OK-so I started my solo practice(FP) 11months ago. I am now seeing 30-40 per week, pt base is about 400. I have become affiliated with 2 nursing homes(have about 4 pts) and am doing some laser hair removal in conjunction with a local spa. I have one LPN and myself and we are balancing the phones, pts, pre-auth/referrals and billing. I am starting to feel a little burn-out. Between seeing patients, managing the business, billing and figuring out pre-auth/auth/referrals/fighting claims etc-I am a little tired!

I guess my questions are:

1) when do you know you need more staff members? Would you add a receptionist/biller/lpn/multitasker?(what would you suggest)

2)When do you shift your schedule to accommodate other things like Nursing home rounds or in my case-laser procedures?(I am trying to make myself available as much as possible and I start to feel guilty when I am not available)

3)Any solo practioners have any suggestions as far as practice management/hours of operation etc? (I am currently open 8:30-5 MWF, Tue 12-8 and Thurs 11-7 and one Sat a month from 8:30-12:30)

4)any billing suggestions? when should I outsource if at all? I could totally use a better tracking software-Amazing charts and Office ally just aren't cutting it!

Thanks for your help. All of your suggestions are appreciated!