You are the highest-paid scanner in your building. Read that again. Somewhere this week you personally scanned a document, chased a missing 1099, or sat on hold with the Practitioner Priority Service, and you did it at your full rate, because nobody else was doing it and the task had to get done. That is a licensed professional performing a fifteen-dollar-an-hour task at a two-hundred-and-fifty-dollar-an-hour cost, and calling it dedication.
Every hour in your practice falls into one of a few buckets, and almost nobody has ever written the buckets down. Once you do, the question of who to hire next stops being a guess and becomes arithmetic.
Two Kinds of Hours Live in Your Practice
Some of your work is worth roughly ten to fifteen dollars an hour on the open market. Scanning. Scheduling. Portal resets. Assembling and mailing returns. Chasing the same missing document for the third time. Nobody needs a license to do any of it well.
Some of your work is worth two hundred fifty dollars an hour or more, because it requires judgment only you can provide. The transcript read that spots the problem nobody else caught. The decision between an installment agreement, an offer, or currently not collectible status. The consult conversation that turns a stranger into a signed engagement.
Most solo practitioners spend their week bouncing between both buckets with no boundary between them, which means the two-hundred-fifty-dollar hours keep getting interrupted by the ten-dollar ones, and the math never gets a chance to work in your favor.
The Math That Decides What Gets Delegated
Here is a rough rule of thumb worth running on your own numbers. Take your annual income and divide it by 2,000, a rough working-hours figure, to get your effective hourly rate. Or better yet, take the annual income you want to have and divide it by 2,000. A practice owner drawing $250,000 a year lands around $125 an hour. Now divide that by four. That gives you roughly $31 an hour. (Example only. Your income and hours will differ, and this is not a promise of what any practice earns.)
Anything you can reliably pay someone less than that number to do, hand it off. The divide-by-four is not arbitrary. It builds in room for training time, mistakes while someone learns your process, and the management attention a new hire needs early on, so the math still works even before the person … Continue reading
