Gene, oop I almost missed this post.
My optometrist gave me an order for three different pairs of eye glasses, but I refused to be that seasoned looking and still want to go with single focal instead of trifocals. Thanks Gene and John to inform multiple turn over and leaving reasons same. One of our MAs graduated from nursing school, our receptionist was accepted to medicine school and our under office manager who been with us since beginning because of her husband loosing his job to start their own business
We are trying to control expenses but with high turn over rate means overlapped staff training salaries. Training time is much longer per EMR and insurance mazes, hard for doc to generate more revenues to cover extra expenses.
I mentioned stories of docs going solo without any staff, strictly on cash or health membership fee to my doc just to make her feel better and she was not amused. She doesn't like the vision of herself talking to 100 different carriers, solving patient complaints about office visit bills, referrals or accepting cash directly... charting by itself more than enough for her.
Changing times indeed. Working less but demanding more and internet based,self inflated values. I looked at John's examples and we are here in North TX paying less but not that much. How we do about this?
