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What are your thoughts on the proposed 2020 fee schedule?
Copied below from the AAO announcement. A 15% cut to phaco in one year seems brutal. Member Alert​The Centers for Medicare & Medicaid Services today released its proposed physician fee schedule for 2020. Here are the highlights, based on the Academy's early analysis. Because this is a proposed rule, the Academy will work with CMS over the next few months to ensure a final... What are your thoughts on the proposed 2020 fee schedule? (Source: Student Doctor Network)
Source: Student Doctor Network - July 31, 2019 Category: Universities & Medical Training Authors: OphthoApplicant04 Tags: Ophthalmology: Eye Physicians & Surgeons Source Type: forums

Ect
Does any one know of ECT being performed solely in an Ambulatory Surgery Center? CMS has not placed ECT (CPT code 90870) on the list of approved procedures in an ASC, and they aren't making it a priority even with APA and ISEN-ECT requests to add it. This means medicare/medicaid are unlikely to be performed in an ASC for near future. So have any of you heard of colleagues, or are active yourself, in performing privately insured ECT in an ASC? Further more, please educate me on how... ECT (Source: Student Doctor Network)
Source: Student Doctor Network - June 19, 2019 Category: Universities & Medical Training Authors: Sushirolls Tags: Anesthesiology Source Type: forums

Dropped health insurance
I have a question about health insurance. I am old enough that I no longer qualify for my parent's health insurance, and I live in a state where I don't qualify for medicaid; Also, my school doesn't provide any health insurance plans, however they require you to be on a plan. I was enrolled through that Market place, but got knocked off due to non-payment (they don't show how much you owe on my health insurance website, and I got a month behind... ****). I'm having a hard time finding... Dropped health insurance (Source: Student Doctor Network)
Source: Student Doctor Network - April 20, 2019 Category: Universities & Medical Training Authors: blahblahblah1000 Tags: Medical Students - MD Source Type: forums

HELLPP Act
Use the e-advocacy (from APMA) link to submit a letter in support of the HELLPP act: allowing Pods to recognized as Physicians under Medicaid. Use the link and the attachment in this thread. APMA APMA | Quorum apma.quorum.us "Helping Ensure Life- and Limb-Saving Access to Podiatric Physicians (HELLPP) Act, would achieve this by ensuring that our nation’s vulnerable Medicaid population has access to the important specialized foot and ankle care services... HELLPP Act (Source...
Source: Student Doctor Network - April 9, 2019 Category: Universities & Medical Training Authors: DexterMorganSK Tags: Podiatry Students Source Type: forums

California bill seeks to impose communist-style price controls over doctors and hospitals
The commies in Cali are pushing a bill that would hand over all control of medical pricing to a 10 member committee. Note that I'm not talking about reimbursement rates for government programs like Medicaid and CaliCare, but that the price you could charge patients as a private doctor would be set by a group of 10 bureaucrats. It's total insanity. To get a grasp of how crazy this is, imagine instead that this legislation applied not to healthcare, but to the food and beverage... California bill seeks to impose communist-style price controls over doctors and hospitals (Source: Student Doctor Network)
Source: Student Doctor Network - May 10, 2018 Category: Universities & Medical Training Authors: Money Moniker Source Type: forums

Single payer system
So it’s pretty much a forgone conclusion that a single payer is coming. What will this do to reimbursements/our income? Doesn’t Medicare/Medicaid pay about 50% of private payers for Anesthesia services? I believe for surgical subspecialties it’s closer to 75%, so we are the ones who are going to get hit harder than anyone. Also, this is all pure speculation, but when do you believe this crossover is going to take place? I’m thinking 2021 once the New Democratic President takes office... Single payer system (Source: Student Doctor Network)
Source: Student Doctor Network - May 8, 2018 Category: Universities & Medical Training Authors: acidbase1 Source Type: forums

Low MCAT/ high GPA. Do my work activities make me more competitive?
I posted yesterday but want to know if my activities/story make me a little bit more competitive in case of a reapp. I am a first generation college student/first female in my family to pursue medicine/ attending a private college through scholarships I earned for community service work (e.g. coca cola). Not URM, high GPA/low mcat 503-507 range/3.8+ GPA/graduated a semester early My PS was about something that happened to my father that led to me learning how to apply for Medicaid/ how... Low MCAT/ high GPA. Do my work activities make me more competitive? (Source: Student Doctor Network)
Source: Student Doctor Network - April 24, 2018 Category: Universities & Medical Training Authors: hopefulgirl123 Source Type: forums

Waiving medicare a-d copays?
Floated to a store. Patient comes in saying they can't afford their medicare copay. I said we can't waive medicare co-pays. Patient says we waive/pay them all the time for them and that if we don't waive it they'd report me... I said I'd have to verify if we can waive medicare co-pays with another pharmacist since there were no notes in the system that we could... I thought that was only possible for state medicaid insurances to do IOUs or waiving them for inability to pay, never heard of... Waiving medicare a-d copays? (Source: Student Doctor Network)
Source: Student Doctor Network - April 15, 2018 Category: Universities & Medical Training Authors: Charcoales Source Type: forums

Drug Testing when prescribing controlled substances
This is something I wanted to look more into, so I decided to start here. Is there specific protocol for tox screens, how often, etc. I only ask because I see different things going on in the community. At community mental health clinics that take medicaid - I see people wanting tox screens monthly when prescribing a controlled substance At clinics that take private insurance - I see people getting Klonopin, Adderall, etc without ever being tox'ed, or rarely. I'm not accusing one... Drug Testing when prescribing controlled substances (Source: Student Doctor Network)
Source: Student Doctor Network - April 11, 2018 Category: Universities & Medical Training Authors: Psychobabbling Source Type: forums

Is this legal?
Someone wanted to donate like 10 bucks and they said we could use it to help others who can't afford their copay (medicaid), can we accept this and put it into a iou jar or something only for those who swear they have 0 money? Or is this illegal? What if someone donated like 100 or something? (Source: Student Doctor Network)
Source: Student Doctor Network - April 9, 2018 Category: Universities & Medical Training Authors: Charcoales Source Type: forums

Starting Medical School in Fall, But Need Surgery
Hey all, So I am planning on starting medical school in the Fall, however, I have learned that I need an expensive medical procedure, and ideally I would like to get it knocked out before school starts. I am wondering if it's worth applying for a private med loan in order to pay for it. I can wait until I start med school and get on medicaid, but then I would probably wait until Winter break before I did it, and that concerns me. I am wondering if anyone has been in a similar predicament... Starting Medical School in Fall, But Need Surgery (Source: Student Doctor Network)
Source: Student Doctor Network - April 4, 2018 Category: Universities & Medical Training Authors: Jesus Christ Source Type: forums

Starting Med School In Fall, But Need Surgery
Hey all, So I am planning on starting medical school in the Fall, however, I have learned that I need an expensive medical procedure, and ideally I would like to get it knocked out before school starts. I am wondering if it's worth applying for a private med loan in order to pay for it. I can wait until I start med school and get on medicaid, but then I would probably wait until Winter break before I did it, and that concerns me. I am wondering if anyone has been in a similar predicament... Starting Med School In Fall, But Need Surgery (Source: Student Doctor Network)
Source: Student Doctor Network - April 4, 2018 Category: Universities & Medical Training Authors: Jesus Christ Source Type: forums

Gift from patient...
Failed back. Daily tramadol and gaba. Medicaid doesn't pay for stim. Finally got on Medicare and got his SCS. "Changed my life." Your moment of Zen... View attachment 230904 (Source: Student Doctor Network)
Source: Student Doctor Network - March 23, 2018 Category: Universities & Medical Training Authors: drusso Source Type: forums

Exam 1: Hostile Medicaid Alcoholic Wants Vicodin; hates Tramadol
View attachment 229887 Exam concordant for facet mediated pain. Brethalyzer and urine negative for ETOH. No procedures covered by state Medicaid & can't afford cash price. Reached cap for PT. Said acupuncture was "pure BS" and refuses to chiro because "they're all quacks and paralyzed my uncle." What's your next move? (Source: Student Doctor Network)
Source: Student Doctor Network - February 27, 2018 Category: Universities & Medical Training Authors: drusso Source Type: forums

Disadvantaged Status
Hi SDN, im trying to answer the "Disadvantaged Status" question on my app. would the following qualify me as a disadvantaged applicant? -family emigrated as refugees from soviet union escaping religious persecution -3 other siblings, combined 15k/year income -public assistance (food stamps, public housing, medicaid) -designated HPSA -disabled father should my answer reflect the adversity i have faced and how i have overcome it? or should i save that for other parts of my app. thank you (Source: Student Doctor Network)
Source: Student Doctor Network - February 25, 2018 Category: Universities & Medical Training Authors: silver4260 Source Type: forums