Liklihood of RFA working after positive MBB
Just asking what you typically tell patients regarding efficacy or likelihood of improvement of RFL after they have had a positive MBB (or two). 80%? 90%? I personally have been doing just one MBB, most of patients are manual labor/industry guys with low back pain and have a hard time getting out of work for multiple appointments, and most insurers in my area only require 1 MBB. Just wondering if you have a certain speil regarding likelihood of RFA working in the lumbar spine after a + diag...
Liklihood of RFA working after positive MBB (Source: Student Doctor Network)
Source: Student Doctor Network - October 7, 2017 Category: Universities & Medical Training Authors: thecentral09 Source Type: forums
Virtual Pharmacy
I have read articles that mention virtual pharmacist counseling jobs and telepharmacy, and I have heard people say they know a friend of a friend who does it, but I can't find any actual companies hiring for it. I know that hospital remote order entry technically falls into this category, but that's not what I'm talking about. I am referring to these mystical unicorn jobs that insurance companies, and mail order companies, and some other collaborative arrangements are suppose to be offering....
Virtual Pharmacy (Source: Student Doctor Network)
Source: Student Doctor Network - September 18, 2017 Category: Universities & Medical Training Authors: Winter17 Source Type: forums
Amid Opioid Crisis, Insurers Restrict Pricey, Less Addictive Painkillers
...
Amid Opioid Crisis, Insurers Restrict Pricey, Less Addictive Painkillers (Source: Student Doctor Network)
Source: Student Doctor Network - September 18, 2017 Category: Universities & Medical Training Authors: pastafan Source Type: forums
I really love clinic
Hi. I'm currently a 3rd year and am in the middle of surgery. I have found that I really enjoy clinic and don't like being in the OR at all. Also, inpatient care is not very appealing to me. I have had my heart set on FM for a while because I really like the idea of primary care, of helping patients manage their chronic illnesses, consulting with different subspecialties, and fighting with insurance companies.
However, I am starting to also consider IM. I have read some threads on the...
I really love clinic (Source: Student Doctor Network)
Source: Student Doctor Network - September 12, 2017 Category: Universities & Medical Training Authors: kimposibl Source Type: forums
United Healthcare implementing CDC recommendations
Just got notification from United Healthcare that they are going to require prior authorization for non cancer patients that are on more than 90 morphine daily meQ's. I can't imagine that the other insurers won't follow suit. (Source: Student Doctor Network)
Source: Student Doctor Network - September 7, 2017 Category: Universities & Medical Training Authors: melodic minor Source Type: forums
More insurers threatening not to pay for non-emergent care
More Health Insurers are Announcing They Will be Punishing Patients for 'Unnecessary' ER Visits
Blue Cross and Blue Shield of...
More insurers threatening not to pay for non-emergent care (Source: Student Doctor Network)
Source: Student Doctor Network - September 7, 2017 Category: Universities & Medical Training Authors: The White Coat Investor Source Type: forums
Hospitals Buy Independent Medical Practices and Costs Increase
As large hospital systems buy up independent medical practices, the cost of health care rises
"Costs for things like rent, water and electronic health records keep going up, but for the past seven years, she said, insurance companies have refused to pay her more for the services she provides. They said she just doesn’t have enough market power to...
Hospitals Buy Independent Medical Practices and Costs Increase (Source: Student Doctor Network)
Source: Student Doctor Network - September 7, 2017 Category: Universities & Medical Training Authors: drusso Source Type: forums
regulatory, billing, drugs for doing sedation for an office
If an office wants to hire an anesthesiologist to do moderate-deep sedation for minor procedures below the neck:
1. what kind of regulatory requirements does the office have to satisfy before they can hire anesthesiologist to do this?
2. how should the anesthesiologist go about billing - by 15min increments? by case? how do they choose how much to charge?
a. if procedures covered by insurance
b. if procedures entirely "fee for service" (out of pocket - no insurance company...
regulatory, billing, drugs for doing sedation for an office (Source: Student Doctor Network)
Source: Student Doctor Network - September 4, 2017 Category: Universities & Medical Training Authors: cleansocks Source Type: forums
Dental insurance & invisalign
Couldn't find much help through google. I want to get invisalign because my teeth are just meh and I'd like to have better teeth. However, I have Molina and it doesn't cover it. I'm thinking about buying dental insurance just so I can afford the treatment. How long do I have to wait before doing the treatment once I buy insurance? I'm sure there has to be some kind of latent period so people don't abuse insurance companies by buying them before a treatment and dropping them after.
Also, I...
Dental insurance & invisalign (Source: Student Doctor Network)
Source: Student Doctor Network - August 4, 2017 Category: Universities & Medical Training Authors: BioTic Source Type: forums
Epidural Reimbursement question
So I got a question for everyone. I'm starting practice fresh outta fellowship, so little new to the area of billing and collections. Say I think someone is a candidate for bilateral L4 and L5 transforaminal ESI. Does that get paid if you bill that? Or is there some limit to how many epidurals you do before insurers stop paying it? What about Medicare/Medicaid specifically as that's what I'll likely be seeing most.
We didn't do 4 regions in fellowship hardly ever, though not sure if it...
Epidural Reimbursement question (Source: Student Doctor Network)
Source: Student Doctor Network - July 22, 2017 Category: Universities & Medical Training Authors: soccerpunk600 Source Type: forums
Disability insurance
Seems like all attendings have anesthesia specific disability insurance. I know it is highly recommended to get one. But I dont know anyone who had to use it, or what conditions qualify activation of disability insurance. Does anyone know of anyone who had to use it and what was their situation?
It is extremely costly, and i imagine insurance companies will try everything they can to deny you the money since it will be a lot of money for the insurance company since anesthesiologists make...
Disability insurance (Source: Student Doctor Network)
Source: Student Doctor Network - July 17, 2017 Category: Universities & Medical Training Authors: anbuitachi Source Type: forums
Is it permissable to run "test claims" in retail pharmacy?
Sometimes patients will call and ask us what a medication costs though their insurance. However, they don't have a prescription on file. Is it permissible to run a fake rx through to see what their copay is, then reverse it?
I've had another pharmacist say that the insurance companies don't like it when we do test claims with out an actual prescription on file. (Source: Student Doctor Network)
Source: Student Doctor Network - July 13, 2017 Category: Universities & Medical Training Authors: justjoe Source Type: forums
why would anyone with a brain go into Primary Care?
So, i have been contemplating Family practice or primary care for a while, but after shadowing a solo DO today, at her family practice. I don't see how it;s a viable choice, i mean we went over the financial side of the equation, she stated having trouble making ends meet. Thus will be switching to a direct primary care model, under-which no insurance company will be involved!! At the end of the day, i couldn't help it but connect the dot between dying podiatry practice and family care. I...
why would anyone with a brain go into Primary Care? (Source: Student Doctor Network)
Source: Student Doctor Network - June 28, 2017 Category: Universities & Medical Training Authors: Trollest Source Type: forums
Disability insurance, malpractice insurance, anything I am missing?
Out in the real world, I want to make sure that I have all my bases covered. I don't want to be over insured, but I also want to make sure to have all my bases covered. Talking to insurance companies, they want to sell you everything. Did any of you guys get disability insurance? I am not a surgeon, but you never know what could happen? Have any of you had to use your disability insurance? Any pearls of experience that might be helpful for anyone reading this forum? (Source: Student Doctor Network)
Source: Student Doctor Network - June 23, 2017 Category: Universities & Medical Training Authors: carlosc1dbz Source Type: forums
After how many days do you have to reverse and RTS a retail claim if it hasn't been picked up?
Is there a standard? What is the most common with insurance companies? (Source: Student Doctor Network)
Source: Student Doctor Network - June 19, 2017 Category: Universities & Medical Training Authors: justjoe Source Type: forums
