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Safety/panic buttons in solo private practice?
Starting a small cash-pay private practice, seeing pts both virtually and in-person. I'm renting an office two days a week, located in a fancy high-rise building in a very urban HCOL town. In residency (where I saw mostly medicaid) and in some county clinics/hospitals I've worked out, I had either panic buttons in the office I worked in, or carried around a panic button thing (inpatient). I know I'll be seeing a different clientele in my private practice, but it still makes me a little... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 25, 2023 Category: Universities & Medical Training Authors: 1edyfirel Tags: Psychiatry Source Type: forums

Calling on your wisdom
Hello everyone. I plan to write a letter to the governor's office to ask for review of the Medicaid fee schedule. In brief, I'm hoping my state can have the E&M code rates increased so physicians are more incentivized to work with this population. I'm calling on everyone's wisdom here, if anyone knows of any articles showing that addressing MH needs leads to better outcomes such as lower health care costs, better outcomes in mortality and morbidity, any data to show that this is a worthy... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 21, 2022 Category: Universities & Medical Training Authors: randomdoc1 Tags: Psychiatry Source Type: forums

Pharmacists who work for CMS Medicaid / Medicare
Hi, I'm trying to see what it's like working for CMS Medicare / Medicaid for pharmacists. I know the salary is not great (i.e. govt), but what about job satisfaction, expectations/ metrics, etc. The job description involves: policy work, pharmaco-economics, law/regulations. Anyone here currently working or has had experience with CMS? (Source: Student Doctor Network)
Source: Student Doctor Network - November 25, 2022 Category: Universities & Medical Training Authors: MBar Tags: Job Market Source Type: forums

Only one spinal level for RFA with commercial insurance?
Im in PA, and some pts have UPMC insurance. I have been getting denials for 2 level MBB and RFA by UPMC insurance and have looked into the policy and procedure manual for UPMC commercial insurance (again NOT medicaid), but insurance small business owners actually pay for. Two things obviously jump out 1. No more than 1 level can be ablated in 12 months 2. Cannot ablate at level with spondylolisthesis. HAHAHAHA this is absolutely laughable. Has anyone else ran into anything like this? What... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - November 17, 2022 Category: Universities & Medical Training Authors: thecentral09 Tags: Pain Medicine Source Type: forums

Sick Profit: Investigating Private Equity ’s Stealthy Takeover of Health Care Across Cities and Specialties
Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties Private equity firms have shelled out almost $1 trillion to acquire nearly 8,000 health care businesses, in deals almost always hidden from federal regulators. The result: higher prices, lawsuits, … www.google.com 2 year old needed 6 root canals and crowns. Medicaid. No imaging ordered to show need for this procedure. Hypoxemia and brain death. The public is waking up to the issues with private equity in medical care. I mean really how m...
Source: Student Doctor Network - November 16, 2022 Category: Universities & Medical Training Authors: TheLoneWolf Tags: Anesthesiology Source Type: forums

ICAN act
https://www.clinicaladvisor.com/home/my-practice/nurse-practitioner-career-resources/i-can-act-aprns-medicare-medicaid/ Anyone know about this? The amount of lobbying for full independence is just out of control. Sounds so good on paper when it “improves access to everyone” when in reality, it will just increase morbidity/mortality, and increase the overall cost to the system without any benefit. Getting tired of seeing all this power grab moves justified by virtue signaling. The... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - November 15, 2022 Category: Universities & Medical Training Authors: secretasianman Tags: Anesthesiology Source Type: forums

WAMC/School List
PLEASE DO NOT QUOTE THIS MESSAGE. I’m a non-traditional career changer applying this upcoming cycle (now 30) cGPA: 3.75; sGPA: 3.95; post bacc: 3.95; MCAT: 517 (before finishing pre-recs); graduated UCLA (ucla gpa only 3.35 but I can explain the dip last 2 quarters, before that was above 3.5; also 4.0 cc transfer); not URM Leadership/Paid employment: -Investment banking 4 years, which led to meaningful executive roles. -Started 3 companies: one was a clinic trying to improve Medicaid... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - October 19, 2022 Category: Universities & Medical Training Authors: NontradQuestioner Tags: What Are My Chances? WAMC Medical Source Type: forums

Post-pandemic cardiology salary
I know there are threads from the past about salary, but I'm more interested in the salary trend in 2022 coming out of the pandemic. There are all sorts of pressures that affect salary from supply and demand dynamics to decisions made at the federal level in the Centers of Medicare and Medicaid Services (CMS) agency. I've heard speculation by colleagues that is both favorable and unfavorable for our future salary. I'm interested in your thoughts and your salaries. I graduated fellowship... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - October 2, 2022 Category: Universities & Medical Training Authors: Mighty_MD Tags: Cardiology Source Type: forums

Pediatric dentist sees how many patients a day?
Is it different for medicaid or private ins office? How many per day? How much is daily salary? On average? (Source: Student Doctor Network)
Source: Student Doctor Network - August 31, 2022 Category: Universities & Medical Training Authors: hhk0036 Tags: Dental Residents and Practicing Dentists Source Type: forums

Pharmacist (remote) jobs with CMS (medicare/medicaid)
1. Is anyone familiar with the interview process for CMS when hiring remote pharmacists? 2. What is it like working for CMS as a Remote Pharmacist? (Source: Student Doctor Network)
Source: Student Doctor Network - August 29, 2022 Category: Universities & Medical Training Authors: MBar Tags: Pharmacy Source Type: forums

School insurance for mental healthcare?
*Please do not quote* I am debating whether to opt for the insurance that my school offers or to get outside insurance (similar cost if I want good coverage). I don’t think I qualify for Medicaid unfortunately because I will have worked this year prior to matriculating. My main concern is that I see a psychiatrist and occasionally a therapist for well-managed mental health issues and I am worried about using school insurance for this. I’ve read a lot of threads on SDN saying you shouldn’t... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - August 15, 2022 Category: Universities & Medical Training Authors: elliotalderson Tags: Medical Students (MD) Source Type: forums

How to get Botox approved for contractures
Trying to do Botox injections for a flex ion contracture if a joint, Medicaid keeps denying, what diagnosis do I have to put to get this approved? (Source: Student Doctor Network)
Source: Student Doctor Network - August 5, 2022 Category: Universities & Medical Training Authors: dipriMAN Tags: Pain Medicine Source Type: forums

Advocacy secondary prompt
Hi all, the prompt is "Our physicians pride themselves on giving outstanding care to patients, while looking for better and more equitable ways to do so. As you think about being a future physician and advocate for patients, describe a time when you advocated for someone or something. What did you learn from this situation?" I am a medical assistant and was going to write about the time I spent nearly two hours getting bounced around various Medicaid reps to get a medication covered for a... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - July 16, 2022 Category: Universities & Medical Training Authors: JAK2-STAT3 Tags: Pre-Medical (MD) Source Type: forums

CMS proposed physician payment rule 2023
Any guesses on how this would be implemented if it goes through? CMS Proposes Physician Payment Rule to Expand Access to High-Quality Care | CMS The Centers for Medicare & Medicaid Services (CMS) today issued the Calendar Year 2023 Physician Fee Schedule (PFS) proposed rule, which would significantly expand access to behavioral health services, Accountable Care Organizations (ACOs), cancer screening, and dental care — particularly in... www.cms.gov “CMS is also proposing to bundle certain chronic pain mana...
Source: Student Doctor Network - July 8, 2022 Category: Universities & Medical Training Authors: Linktones Tags: Pain Medicine Source Type: forums

Medicaid
As a GP are you allowed to only except Medicaid for emergency exams and extractions? For instance if patient on regular schedule cancels and Medicaid patients calls or walks in, this would be a way to fill schedule and provide meaningful service. Or, scheduled full mouth ext/alveoloplasty -> referral to office that accepts Medicaid dentures. I've heard of offices doing this... it can't be illegal right? Can I work at a Medicaid office as a temp but don’t take it at my regular office? Is... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - June 23, 2022 Category: Universities & Medical Training Authors: dentite24 Tags: Dental Residents and Practicing Dentists Source Type: forums