Time spent on documentation
Hi all! First off, just want to say thanks to the community here. I was helping my dad look into starting a private practice a while back, and I found a ton of helpful info on this forum. I have a lot of interest in psychiatry myself, so I've been lurking ever since.
How much time do you typically spend writing notes? What ways have you found to streamline the process? How much does it depend on inpatient/outpatient, policies/software at your workplace, insurance/private pay?
For some...
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Source: Student Doctor Network - February 23, 2023 Category: Universities & Medical Training Authors: nm185 Tags: Psychiatry Source Type: forums
Cash pay for medicaid patients who's injections are denied
Does anyone know if it is a breach of your medicaid contract to offer patients a cash pay option for an injection such as a LESI or TFESI if medicaid denies the prior-authorization?
For example, I just had Meridian deny a 2 level TFESI on a patient because he had a prior epidural done 8 months ago by a different doctor that didn't help. I offered the patient the option to pay cash for the injection ($300) and bypass insurance and they agreed. (Source: Student Doctor Network)
Source: Student Doctor Network - February 19, 2023 Category: Universities & Medical Training Authors: AnesthesioPainologist Tags: Pain Medicine Source Type: forums
Medicaid insurance and new solo private practice
Hello! I am in the process of opening a solo psychiatric practice this summer and currently getting credentialed with some of the commercial insurers and Medicare. During this credentialing process, a blue cross blue shield agent said, "If you choose not to accept Medicaid Managed Care members, this would be for all health plans, not just for BC/BS. NYS doesn’t allow for providers to pick and choose what MMC policy they can and cannot accept, as it is all or nothing."
To my...
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Source: Student Doctor Network - February 17, 2023 Category: Universities & Medical Training Authors: geripsyched Tags: Psychiatry Source Type: forums
Insurance Denial of IMRT for Prostate
Anyone here run into this before? I've got a P2P tomorrow with Priority Health. They're denying IMRT for 28-fraction prostate treatment for an intemediate risk prostate cancer. They're telling me they'll only approve brachy or 3D.
This is the first time I've ever had IMRT denied for prostate. It's standard of care and am frankly shocked by the denial. Person I'm talking to tomorrow is not a rad onc. They don't have a rad onc to talk to. Are other folks seeing this kind of shenanigans? (Source: Student Doctor Network)
Source: Student Doctor Network - February 17, 2023 Category: Universities & Medical Training Authors: thompa Tags: Radiation Oncology Source Type: forums
Charging patients for PA in insurance practice
Do most insurance plans prohibit chargining for prior authorization if you are in network? (Source: Student Doctor Network)
Source: Student Doctor Network - February 16, 2023 Category: Universities & Medical Training Authors: liquidshadow22 Tags: Psychiatry Source Type: forums
Independent Contractor vs. Employee (1099 vs. W2) in Podiatry
Hi everybody,
A resident asked me a question and I thought I would relay it here since you all seem much smarter than me. From our perspective, what are the advantages of working as an independent contractor instead of just being a W2 employee as a Podiatry associate or for one of those other groups (Upperline, etc.)?
From my understanding, independent contractors are required to pay double FICA (both sides of Medicare and SS tax) and are required to find their own health insurance...
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Source: Student Doctor Network - February 14, 2023 Category: Universities & Medical Training Authors: SouthPod7 Tags: Podiatric Residents & Physicians Source Type: forums
Disability insurance $900/month
Guardian is quoting $900/month for $8000 coverage. Mass mutual is quoting $750/month. Both seem very expensive. Do I go for it or leave it? I don't have any medical issues, I don't know the future and if buying the insurance will be worth it. Any advice? (Source: Student Doctor Network)
Source: Student Doctor Network - February 6, 2023 Category: Universities & Medical Training Authors: nbde4dds Tags: Dental Residents and Practicing Dentists Source Type: forums
Cancer in medical school
Hello I'm writing this in hope that who ever may be in my situation be inspired to stay strong.
A bit of background for you, I'm a healthy 28 YO with no chronic health issues. So going into medical school I decided to use my home-state medicaid as my insurance which my school had approved (saved $3K/year). This medicaid only covers emergency and urgent care in the state of my medical school. Okay... so given the fact that I was a healthy 28 YO with no issues that all changed September of...
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Source: Student Doctor Network - January 27, 2023 Category: Universities & Medical Training Authors: Byakkz Tags: Medical Students (DO) Source Type: forums
Household spending and inflation 2022
Thought it would be interesting to see what other anesthesiologists are spending. I’ll share first.
We spent $120k in 2021. Inflation hit plus we spent 15k on my man cave and had some annoying house expenses like tree work. $140k in 2022. House is paid off so that’s saves us 20-30k. And heath insurance is covered by work. Obviously as a FT anesthesiologist we are still saving a lot, so not too worried. (Source: Student Doctor Network)
Source: Student Doctor Network - January 26, 2023 Category: Universities & Medical Training Authors: caligas Tags: Anesthesiology Source Type: forums
Do I have to disclose lattice degeneration in disability insurance questionnaire?
I'm currently filling out the medical questionnaire for a MassMutual disability insurance, and one of the questions asks if I have been treated for, diagnosed with, or advised about the following: "A disorder of the eyes, ears, nose, throat or sinuses such as any partial or complete loss of hearing, vision or speech, acoustic neuroma and optic neuritis?"
I wear glasses/contacts to correct my vision and recently was told after an eye exam that I have a lattice degeneration...
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Source: Student Doctor Network - January 24, 2023 Category: Universities & Medical Training Authors: Babitzo Tags: Dental Residents and Practicing Dentists Source Type: forums
Life Insurance. Worth it?
I just read a post about the disability insurance and that was very helpful.
What are you guys’ thoughts on life insurances?
Which one would you recommend, term vs. whole? (Source: Student Doctor Network)
Source: Student Doctor Network - January 20, 2023 Category: Universities & Medical Training Authors: Orth0 Tags: Dental Residents and Practicing Dentists Source Type: forums
EM to Pain
Hello, I am an ER doctor 3 years out of residency looking to get into pain. I am at the beginning of this journey and was hoping others might have some helpful advice. I have one research paper from residency that was pain related but I've been told that I would need more and with me being out of training now I would not be able to get an ACGME away rotation because I am not covered by ACGME insurance. This would make me less competitive for ACGME programs where I fear I am already at a...
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Source: Student Doctor Network - January 18, 2023 Category: Universities & Medical Training Authors: sandiego1 Tags: Pain Medicine Source Type: forums
Would working in patient access be considered clinical experience?
Expresses sincere concern and empathy when dealing with customer complaints.
Accesses appropriate systems/services to confirm insurance coverage or other means of payment.
Communicates scheduling changes to patients, staff, physicians and patient representatives in a timely and professional manner.
Identifies and communicates payroll authorization and referral requirements to patients.
Explains insurance benefits and patient liability by using appropriate communication...
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Source: Student Doctor Network - January 13, 2023 Category: Universities & Medical Training Authors: SpideyMD Tags: Pre-Medical (MD) Source Type: forums
Getting on with insurance panels
Ok, I will admit this is an area I could use some assistance in. Back in Ohio in my former LLC I attempted to get on with United Healthcare I believe and their website basically outlined I needed to first go through CAQH. I did that. I gave up as I was just so confused as to how I could go about getting on with insurance panels. Fast forward to present-day. I have since updated my CAQH with the relevant info now that I live in Texas. In the portal, it shows a document that is outstanding...
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Source: Student Doctor Network - January 13, 2023 Category: Universities & Medical Training Authors: ohiopsychdoc Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums
Payment for 64999 nerve blocks (IPACK, PENG, Erector Spinae)
How are your groups handling insurance (CMS included) denials for payments for newer nerve blocks. We have transitioned to IPACK, PENG, and erector spinae blocks for a vast majority of our patients. Per the AMA instructions, they are coded as 64999, but we are still frequently are not paid for them. They often are rebuked by saying it is "experimental." Any guidance would be appreciated. (Source: Student Doctor Network)
Source: Student Doctor Network - January 12, 2023 Category: Universities & Medical Training Authors: yossarian22 Tags: Anesthesiology Source Type: forums
