Forbes: Medicare should stop paying for chiro and OMT
Medicare Data Reveal $564 Million Wasted On Chiropractors And Osteopathic Manipulation
Is this accurate? How should Steven Salzberg be held accountable for his views and opinions? (Source: Student Doctor Network)
Source: Student Doctor Network - February 17, 2018 Category: Universities & Medical Training Authors: drusso Source Type: forums
Forbes Article Trashing Chiro/OMT
Medicare Data Reveal $564 Million Wasted On Chiropractors And Osteopathic Manipulation
How true is this? (Source: Student Doctor Network)
Source: Student Doctor Network - February 15, 2018 Category: Universities & Medical Training Authors: SangriaSalsa Source Type: forums
Question to the insurance gurus:
Let's say you are planning to retire before you get Medicare health insurance due to age and you want to get private insurance. Looking around the cheapest available for a couple are the high deductible at around $950 a month with $14,700 total deductible and no out of pocket costs afterwards.
Is there any other insurance product that would pay for such deductible?
I looked around and found that Aflac and Metlife sell some sort of critical care illness, cancer, etc., insurance. Would...
Question to the insurance gurus: (Source: Student Doctor Network)
Source: Student Doctor Network - January 9, 2018 Category: Universities & Medical Training Authors: urge Source Type: forums
MILD in office? Medicare paying?
Anyone doing MILD in office (or at all)?
If so, is Medicare paying for it, in office, and if so, how much? (Source: Student Doctor Network)
Source: Student Doctor Network - December 6, 2017 Category: Universities & Medical Training Authors: emd123 Source Type: forums
pharmacy audit and invoice
How often have you guys seen Medicaid/Medicare or even commericial insurances ask for invoices as part of rx audits? In my very short experience so far I have gone through one Humana audit where they just basically looked at the validity and accuracy of rx's.
But then when we try to EXACTLY bill the ndc of the drug we actually dispense it makes me wonder if in audit some of those rare mismatches will be penalized.. (Source: Student Doctor Network)
Source: Student Doctor Network - November 28, 2017 Category: Universities & Medical Training Authors: ZakMeister Source Type: forums
Diabetic insoles, shoes, and Medicare coverage
I routinely prescribe shoes and insoles for my patients who qualify, but a lot of them complain about them not fitting right or not being comfortable. When I examine the insoles, they are typically trilaminer insoles, but some of them have only two layers with claims that they last up to a year so the pt only ended up with a single pair rather than the 3 pairs I’m used to telling them about. Have you heard about this?
I tried looking into pubmed for evidence behind the why we’re using...
Diabetic insoles, shoes, and Medicare coverage (Source: Student Doctor Network)
Source: Student Doctor Network - November 25, 2017 Category: Universities & Medical Training Authors: AttackNME Source Type: forums
Hospital Employed MD's are Draining Medicare
http://www.physiciansadvocacyinstitute.org/Portals/0/assets/docs/PAI_Medicare Cost Analysis -- FINAL 11_9_17.pdf
Analysis Finds Hospital-Employed Physicians Result In Higher Costs For Services For Medicare.
Modern Healthcare...
Hospital Employed MD's are Draining Medicare (Source: Student Doctor Network)
Source: Student Doctor Network - November 15, 2017 Category: Universities & Medical Training Authors: drusso Source Type: forums
How are doctors paid in hospitals (esp. if Medicare)?
Hi there,
I am doing some research on health topics in the US and I am struggling to understand how hospital doctors are paid. It would be fantastic if somebody would take the time to help me a bit!
So if a Medicare patient is treated as an inpatient in a hospital, I understand that the hospital bills Medicare for the appropriate DRG.
Do I get it correctly that most doctors working in hospitals are not employees but they would separately bill Medicare for each service?
And how would it...
How are doctors paid in hospitals (esp. if Medicare)? (Source: Student Doctor Network)
Source: Student Doctor Network - November 4, 2017 Category: Universities & Medical Training Authors: InterestedOutsider Source Type: forums
Tom Price?
What kind of impact will the confirmation of Tom Price for HHS secretary have on medicare and the ACA? Can someone please enlighten me regarding the pros and cons, especially pertinent to the practice of anesthesiology? Thanks a bunch! (Source: Student Doctor Network)
Source: Student Doctor Network - September 30, 2017 Category: Universities & Medical Training Authors: Turtlez Source Type: forums
Would you still want to become a physician if the government passed "Medicare for all?"
Roughly 37% of the country is on some type of government health insurance plan (Medicare/Medicaid/CHIP/VA/etc).
Medicaid pays for about 40% of all births.
The rest are either uninsured, on Obamacare or have insurance through employment.
Do you think it would be with it to go through medical school & residency if we were under a Medicare for all system? (Source: Student Doctor Network)
Source: Student Doctor Network - September 16, 2017 Category: Universities & Medical Training Authors: iqe2010 Source Type: forums
Medicare for all
Bernie Sanders To Introduce Single-Payer Bill With Major Support In Senate
not gonna pass, but it feels like we are trending towards single payer.
as long as pharma, device manufacturers, and commercial insurance continue to drive up the costs, single payer is where we will be forced to end up -- for better or worse..... (Source: Student Doctor Network)
Source: Student Doctor Network - September 14, 2017 Category: Universities & Medical Training Authors: SSdoc33 Source Type: forums
Naturopaths petition to become Medicare providers
Naturopathic Physicians and Medicare
Sign the Petition
In Oregon they are already permitted to RX methadone... and some are hospital employed...
Loch Stephen Chandler, ND, MPA:HA, MSOM, LAc | Providence Oregon (Source: Student Doctor Network)
Source: Student Doctor Network - September 8, 2017 Category: Universities & Medical Training Authors: drusso Source Type: forums
Walgreens billing questions
Can somebody please explain in simple terms how the heck you bill test strips and diabetic supplies to Medicare properly? I always get these TPR rejects about "CMN form" that I'm not sure how to explain to the customer. All this stuff about chargebacks and diagnosis codes and Medicare supplements and stuff go over right over my head.
Also similar problem with nebulizers and masks. WTF is up with those.
Also, if anyone here works in New Jersey, can someone please explain this whole deal...
Walgreens billing questions (Source: Student Doctor Network)
Source: Student Doctor Network - August 31, 2017 Category: Universities & Medical Training Authors: Ezegalan Source Type: forums
SRT-100 and SRT-Vision - Standard of Care?
Hi. I am trying to get an idea on what would be an appropriate way to administer SRT
SRT is a controversial modality (due to billing codes etc). It is hard to find some sort of standards
I know that "SRT-100" units used to make bank with people billing all kinds of radiation oncology codes. It is now standardized to 77401 which puts it at ~$25 per treatment by medicare. With all simulation, it comes out to be $1000 a tumor.
Now Sensus is coming out with NEW "SRT-100 VISION" with...
SRT-100 and SRT-Vision - Standard of Care? (Source: Student Doctor Network)
Source: Student Doctor Network - August 27, 2017 Category: Universities & Medical Training Authors: Solodyn Source Type: forums
PBM Contracting Job
There is a staffing-contract opportunity with a PBM. Both are through Medicare D billing. One is where I call for patient compliance, counseling that patient and making recommendations if it is related to non-compliance, etc. The second job is a prior authorization pharmacist. I approve or not. Both are renewable and possible direct hire down the road.
The second sounds more clinical, better for the resume? I've never worked anything like these two jobs before, so I don't know if it is good...
PBM Contracting Job (Source: Student Doctor Network)
Source: Student Doctor Network - August 18, 2017 Category: Universities & Medical Training Authors: baronzb Source Type: forums
