Coding for couple's therapy?
Hey everyone, got a question about coding for insurance and wasn't sure who to ask (is this a question to pose to my malpractice carrier?). Had a request to do couple's therapy. I had a fair amount of elective training in couples therapy during residency and have done some additional training at the Gottman institute. However, I'm unsure about how, if at all, to bill this to insurance. During residency, I would bill 90847 instead of E/M codes but my supervisor was a psychologist so I...
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Source: Student Doctor Network - October 19, 2021 Category: Universities & Medical Training Authors: reca Tags: Psychiatry Source Type: forums
Suicide Malpractice Case [Naturopathic Provider and Allopathic Psychiatrist]
Sad case here: Suicide [Naturopathic "Doctor"]
Young woman with suicidal thoughts.
Takes her husband's gun, holds it to her head.
Tells family, they try to help her but she is resistant to hospitalization.
Sees a naturopathic doctor, apparently there was no screening for suicidality.
Dies by suicide several weeks later.
Husband sues multiple providers (psychiatrist who had seen her months before, social worker, naturopathic doctor).
Everyone eventually ends up settling. (Source: Student Doctor Network)
Source: Student Doctor Network - October 19, 2021 Category: Universities & Medical Training Authors: bbc586 Tags: Psychiatry Source Type: forums
Becker: Only 14% of Young MD/DO's are Own Boss; Physiatrists Most Burned Out...
14% of physicians under 40 years old are in private practice: 17 insights
Alan Condon - Thursday, September 30th, 2021 Print | Email
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TEXT
Early-career physicians continue to favor employed opportunities over private practice as declining reimbursements, steep medical school debt and the cost of malpractice insurance premiums remain key factors driving career choices, according to the "Medscape Young Physician Compensation Report 2021."
Almost 2,500 "young...
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Source: Student Doctor Network - October 5, 2021 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Rad Onc Medical Malpractice Case
Fascinating but unfortunate case: Carotid Blowout Syndrome [Oncology]
Patient in late 40s diagnosed with SCC.
Surgical resection incomplete due to bleeding complications (not communicated well).
Pt receives 60Gy over 30 treatment days.
Patient ultimately dies of carotid blowout syndrome.
Sues the hospital, asks for >30 million to settle the case. Patient was highly-paid insurance executive.
Exact settlement is confidential but likely was in the low 8 figure range. (Source: Student Doctor Network)
Source: Student Doctor Network - September 22, 2021 Category: Universities & Medical Training Authors: bbc586 Tags: Radiation Oncology Source Type: forums
Phoenix Az Job Wanted...
(I posted this on the main board as well, but thought I'd post it here too if allowed)
Hey all, I thought I'd throw this out there and see if any of you private practice folks have any insight for me:
Maybe I should start with what I'm looking for--a democratic group with a 1-2 yr. partnership track with shared call, paid malpractice, 5-8 wks vacation, retirement, insurance, etc...(this is roughly what I'm finding everywhere else in the US)
However, having spoken to...
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Source: Student Doctor Network - September 15, 2021 Category: Universities & Medical Training Authors: Khalid Tags: Anesthesiology Positions Source Type: forums
Supplemental Liability Insurance
Do any of you carry a personal malpractice policy to supplement your coverage under the Federal Tort Claims Act (FTCA)? If so, which company do you use? What type of policy is it (claims made, occurance, etc)? What is your premium?
When I previously worked in a Federally Qualified Community Health Center, we were covered under FTCA, but the clinic also provided us with a supplemental policy for any claims that fell outside of that coverage. I'm currently in the process of taking a job...
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Source: Student Doctor Network - September 13, 2021 Category: Universities & Medical Training Authors: sammccreedy Tags: Military Medicine Source Type: forums
Foot compartment syndrome [Malpractice Case]
Has anyone here after 1. diagnosed compartment syndrome of the foot or 2. checked a compartment pressure on the foot?
Interesting case of a guy who got his foot run over, seen at an occupational health clinic, sent home.
3 days later sent to ED, gets fasciotomies of the foot. Permanently disabled.
A few orthos are saying that doing the fasciotomies of the foot is often worse than the compartment syndrome, standard may be switching to just splint, pain meds, then release...
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Source: Student Doctor Network - August 5, 2021 Category: Universities & Medical Training Authors: bbc586 Tags: Emergency Medicine Source Type: forums
Per diem work on a per diem malpractice policy
I was wondering what you guys thought a competitive hourly rate for per diem work should be for a busy metropolitan are hospital. This is a place where I was previously employed hence I think it would be easy as I know all the ropes.
I would only be covering 1-2 shift per month as I have another steady gig. This would pay me on a 1099 and would require my own malpractice policy. Nationwide anesthesia provides this at about $180 a day.
I'm also nervous about getting malpractice coverage...
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Source: Student Doctor Network - July 25, 2021 Category: Universities & Medical Training Authors: xtina0 Tags: Anesthesiology Source Type: forums
It's that time of year folks. CMS released it's proposed fee schedule for 2022
CMS gives us a real good one here.
Calendar Year (CY) 2022 Medicare Physician Fee Schedule Proposed Rule | CMS
On July 13, 2021, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, on or after January 1, 2022.
www.cms.gov
Looks like we get a lovely 3.75% decrease. Do you think my malpractice carrier will decrease my premium...
Source: Student Doctor Network - July 15, 2021 Category: Universities & Medical Training Authors: king22 Tags: Podiatric Residents & Physicians Source Type: forums
Legal Resource to help with malpractice defense? (Military)
I have been recently notified that I have been identified from a military malpractice claim from an active duty member.
I don't have malpractice insurance myself because the military covers claims made against me. Previously, active duty military cant make malpractice claims against AD provider, but now they can with a new legislation.
Because of this, I believe this means that I need to find my own lawyer to help represent me. In particular, to help me get my statement straight; this...
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Source: Student Doctor Network - July 8, 2021 Category: Universities & Medical Training Authors: molarballer Tags: Military Medicine Source Type: forums
New patients evals/transfers with adderall prescription.
For those getting patients for evaluation that have chronic prescriptions for benzodiazepines, stimulants etc. How do you handle it?
I've started working at a location where most referrals are prescribes Klonopin and Adderall (which I believe is basically malpractice).
Also, most of these patients are not gainfully employed or going to school, what would the purpose of the stimulant be?
Added bonus is that they have multiple different providers in prescription monitoring review. Maybe...
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Source: Student Doctor Network - June 25, 2021 Category: Universities & Medical Training Authors: freditoj Tags: Psychiatry Source Type: forums
Medefense tail coverage
Hey everyone,
I recently left a group with an occurrence based malpractice policy, however I was just contacted by my former insurer about Medefense tail coverage.
The group I left was my first job, so this is uncharted territory for me. Just googling what medefense coverage was for left me with a list of pretty esoteric things, and I’m not sure what amount of coverage would suffice, or if this coverage is even necessary in the first place. I’d really appreciate any insight from any of...
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Source: Student Doctor Network - June 12, 2021 Category: Universities & Medical Training Authors: Jlaws67 Tags: Anesthesiology Source Type: forums
Incredible Opportunity
Well-established plastic surgery practice focused on body contouring seeks plastic surgeon associate to join already busy, growing team.
Compensation
Highly competitive compensation package (offered to include base salary, potential productivity bonus, medical malpractice, health insurance and possible future partnership opportunity.
Applicant
The successful candidate will be board certified/board eligible in Plastic Surgery. We are looking for an enthusiastic surgeon...
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Source: Student Doctor Network - June 11, 2021 Category: Universities & Medical Training Authors: dvodvo Tags: Plastic Surgery Source Type: forums
malpractice, tail, and working in multiple states
Hi, all--Question about malpractice, tail coverage, and working in multiple states (that you are licensed in).
Here's my situation. Looking at a contract, have not signed. Says they don't provide tail. I protest, director comes up with a % of tail they will cover, will cover 100% if I stay for 2 years. Ok, don't love it, but my question is not about whether I should love this.
Job entails work in state A, which is my primary state and where I am licensed. Job also entails some tele work in...
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Source: Student Doctor Network - May 28, 2021 Category: Universities & Medical Training Authors: 1edyfirel Tags: Psychiatry Source Type: forums
Split fee?
I have worked locums, independent contractor positions, but always at X $ per hour. I am interviewing for a really busy clinic that uses Ketamine, RTMS, great reputation, but they want me to do a 70/30 split where I pay my own malpractice, go my own prior authorizations............. I am so much more comfortable knowing I will make X dollars per week. Have those of you who have done a split fee at a clinic done ok financially? (Source: Student Doctor Network)
Source: Student Doctor Network - May 20, 2021 Category: Universities & Medical Training Authors: futuredo32 Tags: Psychiatry Source Type: forums
