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Showing posts from 2019

It's been a Year

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It's been a year now (a little over) since I left my job. I had the day marked in my calendar as "Freedom Day." That was a good, good day. Now, my actual celebration of that anniversary was a little anti-climatic, but that's my own fault. I have a tendency to short-change myself on things, and that day was no different. Hopefully every year will get a little better on that front.

I really wish I had a super introspective thing to say here, a-la the Mad Fientist's First Year of Freedom Post, but I don't think I do. I'm just kind of acknowledging that I made it for a year without starving. Just to recap though, I'd say the following are insights I've had in my first year of self-employment:

1) It takes money, or cajones, to be self-employed. My first few months were extremely stressful. This was probably at least in part because I had a lot of cajones but not a lot of cash cushion. The more you have of one, the less you need of the other. In retros…

I am a Lucky Motherfucker

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I mentioned in my previous post that I was doing some contract work in Florida in an attempt to keep my payor sources diversified. I also mentioned that there was still somewhat of an unknown about what insurance would pay. Well....it's not looking so hot for me. They way the new system is set up penalizes my work style. I work quickly and efficiently and they want start and stop times for everything. That means that I get paid less than some dumbass who it takes twice as long to do the same work. Thanks, insurance!

So that has taken even more of the glow off that work. In the meantime, in a very much out of the blue fashion, my in-state contract gave everyone a HUGE raise. How huge? Um, 100%. It's a 100% raise. My former government job and their 2% cost of living increase can SUCK IT! Hells yeah. Legit, I am probably the luckiest person I know. I was once described as catching angels as they fall.

As a part of this shift, apparently they are also clearing out quite a bit of …

What I had Forgotten

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I had a super, super interesting experience last week. In addition to the all-cash practice I've been doing both locally and all over the globe, through some weird co-incidence-type-thingies, I ended up also picking up a contract doing some insurance work in another state. I like going there in a general sense because I have family and friends in that particular area, so that was cool. Also, from a logical perspective, I felt the need to diversify my payor sources. I had basically two, the travel gig and the local gig, and going and doing this contract would throw a third into the mix: insurance.

I have a couple thoughts about this.

1) I'm not a big fan of insurance. I don't love having it in a lot of ways, and I'm less of a fan getting paid by it. It was worse than usual because they changed our CPT codes this year (for anyone not in the health industry, this is the five digit code that's supposed to describe what we did in a standardized fashion, presumably so t…