InvestingDoc

Medicare’s 2027 Physician Fee Schedule brings changes to physician reimbursement, G2211, B1 and B2 modifiers, and same-day procedures. Who could benefit—and which independent practices could face significant payment cuts?I’m Brad, a primary care physician and medical practice owner. In this video, I break down the changes from a practice owner’s perspective, including payment examples for 99214 and 99215, ACO participation, and the potential impact on orthopedics, dermatology, and ophthalmology.We’ll discuss:• G2211’s replacement with B1 and B2 modifiers• Qualifying APM participants versus ACO participation• Modifier 25 and zero-day global procedures• Hip and knee replacement reimbursement• Longitudinal care and specialist eligibility• E/M documentation and total encounter time• Questions surrounding commercial insurance reimbursement• What these changes could mean for independent medical practicesCHAPTERS00:00 Medicare 2027: Winners and losers00:21 MedPAC and physician payment policy01:41 Modifier 25 and same-day procedure reductions03:12 Advanced APMs and the conversion factor03:56 G2211 replacement and the B1 modifier05:49 B2 modifier and ACO participation06:25 Comparing 2026 and 2027 visit payments09:39 Primary care and potential ACO benefits11:44 Orthopedic surgery and joint replacement cuts12:40 Dermatology and same-day procedures13:13 Ophthalmology payment changes13:25 E/M coding and total encounter time15:36 Small practices and commercial insurance questions17:35 Physician unity and independent practice18:59 Building an MSO and looking aheadWhich change concerns you most? Share your specialty and perspective in the comments, and subscribe for more on physician reimbursement, practice ownership, and the business of medicine.Payment examples are illustrative. Actual reimbursement varies by location, setting, eligibility, payer, and applicable adjustments. Confirm coding and payment requirements with your billing team.#Medicare2027 #PhysicianReimbursement #IndependentPracticejoin my mso: email me: [email protected] MSO: https://www.Doceras.comMy website 🖥️: https://www.investingdoc.comMy podcast Spotify Link🎧: https://open.spotify.com/show/3JxluO7mJOSE312G1Ul9dgApple Podcast Link 🎧: https://podcasts.apple.com/us/podcast/investingdoc/id1790276462My Instagram: https://www.instagram.com/investingdoc/My Twitter: https://x.com/InvestingDocMy Facebook Group: https://www.facebook.com/groups/investingdocReddit Group: https://www.reddit.com/r/PrivatePracticeDocs/Want to consult with me for your practice: Book here. https://investingdoc.com/consulting

Growing a private medical practice takes more than great patient care. You need the right team, clear systems, and the leadership to let people do their jobs.I’m Brad, a physician and owner of a multimillion-dollar private practice. In this video, I share tough-love lessons on hiring, delegation, medical billing, front desk performance, and building a team that can grow with your business.We’ll cover:• Why your early hires may need different roles as you scale• How billing and front desk problems can threaten cash flow• Why great employees still need clear expectations and authority• How to identify your biggest staffing and operational bottlenecks• When the problem is your leadership—not your employeeStarting or scaling an independent medical practice? Learn from my mistakes before you multiply them across your business.What’s your biggest challenge with hiring or managing your practice? Share it in the comments.Subscribe for more on private practice ownership, healthcare entrepreneurship, and medical practice growth.want to join the MSO, email me [email protected] website 🖥️: https://www.investingdoc.comMy podcast Spotify Link🎧: https://open.spotify.com/show/3JxluO7mJOSE312G1Ul9dgApple Podcast Link 🎧: https://podcasts.apple.com/us/podcast/investingdoc/id1790276462My Instagram: https://www.instagram.com/investingdoc/My Twitter: https://x.com/InvestingDocMy Facebook Group: https://www.facebook.com/groups/investingdocReddit Group: https://www.reddit.com/r/PrivatePracticeDocs/Want to consult with me for your practice: Book here. https://investingdoc.com/consulting

When should you hire another doctor, nurse practitioner, or physician assistant for your private practice? Hiring too early can drain your cash flow—but waiting too long can hold back your growth.In this video, I share lessons from growing my own medical practice, including how I evaluate patient demand, calculate hiring costs, and prepare for the months before a new clinician becomes profitable.I cover:• Signs your practice is ready to add another clinician• Hiring a physician vs. an NP or PA• Employee vs. business partner: what to consider• Budgeting for salary, benefits, support staff, and overhead• Estimating break-even patient volume and cash reserves• Recruiting, credentialing, and onboarding timelines• Structuring compensation and avoiding hiring mistakes• Why you need a backup recruiting planIf you own a medical practice or plan to start one, this video will help you think through your next hire before committing to the expense.Subscribe to InvestingDoc for practical insights on private practice ownership, medical practice management, and the business of medicine.What’s your biggest challenge with hiring another clinician? Share it in the comments.Want to join my MSO/CIN: https://www.Doceras.comMy website 🖥️: https://www.investingdoc.comMy podcast Spotify Link🎧: https://open.spotify.com/show/3JxluO7mJOSE312G1Ul9dgApple Podcast Link 🎧: https://podcasts.apple.com/us/podcast/investingdoc/id1790276462My Instagram: https://www.instagram.com/investingdoc/My Twitter: https://x.com/InvestingDocMy Facebook Group: https://www.facebook.com/groups/investingdocReddit Group: https://www.reddit.com/r/PrivatePracticeDocs/Want to consult with me for your practice: Book here. https://investingdoc.com/consulting

Opening a Saturday clinic sounded like a great way to improve patient access and grow my medical practice. Instead, weekend and after-hours appointments brought overtime costs, staffing challenges, patient pushback over a $25 fee, and follow-up responsibilities that extended beyond clinic hours.In this video, I share why I stopped our Saturday and after-hours clinics, what I underestimated, and what needs to change before we bring them back.I also discuss the hidden complexity of adding services, hiring clinicians, and opening new locations—from backup coverage and staff burnout to training, documentation, and managing urgent results.If you’re starting or scaling a private practice, this is a firsthand look at why every expansion deserves careful planning—and why focusing on one thing at a time can matter.Subscribe to InvestingDoc for real-world lessons on medical practice ownership and physician entrepreneurship.Learn more: https://investingdoc.comMy website 🖥️: https://www.investingdoc.comMy podcast Spotify Link🎧: https://open.spotify.com/show/3JxluO7mJOSE312G1Ul9dgApple Podcast Link 🎧: https://podcasts.apple.com/us/podcast/investingdoc/id1790276462My Instagram: https://www.instagram.com/investingdoc/My Twitter: https://x.com/InvestingDocMy Facebook Group: https://www.facebook.com/groups/investingdocReddit Group: https://www.reddit.com/r/PrivatePracticeDocs/Want to consult with me for your practice: Book here. https://investingdoc.com/consulting

Everything related to entrepreneurship and running a medical practice as a physician.Doceras: https://www.doceras.comInterested in joining? Email me [email protected] companies wouldn’t negotiate with my single-location practice, so I built DocEras, a physician-owned MSO and clinically integrated network (CIN) for independent doctors, starting in Texas.My website 🖥️: https://www.investingdoc.comMy podcast Spotify Link🎧: https://open.spotify.com/show/3JxluO7mJOSE312G1Ul9dgApple Podcast Link 🎧: https://podcasts.apple.com/us/podcast/investingdoc/id1790276462My Instagram: https://www.instagram.com/investingdoc/My Twitter: https://x.com/InvestingDocMy Facebook Group: https://www.facebook.com/groups/investingdocReddit Group: https://www.reddit.com/r/PrivatePracticeDocs/Want to consult with me for your practice: Book here. https://investingdoc.com/consulting

I closed my panel to new patients to cut wait times. Instead, I went from being booked 3 months out to 7 months out. In this vlog I share 7 times my fixes in my primary care practice backfired, and what each one taught me about SOPs, patient behavior and scaling a medical practice.Topics covered:Closing my panel caused a rush of bookings, and patients started asking for concierge and cash-pay optionsHiring a new clinician didn't fix access because patients didn't trust them yet, and how SOPs helped build that trustPatients took advantage of open same-day urgent slotsPortal messaging led to a lawsuit threat over a statin prescriptionA PA named Colby, and why being upfront about who patients will see mattersA physician's side gigs cost my practice, and why "to be clear is to be kind" belongs in your contractsA website DNS switch took us offline for a day and a halfAn AI phone agent saved money, but 36% of callers hung upWhether you're starting a practice or scaling one, the playbook stays the same: find the problem, test a fix, listen to feedback, get boots on the ground and keep iterating.I'm Brad (InvestingDoc). I own a multi-million dollar primary care practice, and I help doctors start, grow and scale their own. Subscribe for more real talk on running a medical business.My website 🖥️: https://www.investingdoc.comMy podcast Spotify Link🎧: https://open.spotify.com/show/3JxluO7mJOSE312G1Ul9dgApple Podcast Link 🎧: https://podcasts.apple.com/us/podcast/investingdoc/id1790276462My Instagram: https://www.instagram.com/investingdoc/My Twitter: https://x.com/InvestingDocMy Facebook Group: https://www.facebook.com/groups/investingdocReddit Group: https://www.reddit.com/r/PrivatePracticeDocs/Want to consult with me for your practice: Book here. https://investingdoc.com/consulting

want to join the MSO/CIN? Email me brad @investingdoc.comStarting or scaling a medical practice takes more than great clinical care. In this video, I explain why doctors need to get comfortable with selling: communicating your value, building referral relationships, recruiting the right team, and earning trust.I share real experiences from growing my independent medical practice, including hiring my first employee before my name was on the wall and meeting a nearby practice that waited six years to introduce themselves.Learn how ethical medical practice marketing and clear communication can help you attract patients, recruit physicians, and grow your private practice while keeping patients’ best interests first.Subscribe to InvestingDoc for practical lessons on medical practice ownership, physician entrepreneurship, and practice growth.Learn more: https://investingdoc.com#PrivatePractice #MedicalPractice #PhysicianEntrepreneur

After 7.5 years of building and scaling my independent medical practice, I've started asking myself a difficult question: Am I building the business I actually want?In this video, I share my journey from surviving the early years of private practice to expanding to five locations—and why I've recently started questioning what success should look like going forward.We discuss the four different goals of entrepreneurship: growth, profitability, freedom, and mission. I also share how journaling, strategic thinking, and working backward from a long-term vision are changing the way I approach my business.Whether you're starting a medical practice, scaling an existing clinic, or building a business outside healthcare, this video is about making sure you're focused on the right destination—not just growing for the sake of growth.Subscribe to InvestingDoc for more on independent medicine, physician entrepreneurship, and the business of healthcare.#PrivatePractice #PhysicianEntrepreneur #BusinessGrowthMy website 🖥️: https://www.investingdoc.comMy podcast Spotify Link🎧: https://open.spotify.com/show/3JxluO7mJOSE312G1Ul9dgApple Podcast Link 🎧: https://podcasts.apple.com/us/podcast/investingdoc/id1790276462My Instagram: https://www.instagram.com/investingdoc/My Twitter: https://x.com/InvestingDocMy Facebook Group: https://www.facebook.com/groups/investingdocReddit Group: https://www.reddit.com/r/PrivatePracticeDocs/Want to consult with me for your practice: Book here. https://investingdoc.com/consulting

In Texas and want in on the MSO / CIN? → https://forms.gle/6DSSmS5SseUEvHGX9Consulting is paused while I get the MSO off the ground — back to it in a month or two.I'm Brad. I own a multi-million dollar private primary care practice and I help physicians start and scale their own. Subscribe if you want the business side of medicine nobody taught you in residency.Nothing here is medical, legal, financial, or tax advice. I'm a physician and a business owner, not your advisor. Every practice and every state is different — talk to your own counsel and CPA before making decisions.--------------A physician who's also my patient no-call-no-showed six times, showed up late to the appointment they finally kept, spent the visit venting about portal messages and work-life balance — and then told me that when they refer friends to me and I'm full, those friends should just go somewhere else. Not to my clinic. Somewhere else.None of that makes them a bad person or a bad doctor. They were in patient mode, which is exactly where they should have been. But as a business owner, that visit was one long message about what's broken in how I built this thing.That's hero syndrome. Key man risk. Star syndrome. Whatever you want to call it — when the patients only want you, you've built a bottleneck and called it a brand.In this one I break down the two paths you can pick at the start, why I picked the harder one, the worst possible middle ground to get stuck in (concierge-level care on fee-for-service pay), and why my practice is adding cash-pay and premium services in 2027.Chapters00:00 Hero syndrome, key man risk, star syndrome00:50 The physician-patient who inspired this01:16 Six same-day cancellations and professional courtesy02:30 "If they can't see you, go somewhere else"03:12 Two wolves: the two paths you get to choose04:29 Path two — boundaries from day one05:01 The tablet analogy: why changing the rules makes people furious05:20 You are the brand, and it doesn't scale06:17 The worst place to be: concierge care, fee-for-service pay06:43 Training patients and selling your PA07:30 Is a DPC / concierge hybrid the future?09:24 Listening to what patients are actually asking for11:03 She went online for HRT. I could have written it.11:29 The $10,000 check on my exam table12:04 The Disney fast pass model12:17 Don't get caught in the middle (sub-$100/month DPC)13:38 The fork in the road: charge the premium or set the boundary14:37 Listen to what your market is telling you15:35 Where I'm at with the MSO and CINMy website 🖥️: https://www.investingdoc.comMy podcast Spotify Link🎧: https://open.spotify.com/show/3JxluO7mJOSE312G1Ul9dgApple Podcast Link 🎧: https://podcasts.apple.com/us/podcast/investingdoc/id1790276462My Instagram: https://www.instagram.com/investingdoc/My Twitter: https://x.com/InvestingDocMy Facebook Group: https://www.facebook.com/groups/investingdocReddit Group: https://www.reddit.com/r/PrivatePracticeDocs/Want to consult with me for your practice: Book here. https://investingdoc.com/consulting

https://www.onlinejobs.ph/My template VA Templates.docxStaffing a medical practice is expensive. In this video, I break down how I use overseas virtual assistants to answer phones, verify insurance, schedule patients, handle administrative work, and help scale my practice. I’ll show you where I find them, what I pay, how I screen applicants, and why I still prefer real humans over AI phone agents.My website 🖥️: https://www.investingdoc.comMy podcast Spotify Link🎧: https://open.spotify.com/show/3JxluO7mJOSE312G1Ul9dgApple Podcast Link 🎧: https://podcasts.apple.com/us/podcast/investingdoc/id1790276462My Instagram: https://www.instagram.com/investingdoc/My Twitter: https://x.com/InvestingDocMy Facebook Group: https://www.facebook.com/groups/investingdocReddit Group: https://www.reddit.com/r/PrivatePracticeDocs/Want to consult with me for your practice: Book here. https://investingdoc.com/consulting