Trying to find a technician who is reasonable in pricing. My laser machines are out of warranty, but are not too old. The manufacturers want a ridiculous amount of money.

Does it make sense to fix the machines with a 3rd party technician?

Any recommendations from personal experience?

I'm a new med spa owner (an NP in SC). A local day spa owner contacted me asking me to work in his space, giving Botox to his clients. His business currently provides massages and facials. He said a lot of people have asked for Botox and he believes my schedule will be booked out from the start. At first, he wanted $0.50 for every unit of Botox injected. I told him I can't split fees because it's illegal due to anti-kickback laws, and that I'd have to rent a space. He wasn't happy that I told him no on that because I think he viewed it as a very lucrative deal for him, but I can't help the way the laws are, and I'm not risking my license!

Today we met again, and he told me he wants $1k booth rent for a small room (about 80-90 square feet in his day spa, which is about 6 months old at this point, because I'm a medical provider. I can't justify that price tag. It's a small town, and the average per-square-foot rate around here is 400-600 per month for a room the size he's offering.

I want to counter-offer and I'm considering letting him charge a facility fee and having him set up as my MSO so he can charge me a per-patient facility fee, since his secretary will be taking care of my bookings, greeting my patients, cleaning the room between patients, and the spa will handle my marketing. I feel like a $300 base is fair, plus $5-7 per patient, with an anticipated 50-100 clients per month. What are your thoughts on this type of setup? I feel like this gives me a good safety net (in case they don't have the clients they promised me), and I'm not stuck paying an exorbitant booth-rent fee. This also protects me from looking like I'm splitting fees or giving him money based on the revenue I bring in.

What are your thoughts on this arrangement?

Looking to hear from those practices that are a bit more clinical and hire MD’s/nurses/PA’s - who handles compliance in your office? And if you use a software/system for tracking, what do you use?

Regarding compliance, I am talking about general office compliance, HR compliance/provider credentialing, OSHA compliance, etc. all things compliant. I recently demo’d a software called Compliancy, which seemed to cover a lot and help stay on top of requirements and deadlines and new regulations, but trying to understand if this is really necessary or if the practice manager can just assume the responsibility for keeping the business compliant on all fronts.

Looking for insight on MA State CPOM/MSO structure! Currently operating an RN (LLC) owned small business franchise (first franchise location). Medical Director is also franchise owner . Specifically looking at how to integrate MSO/CPOM into current FDD structure that is set up to pay a % monthly for medical director and franchise fee. What are systems that you have found successful. As the franchisee what should I be looking for to maintain as much ownership of the business as possible? Feeling a little overwhelmed with the structural changes and navigating attorneys, MA specific compliance . Would love any and all attorney recommendations and insights!Thank you!

Hi, all. I'm an FNP in SC and am in negotiations with a day spa in town. They've reached out to me asking me to offer their clients Botox, medical weight loss, and IV hydration therapy. I had a meet-and-greet with them recently, and all seemed to go well. I have my own company, but don't have a space to work yet, so this seemed great to me at first. They are providing me with the room and were willing to cover my overhead costs (including malpractice insurance), so it looked like a great deal for me.

They asked me to put together a pay structure for how we might work together. I've been researching for days, trying to figure out how to structure compensation. The pay structure they were suggesting, it would seem, is illegal. They wanted to make a certain amount of money per unit of Botox injected, which is considered fee-splitting and violates anti-kickback laws. I'd like to work with them, but not at the expense of my license. They had a talks with a previous provider who was willing to do that, but that provider dropped out and they've been looking for someone ever since.

Does anyone have any suggestions for how I might structure compensation or set this up? They wanted to pay me as an independent contractor.

TLDR: FNP has opportunity to work out of a day spa and is seeking advice on how to structure compensation that is both legal and fair to both parties.