The Art of Medicine with Dr. Andrew Wilner

Tax implications of the locum tenens lifestyle: an interview with Logan Foltz, MD, EA

Dr. Wilner would love your feedback! Click here to send a text! Thanks!Many thanks to Logan Foltz, MD, EA, for joining me on today’s episode of “The Art of Medicine with Dr. Andrew Wilner.” Logan has a unique professional story. After completing his psychiatry residency, he initially worked as an inpatient psychiatrist. Logan discovered how few tools psychiatrists possessed to turn their patients’ lives around. He also found his work schedule as physically grueling as it was emotionally unrewarding. He concluded he needed better work/life balance.While preparing his own tax return, Logan became fascinated with the internal revenue service tax code. Using locum tenens as a bridge, Logan gradually transitioned to become a full-time tax specialist. The tangible reality of numbers appealed to him, and the complexity of the tax code challenged his intellect. Logan loved helping his fellow physicians move towards their goals of financial independence. To qualify as a tax professional, he passed the examinations required to earn his “Enrolled Agent” (EA) designation, the IRS’s highest credential.Please join us for this fascinating 30-minute conversation as Logan shares his insights into the tax implications of the locum tenens lifestyle. If you are practicing locums and need to know the difference between a W2 and a 1099, Logan can help. You can reach Logan Foltz, MD, EA, at his website: www.tasxmartmd.comFor more programs on taxes, see the following episodes: #03 Ben Nanney, CPAhttps://www.youtube.com/watch?v=jUh77B6LrEw #06 Johanna Fox, CPAhttps://www.youtube.com/watch?v=dUAab_Uz-NY #74 Ben Nanney and Jarin Danahttps://www.youtube.com/watch?v=S5NYbGfP92k #IRS #taxes #locumtenens #enrolled agent #CPA #loopholesPlease click "Fanmail" and share your feedback!If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" To never miss a program, subscribe at www.andrewwilner.com. Follow me on Instagram: @andrewwilnermd X: @drwilner linkedin.com/in/drwilner Please rate and review each episode. To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com This production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com. Or paste this link into your browser: https://locumstory.com/?source=DSP_directbuy_drwil...

"Whispers of the Mind" with author and neurologist Carolyn Larkin Taylor, MD

Dr. Wilner would love your feedback! Click here to send a text! Thanks!Many thanks to neurologist and author Dr. Carolyn Larkin Taylor for joining me as a guest on “The Art of Medicine with Dr. Andrew Wilner.” Dr. Taylor recently published “Whispers of the Mind,” a collection of essays that describes the extreme challenges faced by her patients, poignant moments, and, finally, a concession to the fragility of life —a concession that, frankly, is difficult for many physicians. Dr. Taylor was in the first class of women who graduated from Notre Dame. After graduation, she trained as an optometrist for four years and then practiced for three years. She realized she wanted to do more and decided to go to medical school to become an ophthalmologist. She attended Hahnemann Medical School in Philadelphia, PA. But when she rotated on neurology, she “fell in love with it.”  Dr. Taylor ditched ophthalmology and completed her neurology residency at the University of Pennsylvania. She recently worked as a neurologist in Seattle and flew to Alaska a couple of days a month to offer neurology clinics there. Currently, she works at the VA and performs disability evaluations for veterans who have suffered traumatic brain injury.  Dr. Taylor stated that her book “chronicles myJourney and growth as both a neurologist and human being.”  Dr. Taylor always kept a journal, which allowed her to illustrate her patient anecdotes with incredible detail, both physical and emotional. Despite the gravity of her subject matter, she found many of her patients’ stories inspiring. She also shares stories of her golden retriever, Prancer, who accompanied her to work and had a knack for comforting patients.  We had a fascinating 40-minute discussion. To learn more or to contact Dr. Taylor, please visit her website: https://www.carolynlarkintaylorauthor.com #fiction #memoir #medicine #humanities Please click "Fanmail" and share your feedback!If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" To never miss a program, subscribe at www.andrewwilner.com. Follow me on Instagram: @andrewwilnermd X: @drwilner linkedin.com/in/drwilner Please rate and review each episode. To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com This production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com. Or paste this link into your browser: https://locumstory.com/?source=DSP_directbuy_drwil...

TeleRadiology: RightReadMD and Founder Matthew Hermann, MD

Dr. Wilner would love your feedback! Click here to send a text! Thanks!Many thanks to Matthew Hermann, MD, a radiologist and Founder of the teleradiology company Right Read MD. Dr. Hermann began his career as a conventional radiologist but soon saw the virtues and opportunities of off-site practice.  Now based in Puerto Rico, he leads a team of physicians who provide high-quality radiology care to multiple hospitals. Matt loves Puerto Rico’s culture and doesn’t object to their low tax rates either! During our 40-minute discussion, Dr. Hermann discussed the potential downsides of conventional telemedicine models. For example, groups that are incentivized solely by productivity, especially those run by private equity companies, may yield suboptimal results. Radiologists working at home can also feel isolated and miss out on learning from colleagues that would occur in a more traditional patient care setting. Dr. Hermann explored whether teleradiology is a good long-term career option. While today’s demand is great, it’s unclear what the future holds for this type of medical service. Dr. Hermann emphasized the hidden value of dedicated on-site radiologists who can develop professional relationships with referring physicians. Relationships between radiologists and surgeons, for example, have proven to influence surgical decision-making. However, when hospitals lack the resources for permanent on-site radiologists, teleradiology becomes a clinically necessary and attractive option. Chart access for teleradiologists, along with a focus on patient care rather than pure productivity, can help mitigate the negatives of operating off-site.  Dr. Hermann’s company handles licensing and credentialing. He also ensures that radiologists on his team are appropriately compensated. Right Read MD continues to grow. To learn more or to contact Dr. Hermann, please check out his website: www.rightreadmd.comor email info@rightreadmd.com  #teleradiology #entrepreneur #burnout #hospitalmedicine #radiology #telemedicinePlease click "Fanmail" and share your feedback!If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" To never miss a program, subscribe at www.andrewwilner.com. Follow me on Instagram: @andrewwilnermd X: @drwilner linkedin.com/in/drwilner Please rate and review each episode. To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com This production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com. Or paste this link into your browser: https://locumstory.com/?source=DSP_directbuy_drwil...

Optimizing Fee for Service with Medical Billing Expert Heather Signorelli, DO

Dr. Wilner would love your feedback! Click here to send a text! Thanks!Many thanks to Heather Signorelli, DO, for joining me on The Art of Medicine with Dr. Andrew Wilner. Heather is a practicing pathologist and owner of a medical billing company. Heather’s interest in medicine and business began at an early age. Her father was an obstetrician for his entire career, and her mother was involved in hospital management.At medical conferences, physicians who struggled with running their offices frequently asked Heather for help and inspired her to start her company. Heather began her medical billing business with her husband five years ago. Currently, she supervises 70 employees and assists 200 physician practices in collecting payments for their services. The current complexity of the number of carriers, plans, and rules conspires to prevent physicians from receiving prompt reimbursement for their services. The industry average is 40 days to get paid, although Heather’s company tries to shorten this considerably. Heather explained the top 3 things that physicians can do to improve collections. During our 30-minute discussion, we explored the growing concept of the Concierge Practice, which is a cash-based model. We also addressed the role of AI in streamlining office procedures and controlling overhead.Micro-practices, as presented on this program by Kara Pepper, MD, on August 31, 2025, are another option to traditional insurance-based practices. Both Dr. Pepper and Dr. Signorelli have studied with business guru and pediatrician Please click "Fanmail" and share your feedback!If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" To never miss a program, subscribe at www.andrewwilner.com. Follow me on Instagram: @andrewwilnermd X: @drwilner linkedin.com/in/drwilner Please rate and review each episode. To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com This production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com. Or paste this link into your browser: https://locumstory.com/?source=DSP_directbuy_drwil...

Saving your 401K with Paul Sippil, CPA

Dr. Wilner would love your feedback! Click here to send a text! Thanks!Many thanks to Paul Sippil, CPA, for joining me on today’s episode of “The Art of Medicine with Dr. Andrew Wilner!” Paul is a CPA with a special interest in retirement planning for physicians. He started his career as an auditor, but soon moved on to work in financial services, which he found more satisfying.  Although he trained as a CPA, today Paul’s practice focuses on optimizing 401(k) and pension plans for medical practices rather than on personal tax questions. Paul identifies himself as a “forensic 401 (k) consultant” or more loosely, a “401 (k)  Vigilante.” During our 30-minute discussion, Paul emphasized that “hidden” fees are often part of 401 (k) retirement plans. To optimize savings, these fees must first be identified and then, potentially, negotiated. We discussed the current absurd fee structure of “assets under management,” which should be avoided. Paul recommended that physicians seek out financial advisors who are “fee for service,” which is definitely sound advice based on discussions with other wealth managers we have had on this program! We also discuss the role of the personal CPA. To learn more or to contact Paul, please check out his website: https://www.paulsippil.com/ and YouTube channel: at https://www.youtube.com/@paulsippil Thanks again to Paul Sippil for sharing your expertise on The Art of Medicine with Dr. Andrew Wilner! @paulsippil #feeforservice #assetsundermanagement #401k #fiduciaryPlease click "Fanmail" and share your feedback!If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" To never miss a program, subscribe at www.andrewwilner.com. Follow me on Instagram: @andrewwilnermd X: @drwilner linkedin.com/in/drwilner Please rate and review each episode. To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com This production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com. Or paste this link into your browser: https://locumstory.com/?source=DSP_directbuy_drwil...