Telepsych, Why Has No One asked this yet?
In the forums surrounding telepsychiatry on here I have seen many of the older posts mention that "you must be licensed in the state the pt is located in, IF you are to work abroad and do telepsych sans medicare. Since generally most ppl in telepsych are working for a telepsych corp and not pp then lets say that i want to graduate and only do telepsych, which state should i get licensed in? Which telepsych company has the most power and what state is it located in? (Source: Student Doctor Network)
Source: Student Doctor Network - November 6, 2020 Category: Universities & Medical Training Authors: NeuroendoHolism Tags: Psychiatry Source Type: forums
Medicare /medicaid pts and cash practice
Is it true that one must specifically opt out of Medicare / medicaid prior to charging a patient out of pocket for a cash private practice visit? Am I only allowed to charge the patient whatever their Medicare/medicaid fee schedule would allow? (Source: Student Doctor Network)
Source: Student Doctor Network - October 6, 2020 Category: Universities & Medical Training Authors: liquidshadow22 Tags: Psychiatry Source Type: forums
Surely everybody already knew this
Hospitals charge (and private insurers pay) more than Medicare rates.
I thought everybody knew that.
Many Hospitals Charge More Than Twice What Medicare Pays for the Same Care
The gap between rates set for private insurers and employers vs. those by the federal government stirs the debate over a government-run health plan.
www.nytimes.com
I remember a little over a year ago the Rand Corporation published a study (by at least one of the same authors) announcing that Medicare rates...
Source: Student Doctor Network - September 28, 2020 Category: Universities & Medical Training Authors: cthrowaway Tags: Anesthesiology Source Type: forums
Trump executive order to ban all balanced billing
The Texas Society of Anesthesiologists has learned that President Trump will announce an Executive Order today during a rally in North Carolina (3:30pm CTZ) which will ban balance billing for all out-of-network physicians and set reimbursement at Medicare rates.
Our understanding of the Executive Order is that all hospitals participating in Medicare will be required to ensure adequate access to in-network physicians as a condition of their participation. All out-of-network procedures will...
Trump executive order to ban all balanced billing (Source: Student Doctor Network)
Source: Student Doctor Network - September 25, 2020 Category: Universities & Medical Training Authors: linkin06 Tags: Anesthesiology Source Type: forums
RFC Private Practice
This is gonna be the Mack Daddy of TFP posts but since I'm a new associate graduating from a program that was very strict with how/when RFC was returned, so I figured I'd ask.
In general, how frequent do you return your RFCs? I know Medicare's global period is 61 days for nail care but if I returned all my new nail care consults at 61 days then that's pretty much all I will be doing in 61 days. I try to spread it out between 3-6 months depending on physical exam and risk factors and stuff...
RFC Private Practice (Source: Student Doctor Network)
Source: Student Doctor Network - September 24, 2020 Category: Universities & Medical Training Authors: SouthPod7 Tags: Podiatric Residents & Physicians Source Type: forums
Where can I find IM RVUs?
Wanted to do some calculations on locums rates...
I have some examples from radiology, but wanted some respective numbers from IM
Let's say you are going to get $2500 for the "day". You need to do enough work to justify that.
Currently, Medicare pays about $36 for each professional RVU. This covers the labor cost.
$2500/$36 = 69 RVU
69 RVU is a doable day of work. What does this translate to?
-CXRs are worth 0.22 RVU for the professional component. So this is about 313 CXRs. If you are...
Where can I find IM RVUs? (Source: Student Doctor Network)
Source: Student Doctor Network - September 22, 2020 Category: Universities & Medical Training Authors: sallyhasanidea Tags: Internal Medicine and IM Subspecialties Source Type: forums
Patient filed medical board complaint after 1st visit
Patient was aggressive/rude/ demanding multiple controlled substances during initial evaluation. When
she was told that she was not going to be accepted as a patient, she filed a complaint immediately
alleging patient abandonment. Patient had medicare.
If someone was not accepted into the practice after initial visit, what is the usual course
of action. Do we still need to give a 30 day letter even when they were told they would not be accepted
into the private practice? (Source: Student Doctor Network)
Source: Student Doctor Network - September 14, 2020 Category: Universities & Medical Training Authors: the5thelement Tags: Psychiatry Source Type: forums
LVO Stroke - Viz.ai
Viz.ai was granted CMS's new added technology funding of 1024$ per patient use. I feel like this is a huge move for them and the field of radiology as well.
Viz.ai Granted Medicare New Technology Add-on Payment
/PRNewswire/ -- In a groundbreaking ruling, CMS has granted Viz.ai the first New Technology Add-on Payment (NTAP) for artificial intelligence software. NTAP,...
www.prnewswire.com (Source: Student Doctor Network)
Source: Student Doctor Network - September 11, 2020 Category: Universities & Medical Training Authors: AnxietyMonster Tags: Radiology Source Type: forums
Texas Pain Doctor Defrauds Medicare Using Stim Codes for Auricular Acupuncture
Which one of you D-bags is this?
FOR IMMEDIATE RELEASE
Tuesday, August 25, 2020
Pain doctor pays to settle allegations of deceptive Medicare billing
HOUSTON – A 52-year-old pain management physician from Houston has paid $530,000 to resolve allegations he falsely billed Medicare for the use of electro-acupuncture devices, announced U.S. Attorney Ryan K. Patrick.
From March 1, 2019, to Oct. 31, 2019, Dr. Syed Nasir billed Medicare for the implantation of...
Texas Pain Doctor Defrauds Medicare Using Stim Codes for Auricular Acupuncture (Source: Student Doctor Network)
Source: Student Doctor Network - September 2, 2020 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
cryoneurolysis genicular- payment?
Hi guys,
A local ortho group that will be sending me SCS trials has asked me about doing genicular cryo preop on their patients getting TKA. I have a few questions for the group here.
1- Anyone doing this?
2- How much do you get paid?
3-Do you have to do diagnostic blocks or you just do the cryo the day of surgery? Any preauth issues on medicare patients?
4- What cryo protocol do you use?
Willing to help this group particularly as they plan to send me quite a few SCS, but I want to make...
cryoneurolysis genicular- payment? (Source: Student Doctor Network)
Source: Student Doctor Network - September 1, 2020 Category: Universities & Medical Training Authors: bedrock Tags: Pain Medicine Source Type: forums
CMS to cut Rad Onc pay by 6% in 2021
Medicare Proposes 6% Cut to Radiation Oncology Physician Payments for 2021 - American Society for Radiation Oncology (ASTRO) - American Society for Radiation Oncology (ASTRO)
On Monday night, August 3, 2020, the Centers for Medicare & Medicaid Services (CMS) issued the Medicare Physician Fee Schedule (PFS) proposed rule, estimating a 6% cut to radiation oncology physician payments in 2021.
www.astro.org
Hope they don't cut arthritis! (Source: Student Doctor Network)
Source: Student Doctor Network - August 22, 2020 Category: Universities & Medical Training Authors: SneakyBooger Tags: Radiation Oncology Source Type: forums
Congratulations, Pain MD's just got a 7% pay cut...
CMS Announces 2021 Physician Fee Schedules and Other Important Updates
As usual, today, August 4, 2020, ASIPP would like to share multiple news from the President, and CMS covering the following issues:
1. Executive order expanding telehealth benefits permanently for Medicare beneficiaries beyond the COVID-19 public health emergency.
2. CMS physician payment proposed rule for 2021
3. ASC and HOPD proposed payment rates for 2021
"First, on behalf of ASIPP board and the entire...
Congratulations, Pain MD's just got a 7% pay cut... (Source: Student Doctor Network)
Source: Student Doctor Network - August 5, 2020 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
CMS plans to cut anesthesiology reimbursement rates by 8% for 2021
The 2021 Medicare fee schedule is proposing significant rate cuts to hospital-based specialties including EM, anesthesia, radiology, pathology, and critical care. Because nothing says "thank you" to front-line COVID specialties like across the board rate cuts in the middle of a pandemic. (Source: Student Doctor Network)
Source: Student Doctor Network - August 5, 2020 Category: Universities & Medical Training Authors: sidefx Tags: Anesthesiology Source Type: forums
wRVUs and compensation
I received some education about RVUs and am relatively knowledgeable with CPT codes and billing and such, but I'm wondering what types of RVUs are typically included into a standard RVU-based physician compensation package. For example, we bill for nurse visits and Medicare's Chronic Care Management here, but those are not included on my monthly reports and I feel they should be. I have a meeting scheduled with my employer to review these questions further, but I'm hoping someone can point...
wRVUs and compensation (Source: Student Doctor Network)
Source: Student Doctor Network - July 31, 2020 Category: Universities & Medical Training Authors: BigSib Tags: Family Medicine Source Type: forums
Joe Biden promises to "provide health care for all"
Joe Biden makes campaign stop in Lancaster, Pa., promising to provide health care for all
The former vice president is slated to talk about health care as he makes another visit to Pennsylvania, a key in the battle for the White House.
www.pennlive.com
Biden said he’d be unveiling more specifics on his health care plan in the next few weeks. But he said if elected, he would get to universal coverage quickly. He pointed to giving Americans a public option of a government-run health insurance program, similar to Medicare.
Biden said Americans nee...
Source: Student Doctor Network - July 3, 2020 Category: Universities & Medical Training Authors: johnfree7 Tags: Topics in Healthcare Source Type: forums
