Sunday, October 10, 2010

Friday at 5:15

I was getting ready for a sunny and warm, 70 degree plus,weekend (rare in October where I live).

I came into my office, where my phone was flashing a message light.

It was a cell number that I didn't recognize, but since I am in the middle of being a queen of a fundraiser I suspected it was a disgruntled parent bitching about something I have no control over.

I couldn't have been more wrong, and my weekend has spun out of control since.

I have told you here before that I work with several physicians offices providing them SUPERB service (yeah, tooting my own horn here, but they have actually all told me that)but that times, well they are a-changin, and now they all need to go to EMR by 2014. My fav doc (x10years) had told me that when the time came that he had to be compliant, he wanted me to still provide his service and we would come up with our own version of EMR to be compliant, but where he still didn't have to touch a computer.

At 5:15 on Friday, I get a VOICEMAIL from his office manager. She is delightfully sweet, but on the flake meter, she is a full blown croissant.

She tells me that doc has signed with the C.lin.ic and as of a date soon, very soon, he will have to use their system and will not need my service. She went on to say how wonderful I am, how sorry she is, I have gone above and beyond over the years, blah, blah, blah. All I am hearing is 'you're fired bitch'.

I KNOW these solo guys aren't making any money. They are almost forced at this point to joint a huge institution as an employee to guarantee their own incomes. (Don't even get me started about fucking insurance companies and their wealth of power they have over EVERYONE---need heart surgery? Lets check with a dipshit with NO MEDICAL BACKGROUND on the other end of the phone at the INS co to get approval. Ohhh, she says no, so guess you get to die without surgery.....think I'm exaggerating??? Not much) To files claims, you get 90 days to submit. You do it in 10. They wait 75 to send it back telling you the doc needs to sign on the line below the one where he signed (not kidding here), and by the time you resubmit, the magic 90 day mark has passed and payment is denied. Yes, they do it on purpose. I am convinced for every claim they can deny, they get a bonus.

See I told you not to get me started.

So as of a fast approaching date, I will no longer be clearing $1000 a month from that account. That added to the big client that I lost 2 years ago,(another $1500 or so) well, lets just say I may have to find some hot pants, fishnets and a corner soon.

I still cannot believe she left me this news in a voicemail on a Friday, after office hours. (though, croissant remember?)I am not angry. Not in the least. He needs to do what he needs to do. Now that the C.Clinic has bought up everything in my area, he wouldn't get referrals if he didn't join. Being a specialist, he lives on referrals. He is a great guy. I will and have sent family to him, and will continue to do so.

So my lovelies...I am in need of reinvention again. I started my last business with a thought and some determination and I will do it again. I have had an idea brewing for over a year to fill a niche that hasn't been filled and I KNOW it would be a go, but it will cost a few bucks to get started (lawyer fees for the 'we are not responsible' clauses, brochures, postage, calls--LOTS of calls, and website building etc) and I am not sure that when I am facing losing my income (though $30,000 a year it isn't huge to lots of you, it DOES make a big difference as none of our income is disposable....I even think twice before I call for a pizza delivery...I keep very close tabs on income and outgo) spending money, not knowing how quickly there would be income, is scary.

When I started my last company I had that feeling in my gut that it would fly. I have it again, and I am even more passionate about the concept of this one, as it will be life changing for so many people.

But, this weekend I am still too stunned to really jump into something. I can't really think very clearly. Right now I am worried about house payments (property taxes, etc), car insurance, utilities (house heat in Ohi.o is crazy from Nov-April and we have a big ass house), and all the other costs in a normal life. BigD is a pu.blic serv.ant remember? His income is equal with mid-west pu.blic serv.ant pay, which means it's okay, but not enough.

(I do still have the part-time job in the one docs office a couple mornings a week and will talk to them tomorrow about his upcoming merger (again, solo so he needs to do something) and be certain that I am still included when the merger happens....I have been told I if I am not, well, the next few posts probably won't be very pretty.


Midwestern Mama Holly said...

What a bitch ass thing to do. On a voice mail no less. Maybe its just the area but before I moved to Ohio I worked in the medical field my whole life. Tried it here but they want you to do the job you was hired for PLUS run pts, etc yet don't want to pay you accordingly. Bump that.. my talents aren't free. I could tell some stories about Ad.Ena - but I digress. Thanks for the follow ... following back.

Ina in Alaska said...

Hubby and I had a huge laugh over your flaky as a croissant phrasing. You are a survivor. I too agree with you about the ins cos. They are in the driver's seat baby. Our clients who are trying to get fair settlements from injuries, not asking for the sun and the moon either, have to provide their entire medical background to the same assholes who cut down their rightfully claimed damages. And we have to go back and forth with them and play their game. Hate them all. We need a different system.

Tina said...

Start up your other project. I know you'll do well. And if I were you I'd totally send a box of croissants to the other office. :)

preppyplayer said...

One door closes, another door opens. This might be what you needed to force you to move onto the next "phase" of your work life.
It's what they call a "mixed blessing!"

tz said...

oh I'm so sorry! I do hope this is an opportunity for you to start this new business! and yes, the flaky croissant comment...good enough to steal :D

Dodi said...

I'm still DYING to know what this new endeavor it... I remember it coming up about a year ago.

I'm sorry about her timing, but the croissant comment may have been worth it.

Anonymous said...

This is the crucial moment, as the Buddhist say. Keep telling yourself you'll be okay because SOMEHOW you will make it work. You don't need to know HOW right away, I have confidence that you will. While you fill in the blanks with your other plan, may I suggest freelance work for consumer research groups (if there are any around)? Or perhaps legal secretarial overflow work?

By the way, I did some research for a movie role I did a while back about HMOs. And yup, you are right - they do reject people's claims and get bonuses for it.

TeamWinks said...

Can't wait to hear about your new plans! Sounds as if things are a bit crazy for you guys at the moment. Would love to share a glass of wine with you, if we could!