Advise: insurance fraud?
So I usually hang out on the premed forums, but I got this job offer working in a psychiatric private practice. I went in for training and noticed many red flags with the psychiatrist. He charges $250 for medication management and psychotherapy to insurance (100 out of pocket) but spends less than 5 minutes with each patient. Patient files are paper but the only thing in them are printer paper that has a few scribbles on it (nothing legible, not like his actual hand writing). So my question...
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Source: Student Doctor Network - November 8, 2023 Category: Universities & Medical Training Authors: kjs551 Tags: Psychiatry Source Type: forums
SDG job consideration-Predatory or the norm?
I’m looking into EM attending jobs in a new city and wanted to get feedback regarding an SDG job that I’ve come across.
Medium cost of living city with a stable private democratic group that has had the hospital system contract for 30+ years. They have a stable contract with a specific health system staffing 3 of their hospitals in the metroplex.
Partnership track: sweat equity buy-in for 2 years with a base salary of $220k for 1620 hours/year. W2 with subsidized health insurance, fully...
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Source: Student Doctor Network - November 5, 2023 Category: Universities & Medical Training Authors: rufio79 Tags: Emergency Medicine Source Type: forums
Modesto CA
Full time permanent job. Start $600k w2. Full benefits plus $40k 401k. Full family health insurance, etc. 6 weeks off. Flexible schedule. 2 in house calls per month. 1 weekend per month. 2 yrs partnership. No buy on. Partners $600-750k. Pls pm. (Source: Student Doctor Network)
Source: Student Doctor Network - November 5, 2023 Category: Universities & Medical Training Authors: tdub878 Tags: Anesthesiology Positions Source Type: forums
Indemnification clause: please help..
Indemnification clause: what are your thoughts on having this in a contract?
My understanding is that it puts me at huge risk for liability and malpractice does not typically cover this.
How would I get it removed? If they refuse, is it worth the risk signing?
Also, any other ways to protect self if one is included in a signed contract? Ie other types of insurance (Source: Student Doctor Network)
Source: Student Doctor Network - November 1, 2023 Category: Universities & Medical Training Authors: Psych25 Tags: Psychiatry Source Type: forums
Malpractice insurance
I’m planning on leaving my employed position and going to a private practice. They don’t provide malpractice so I need to purchase my own. I feel pretty lost any advice? Ballpark prices I’ll be looking at? (Source: Student Doctor Network)
Source: Student Doctor Network - October 25, 2023 Category: Universities & Medical Training Authors: Attending1985 Tags: Psychiatry Source Type: forums
Hospital Employed, Making Sense of Financials
I’m hospital employed doc struggling to understand my net operating income.
I have a good sense of revenue (both top line and after-insurance amount paid).
I cannot discern my costs. My hospital can only produce for me a list of “charges.” Charges include straightforward things like lidocaine, dressings, etc. It also includes wildly inflated charges like SCS leads, up-charged at a pre-negotiated supply rate (2x-10x, depending on cost). It also charges my department for my time at a...
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Source: Student Doctor Network - October 25, 2023 Category: Universities & Medical Training Authors: Czech777 Tags: Pain Medicine Source Type: forums
Patient keeps asking about a letter from me for gender affirming surgery
County clinic M2F patient who wants to have gender affirming surgery wants a letter from me
that she is stable to have surgery. She said that the insurance company is asking for a letter from me
stating she is mentally sound and competent to under go the procedure. I thought psychiatrists
who usually work with surgeons to do these pre-op evaluations. Is this something psychiatrists
working in a county mental health department usually do? (Source: Student Doctor Network)
Source: Student Doctor Network - October 25, 2023 Category: Universities & Medical Training Authors: the5thelement Tags: Psychiatry Source Type: forums
Spine MRI without/with contrast denials
I recently moved out East and have been ordering post-op spine MRIs without and with contrast (as I always have). I am getting pushback from insurance companies and radiologists about this - they want a plain MRI or a different Dx code. First of all, am I missing something regarding ordering post-op spine MRIs with contrast? I though we wanted to discern scar tissue from HNP. Did something change and I don't know about it? Secondly, if it is still recommended to order with contrast...
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Source: Student Doctor Network - October 19, 2023 Category: Universities & Medical Training Authors: knoxdoc Tags: Pain Medicine Source Type: forums
SCS psych clearance delays
I've identified patients I'm considering for neuromodulation but have been getting held up by the psych clearance portion - long wait times, insurance non-coverage and patients having to pay out of pocket (even the telehealth options). I'm exploring the idea of hiring a liscensed psychologist as a contractor for the group to expedite the process on a per-eval basis. Anyone have any experience with this and Is a practice allowed cover the cost of the eval? (Source: Student Doctor Network)
Source: Student Doctor Network - October 17, 2023 Category: Universities & Medical Training Authors: ChiSox Tags: Pain Medicine Source Type: forums
Cash Only Group Practice?
Are cash only no insurance group practices a thing?
Ideally
1. MD/DOs only
2. MD/DO + PAs
3. MD/DO + NPs (kill me now)
+ Therapists
If so, what would such a structure look like in terms of founder/founding partners and then younger employees or therapists added over time?
Insurance based group practices make more sense in my mind as people struggle with the idea of setting up their own with billing services and what not. Also since it’s more affordable, insurance based probably fills...
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Source: Student Doctor Network - October 8, 2023 Category: Universities & Medical Training Authors: yoloswagpoop42069 Tags: Psychiatry Source Type: forums
Dental care system/insurance 101 for international pre-dent student
Hi! I'm an international pre-dent student! I am looking to learn more about the dental insurance, health care system, and current issues in dentistry in the US. Are there any resources/website you could recommend? Thanks in advance!! (Source: Student Doctor Network)
Source: Student Doctor Network - October 7, 2023 Category: Universities & Medical Training Authors: Muriel Tags: Dental Students Source Type: forums
Threats to audit from insurance companies
Got a letter recently from the only insurance company I panel with that I'm billing too many 99214's and 90833's. Somewhere in the 80% range. Everyone at our practice got this letter. My follow ups are all 30 minutes, and the vast majority of my patients have at least two chronic conditions with med management (my understanding is this is enough for 99214 with MDM) and I document supportive, CBT and family work. It's usually 10 minutes for meds and 20 minutes for psychotherapy. Not everyone...
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Source: Student Doctor Network - October 1, 2023 Category: Universities & Medical Training Authors: StayOnTop Tags: Psychiatry Source Type: forums
OMFS start up
hi everyone,
I see a bunch of private practice income threads, but rarely see anything about starting a practice, growth, etc. Does someone have information about how long it takes a practice to build up, cost of start up,average collections/production, hours worked, scope of the practice, insurance, etc.? (Source: Student Doctor Network)
Source: Student Doctor Network - September 28, 2023 Category: Universities & Medical Training Authors: thewingman Tags: Dental Residents and Practicing Dentists Source Type: forums
Physician reviewer for hospital
Has anyone been a physician reviewer for a hospital? Essentially the person who fights for the hospital to get things approved by insurance.
One day i was really bored and disliking the ER more than usual so i decided to apply to a bunch of remote stay at home non clinical positions.
Got 1 rejection, ghosted by 3, but my own hospital system happened to be hiring as well and now I’m finding myself with a third interview in my internal hospital system. Obviously it’s going to be a pay cut...
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Source: Student Doctor Network - September 26, 2023 Category: Universities & Medical Training Authors: cyanide12345678 Tags: Emergency Medicine Source Type: forums
Board Certifications through AOBPMR vs. ABPMR
I am a DO PM&R looking to take boards in the near future through AOBPMR for board certifications. I confirmed with the federal sectors including the military and the VA that the AOA boards bear no restrictions compared to the ABMS boards. I am looking into the southeast (FL, GA) and their state boards confirmed no restrictions for AOA boards either.
To be a private practice interventional physiatrist having to manage ASC credentialing, insurance negotiations, and etc, are there any true...
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Source: Student Doctor Network - September 19, 2023 Category: Universities & Medical Training Authors: milomoneepood Tags: PM&R Source Type: forums
