Help with a PP offer
Hi all,
Newly licensed ECP here. A group practice recently made me an offer: 55/45 split, no benefits at all. They offer office space, receptionist, teletherapy program, medical billing, phone answering, referrals, testing materials, EMR, and marketing. They will also help me get paneled with all the major insurances. I will get to choose how many hours I work and when I work. I spoke with several psychologists who are working/worked there and they all seem to like the practice owner and...
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Source: Student Doctor Network - July 19, 2021 Category: Universities & Medical Training Authors: eeor1006 Tags: Psychology [Psy.D. / Ph.D.] Source Type: forums
UCAT and Medify
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Source: The Student Room - July 17, 2021 Category: Universities & Medical Training Authors: vinoobvi5 Tags: Medicine Source Type: forums
Billing for SPRAVATO
Anyone here with SPRAVATO experience? How did you bill (E/M) when checking up on the patient after administration?
I'm thinkin 99215 as this is for treatment resistant depression and requires a medication with extensive monitoring. (Source: Student Doctor Network)
Source: Student Doctor Network - July 11, 2021 Category: Universities & Medical Training Authors: AD04 Tags: Psychiatry Source Type: forums
No One Is Safe
Practice penalized after YouTube-trained nurses performed neurostimulator procedures
A Houston-based chiropractor and her practice are paying $2. 6 million and foregoing participation in federal healthcare programs for a decade to resolve billing fraud allegations, according to a June 8 Justice Department statement.
www.beckersasc.com (Source: Student Doctor Network)
Source: Student Doctor Network - June 9, 2021 Category: Universities & Medical Training Authors: Tramadeezy Tags: Pain Medicine Source Type: forums
Career advice: Independent contractor vs employee
Hello, I'm a PGY3 considering taking a job upon graduation with a group private practice where I'd be an independent contractor. A former attending has worked at the group and has positive things to say about it. It is a very stable group with a strong presence in the area. The split is 70/30. They do all billing, admin support, provide office/computer/EMR etc. The attending said the admin support is reliable and good. You make your own schedule. Ballpark figure (after their take but before...
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Source: Student Doctor Network - May 29, 2021 Category: Universities & Medical Training Authors: okokok Tags: Psychiatry Source Type: forums
Added credentials
I'm planning on starting my MBA this year and have a long term goal of part time clinical/admin.
Any recs on any added certifications that may be helpful?
Certified professional in healthcare quality (CPHQ) is appealing and seems more accepted than certified professional in patient safety (CPPS).
There's also plenty of billing/coding certifications through the AAPC depending on specialty.
Of course there's CPE/FACHE but it my case those make sense after a MBA or MHA .
Any of them...
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Source: Student Doctor Network - May 27, 2021 Category: Universities & Medical Training Authors: el mero mero Tags: Med Business [ MD/MBA, DO/MBA, DDS/MBA ] Source Type: forums
E/M Coding
Now that we’re about 6 months in, curious to hear if the 2021 coding updates have changed any of your billing practices; and if so, how? It seems exceedingly easy to justify a level 4 to me.
Take a clean 20 patients per day, how many 3s, 4s, and 5s are you typically billing? I’d probably say I’m about 2-3 level 3s, 15 level 4s, and 1-2 level 5s. (Source: Student Doctor Network)
Source: Student Doctor Network - May 21, 2021 Category: Universities & Medical Training Authors: Lurts Tags: Family Medicine Source Type: forums
99214 vs 99215 questions/frustrations
I may not be fully up to speed on the new billing code criteria for 2021. My basic understanding is that billing on complexity, the subjective and objective don't matter anymore, it's all about the medical decision making. And basically 2+ diagnoses of chronic conditions is a 99214.
My frustration lies in the fact if I see someone with depression, anxiety, and suicidality, I'm dealing with a potentially severe situation. The suicide risk assessment takes time and carries risk, and a...
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Source: Student Doctor Network - May 12, 2021 Category: Universities & Medical Training Authors: nexus73 Tags: Psychiatry Source Type: forums
Pain billing and coding consultant?
Who are the top people out there? Need a consultant to help educate my in house biller. (Source: Student Doctor Network)
Source: Student Doctor Network - May 1, 2021 Category: Universities & Medical Training Authors: Ligament Tags: Pain Medicine Source Type: forums
Urgent Call to Action: Billing/Coding for PNS Trials and Implants...
All Pain MD's need to rally around this...Urgent action required NOW.
To whom it may concern
Subject: StimQ PNS Implant Procedures (Vendor: Stimwave)
The American Hospital Association has determined that the appropriate code assignment for StimQ PNS stimulator implant is 64555. Furthermore, they specifically stipulated that it is not appropriate to report CPT code 64590 (Insertion or replacement of peripheral or gastric neurostimulator pulse generator or receiver, direct or...
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Source: Student Doctor Network - April 24, 2021 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Opiate billing
I've read in this forum that management of opiates impacts billing clinic visits.
My question is (1) whether or not that is true, and (2) if so in what way?
Does it increase complexity? (Source: Student Doctor Network)
Source: Student Doctor Network - March 11, 2021 Category: Universities & Medical Training Authors: SommeRiver Tags: Pain Medicine Source Type: forums
ED observation billing
I've always documented an ED Obs note for patients I am purposefully keeping in the ED for an extended period of time to observe/re-examine/re-test them to determine admission or discharge.
Management now telling me that I can obs just about everyone who is in the ED for >3 hours. If it takes 3 hours to get labs/rads back, then I count that time as the 3 hour observation and create an obs note. I don't have to purposefully "place" the pt in observation specifically to recheck something...
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Source: Student Doctor Network - March 7, 2021 Category: Universities & Medical Training Authors: Boatswain2PA Tags: Emergency Medicine Source Type: forums
Documentation for 90785
For those who uses 90785 billing code, how do you document to justify the billing code?
Would needing to get collateral to get the whole picture be "maladaptive communication"?
I bill this 1 or 2x / day. How closely do audits look at 90785? (Source: Student Doctor Network)
Source: Student Doctor Network - February 11, 2021 Category: Universities & Medical Training Authors: AD04 Tags: Psychiatry Source Type: forums
Best Compensation v QoL Subspecialty?
Hey everybody in anxiously waiting for match day I was wondering what your thoughts were on the best QoL subspecialty compared to compensation? I’m on the fence of even doing a fellowship (planning on staying in a mainly outpatient role in the Midwest) but if I do I want it to set me up well long term.
EDIT: I know billing for neurophys procedures augments outpatient well but I have a personal interest in movement and dementia, but if I have an outpatient spot I can make my roster those two...
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Source: Student Doctor Network - February 7, 2021 Category: Universities & Medical Training Authors: Chibucks15 Tags: Neurology Source Type: forums
What's the inside word these days at USACS, Envision, and other PE-owned goliaths?
News about the bullies this month doesn't appear favorable....
USACS is now looking for significantly more PE money (story is firewalled, if anybody happens to have access please post it):
US Acute Care Solutions, backed by WCAS, seeks $1bn-plus recap | PE Hub
Physician staffing businesses like USACS face less regulatory overhang after lawmakers reached a compromise to ban surprise medical billing in December.
www.pehub.com
I used to work at one of their shops after they took ove...
Source: Student Doctor Network - January 31, 2021 Category: Universities & Medical Training Authors: namethatsmell Tags: Emergency Medicine Source Type: forums
