Oh I think you would do fine. The way the 4 visit thing works is that (I can't remember the exact figures
Visit #1 (MD) you get $200
Visit #2 (you) you get $100
Visit #3 (you) you get $zero
Visit #4 (you) you get 75$
This is to encourage the practice to obtain all the visits. If you make all the visits than the doctor visit is paid at 85% per CMS(Medicare) guidelines.
The MD doesn't have to the first visit of the month, just ONE visit a month.
My pt load is heavy but since I know most of the pts, it goes quickly. I'm now at a unit 62 miles from my home - I started out this am at 0630, went to a unit 22 miles from my home, saw the first shift of pts there (9), then came over here - saw the first shift (5 pts) and then will see second shift (4 pts), then back to the first unit for second shift (9 pts) and then on into town (another 35 miles) for another second shift (32 pts). I will be done by 5pm.
Now, this is the first part of the month and my last week of the month is just catch up for the most part - picking up visits of those noncompliant pts or those who were in the hospital when I visited,
I'm also on call for about 5-10 units/day - sometimes the pager is dead and sometimes I'll get 20 pages/day. Just varies.
We also do call for all the dialysis units (approx 20 units in central IL) which consists of phone call on Saturdays/Sundays every 4th weekend.
It is not a bad schedule at all and like I said, there is a lot of flexibility.
You can't visit the same dialysis pts on the same day as the MD - that's a no no. So, that is why you don't see the docs often.
We have an electronic medical record also which helps tremendously. You do have the option of charting at home if you want to.
Can I ask what state you are in?