-
Reading in motorhome or RV
Set aside the ‘state medical license’ issue, does anyone know someone who has a reading station set up in a motor home/RV and travels around the country reading remotely?
Would it be possible? Biggest I think would be high speed internet connection. Second would be crossing state lines. Now with covid allowing more people to read off site, maybe it is more laxed.
Think of visiting the national parks in a motorhome and dictate a few hours during the week. the rest of the week you can enjoy the visit. Then on to the next site etc.. I think it would be a pretty neat way to see the country. While you work, the family can go site seeing or hike/etc.. -
30 Replies
-
Removed due to GDPR request
-
You need to be licensed where the study is done, not where the RV is parked. If your company wanted to bill for primary reads on Medicare patients, that would be near impossible to implement.
Higher end RV parks have wifi across the property, but you can’t rely on it. Depending on how you are hooked up to the mothership, you could get away with a LTE cellphone connection, but that may not help you in a national park or other remote site. Satellite would probably not provide enough bandwidth. There is lots of intelligence on this on RV forums. You could probably find out in advance which parks have good connections .
-
“Think of visiting the national parks in a motorhome … I think it would be a pretty neat way to see the country.”
Some of my best vacations- National Parks.
Would bag the work part.-
Biggest thing would be consistent dependable internet connection
-
Starlink should be rolling out this year for the public and should be able to handle the speeds.
-
If you can afford to only need to work a few hours a week, you probably can afford to just fully retire at this point. Enjoy your travels instead of stressing about WiFi
-
If you can afford to only need to work a few hours a week, you probably can afford to just fully retire at this point. Enjoy your travels instead of stressing about WiFi
-
Not to crash OPs dream job, but there have been thefts and RVs broken into , especially remotely and more so with recent job losses. The RV stories have been making rounds in all magazines and newspapers and is the current fad.
-
Imagine the confusion of a guy who breaks into a radiology rv and sees a giant barco moniter, headset and whole setup. Hell probably think hes stumbled into some cia surveillance thing and panic
-
I have had similar discussions with my own brain … except it would be in a sail boat.
And every time I get back to “more hassle than it’s worth”-
Good luck to the thief who thinks he can carry a Barco by himself
-
I’m not FI yet so can’t just go and travel yet. I need some play money. I figure I could work a few shifts a month to pay for the trips and leave the investment money to grow.
Just thinking about it. We are the only specialty that can even think about this. Surgeons? definitely not. Maybe consult medicine? Now with telemedicine, you could set up one in an RV and remotely advice and see patients. -
not worth the hassle. it’s not only about reading cases, it’s calling in abnormal results, calling the tech to send additional images, and hoping you don’t make a mistake that upends your career while reading in less than ideal situations.
-
Quote from rayZor
not worth the hassle. it’s not only about reading cases, it’s calling in abnormal results, calling the tech to send additional images, and hoping you don’t make a mistake that upends your career while reading in less than ideal situations.
wonk wonk wonk!!
-
Quote from rayZor
not worth the hassle. it’s not only about reading cases, it’s calling in abnormal results, calling the tech to send additional images, and hoping you don’t make a mistake that upends your career while reading in less than ideal situations.
^^^ Very true.
-
Primary reads on Medicare patients would be a problem.
I worried about this too. But how would they know your location?
-
Quote from jimbob899
Primary reads on Medicare patients would be a problem.
I worried about this too. But how would they know your location?
The feds put a radiologist in prison based on his airline records. They managed to prove that he was signing thousands of reports while airborne (before the days of on-board wifi).
Its not an issue until it is. Medicare doesnt go out looking for violators. Where this usually comes up is if your former assistant office manager (you remember, the one you fired) files a qui-tam lawsuit and the feds decide to seal and enter it. One rad fudging the location of his reads to avoid paperwork hassles is unlikely to raise attention. 10 rads for 3 years may.
-
Gotcha. Thanks for the explanation.
-
Quote from jimbob899
Primary reads on Medicare patients would be a problem.
I worried about this too. But how would they know your location?
I have been told that medical facilities log the IP address when you log onto the network.
-
Quote from knightrider
Quote from jimbob899
Primary reads on Medicare patients would be a problem.
I worried about this too. But how would they know your location?
I have been told that medical facilities log the IP address when you log onto the network.
VPN can get around that btw. -
Any advancements in reading from space stations? I could imagine potential WiFi interference caused by comets or cosmic rays. Also, can you be sued in outer space? I assume it would be hard to find a complete jury right? -
Quote from ztune
Quote from knightrider
I have been told that medical facilities log the IP address when you log onto the network.
VPN can get around that btw.
What you can’t get around is the administrative subpoena the HHS-OIG will issue for your cellphone and credit card records to substantiate your whereabouts.
Again, nobody cares until you get caught up in some larger investigation and you are not likely to get caught up in that as long as you keep a low profile. -
I have a friend who started doing telederm. He got set up with a few sites and wrote some code to refresh the waiting room and add new patients to his queue without having to do it manually every 30 seconds. I don’t remember what the TAT requirement was… maybe an hour or 2. $50/consult. All on his iPhone.
-
[Deleted by Admin]
-
[link=https://jul.com/]https://jul.com/[/link]
-
Quote from peehdee
Just thinking about it. We are the only specialty that can even think about this. Surgeons? definitely not. Maybe consult medicine? Now with telemedicine, you could set up one in an RV and remotely advice and see patients.
Yes and no. If you are a PCP with current ACLS/PALS there are lots of options to go around the country doing locums in places like IHS and VA facilities. We are much more tied to a ‘job’ than a rounded FP or internist who can do ER, hospitalist or PCP assignments. Work three weeks, travel a month, happily homeless.
-
-
-
-
-
-
-
-
Quote from fw
If your company wanted to bill for primary reads on Medicare patients, that would be near impossible to implement.
I’m not traveling but would like to know the rules for out of state reads, thanks!-
Quote from rad121
Quote from fw
If your company wanted to bill for primary reads on Medicare patients, that would be near impossible to implement.
I’m not traveling but would like to know the rules for out of state reads, thanks!
You are supposed to submit the claims to the medicare contractor where you provide the service. Easy enough to do if your home workstation is in one place, your billing company just changes some numbers. If you wander the country, that would be harder. Again, not one of the things medicare really cares about, until they do.
-
-
-
-
Quote from peehdee
Set aside the ‘state medical license’ issue, does anyone know someone who has a reading station set up in a motor home/RV and travels around the country reading remotely?
Would it be possible? Biggest I think would be high speed internet connection. Second would be crossing state lines. Now with covid allowing more people to read off site, maybe it is more laxed.
Think of visiting the national parks in a motorhome and dictate a few hours during the week. the rest of the week you can enjoy the visit. Then on to the next site etc.. I think it would be a pretty neat way to see the country. While you work, the family can go site seeing or hike/etc..
It’s hard to enjoy a vacation when you bring work and even harder to enjoy work if you feel like you should be on vacation. -
wrong thread…..
