about anything,  I just ordered it and need a preliminary negative before I can d/c patient.”   

        “Nice thing you ordered it, I was thinking about buying a bigger yacht because there’s really no other reason to do it!”

        • btomba_77

          Member
          March 23, 2023 at 2:22 pm

          Tough ask
           
           
          Telerad companies that have successfully managed this tight labor market *and* kept TATs in decent shape have mostly cut their client lists to do it…
           
           

          • afazio.uk_887

            Member
            March 23, 2023 at 2:52 pm

             
            Telerads is basically a necessity for small groups.  Small groups would quickly collapse if they had to cover their own nights.  This is a vulnerability in the small groups that will no doubt be exploited by the business types in Rads. 

            • Unknown Member

              Deleted User
              March 23, 2023 at 3:32 pm

              Some groups have become too dependent on outside coverage.
              If your coverage group said we want to increase our price by 30%, what would you do? Under the assumption its unlikely you could replace them in the near future.
              Would you be forced to pay?

              • Unknown Member

                Deleted User
                March 23, 2023 at 3:37 pm

                Also, with long tats and unreliable coverage, being a chairman or qi director must be a nightmare. It all rolls on you.

            • gmail.com

              Member
              March 23, 2023 at 4:19 pm

              If the small group got swallowed up or their contract was acquired by the PE rad group or mega priv practice group, it’s not like those groups have rads just sitting around and waiting for cases.  On the one hand, you lose control as a small group but then the stress of finding coverage vanishes and now it’s someone elses problem.

              Quote from Waduh Dong

               
              Telerads is basically a necessity for small groups.  Small groups would quickly collapse if they had to cover their own nights.  This is a vulnerability in the small groups that will no doubt be exploited by the business types in Rads. 

              • btomba_77

                Member
                March 23, 2023 at 4:45 pm

                Quote from PPRad

                If the small group got swallowed up or their contract was acquired by the PE rad group or mega priv practice group,[b] it’s not like those groups have rads just sitting around and waiting for cases.[/b]  On the one hand, you lose control as a small group but then the stress of finding coverage vanishes and now it’s someone elses problem.

                Quote from Waduh Dong

                Telerads is basically a necessity for small groups.  Small groups would quickly collapse if they had to cover their own nights.  This is a vulnerability in the small groups that will no doubt be exploited by the business types in Rads. 

                 
                Actually, for nights, many do.
                 
                Many groups that have their own fully staffed internal night group don’t have enough RVUs to support the work of that group.  They do it to provide service and it runs at a loss.
                 
                Our night guys would probably love a pile of bread & butter ED simple cross-sectional to be added on.
                 
                 

                • gmail.com

                  Member
                  March 23, 2023 at 4:48 pm

                  “bread & butter ED simple cross-sectional”
                  Cases are getting more complex b/c more and more patients are showing up sicker with more advanced disease.
                   

                  Quote from dergon

                  Quote from PPRad

                  If the small group got swallowed up or their contract was acquired by the PE rad group or mega priv practice group,[b] it’s not like those groups have rads just sitting around and waiting for cases.[/b]  On the one hand, you lose control as a small group but then the stress of finding coverage vanishes and now it’s someone elses problem.

                  Quote from Waduh Dong

                  Telerads is basically a necessity for small groups.  Small groups would quickly collapse if they had to cover their own nights.  This is a vulnerability in the small groups that will no doubt be exploited by the business types in Rads. 

                  Actually, for nights, many do.

                  Many groups that have their own fully staffed internal night group don’t have enough RVUs to support the work of that group.  They do it to provide service and it runs at a loss.

                  Our night guys would probably love a pile of bread & butter ED simple cross-sectional to be added on.

                  • dwinn5

                    Member
                    March 24, 2023 at 7:24 am

                    what state do you need coverage for ?

                    • gmail.com

                      Member
                      March 24, 2023 at 11:09 pm

                      California
                       

                      Quote from TechNerd

                      what state do you need coverage for ?

                    • 150902sflores_855

                      Member
                      March 25, 2023 at 5:05 am

                      Anyone familiar with essential radiology?

      • buckeyeguy

        Member
        March 23, 2023 at 3:51 pm

        Quote from AKOMAN

        2-3 hrs is the new normal.  ERs should get used to it.  Might motivate them to not order useless exams.   So many calls for CT A/P from ER just wanting a prelim, “I’m not worried about anything,  I just ordered it and need a preliminary negative before I can d/c patient.”   

        “Nice thing you ordered it, I was thinking about buying a bigger yacht because there’s really no other reason to do it!”

         
        Post of the day. Love it.