Epidural Reimbursement question
So I got a question for everyone. I'm starting practice fresh outta fellowship, so little new to the area of billing and collections. Say I think someone is a candidate for bilateral L4 and L5 transforaminal ESI. Does that get paid if you bill that? Or is there some limit to how many epidurals you do before insurers stop paying it? What about Medicare/Medicaid specifically as that's what I'll likely be seeing most.
We didn't do 4 regions in fellowship hardly ever, though not sure if it...
Epidural Reimbursement question (Source: Student Doctor Network)
Source: Student Doctor Network - July 22, 2017 Category: Universities & Medical Training Authors: soccerpunk600 Source Type: forums
Repeal of the Therapy Cap is now in Congress: Write to support it!
Therapy Cap Repeal Bill Re-introduced in Congress
Send a letter to your Senator and Congressional Representative here:
Stop the Therapy Cap
Or for a text to send to your House Rep:
As your constituent I am writing to ask that you cosponsor H.R. 807/S. 253 the Medicare Access to Rehabilitation Services Act.
The Medicare Part B Outpatient Therapy Caps were first enacted 20 years ago in...
Repeal of the Therapy Cap is now in Congress: Write to support it! (Source: Student Doctor Network)
Source: Student Doctor Network - July 21, 2017 Category: Universities & Medical Training Authors: occupationalguy Source Type: forums
Going rate for Home Health PT
I am looking to get into private pay home health PT as a source of supplemental income during evenings and weekends. My question is, is this something that you typically have to go through a HH agency for? Because as I understand, that is typically for patients going through their insurance (typically Medicare, Medicaid, managed care, etc.)
If I'm going with cash patients, am I able to do that without going through an agency? For PT's here that currently go this route, what equipment do...
Going rate for Home Health PT (Source: Student Doctor Network)
Source: Student Doctor Network - June 29, 2017 Category: Universities & Medical Training Authors: Daniel M. Pitta Source Type: forums
New Anti-Self Referral Legislation H.R. 2066 ... Let's take Pathology back
Its about F***ing time some legislative action commenced on this.
Take a look, share your thoughts, and write your Senators and Representatives
H.R. 2066 Promoting Integrity in Medicare Act of 2017 "PIMA 2017"
Text - H.R.2066 - 115th Congress (2017-2018): PIMA of 2017 (Source: Student Doctor Network)
Source: Student Doctor Network - June 21, 2017 Category: Universities & Medical Training Authors: Arctic Char Source Type: forums
psychiatry job offer
What are your opinions on this job opportunity:
Adult outpatient psychiatry, 1 hour and 30 minutes from Washington DC. H-1b sponsor
237 base salary
Clinic with 1 nurse practitioner, 2 child psychiatry
20 minutes follow-up and 1-hour intake. No overbook.
55% medicare/Medicaid. 45% private insurances. Staff very efficient in filling no show-spot (so not much free time).
It is part of the job to cover inpatient ( 20 beds in a psychiatric hospital):
night call (take from home)...
psychiatry job offer (Source: Student Doctor Network)
Source: Student Doctor Network - May 15, 2017 Category: Universities & Medical Training Authors: Ahamis Source Type: forums
Physician fees schedule
A friend of mine is considering new practice this ( clinic based ) soon where he will only collect the physician fees..
https://asipp.org/documents/Physicians2017F.pdf
How helpful is the asipp physician fee schedule in determining how much will be paid based on different insurance companies? This fee schedule on the link is mainly for Medicare right? (Source: Student Doctor Network)
Source: Student Doctor Network - May 14, 2017 Category: Universities & Medical Training Authors: painfree23 Source Type: forums
Medicare billing for psychotherapy
(Source: Student Doctor Network)
Source: Student Doctor Network - April 20, 2017 Category: Universities & Medical Training Authors: michaelrack Source Type: forums
Why do programs sponsor candidates who won't stay in America after residency?
Real question. I am a US citizen IMG who struggled to match. After a few years of trying, I have decided to move on with my life.
I know non-US IMGs who matched matched into US residency programs and went back to their country to practice medicine. Is there a reason why I worked, paid state and federal taxes, my parents work and pay taxes...and someone who won't even stay in this country after residency, gets paid by Medicare to be a resident? So the fact that I would have worked my tail...
Why do programs sponsor candidates who won't stay in America after residency? (Source: Student Doctor Network)
Source: Student Doctor Network - April 15, 2017 Category: Universities & Medical Training Authors: zenlife Source Type: forums
Admission vs Observation
Could someone please explain the difference between observation & admission status? I guess there are some new rules where the admitting doctor has to explain to the patient why they are NOT being admitted if they are placed under observation.
Ideally, I'd like to understand it under the context of different insurances, Private PPO, HMO, Medicare, Medicaid. And how it affects the hospital, ED physician, and patient.
thanks in advance! (Source: Student Doctor Network)
Source: Student Doctor Network - March 28, 2017 Category: Universities & Medical Training Authors: BAM! Source Type: forums
Mayo Clinic CEO walks back comments on prioritizing privately insured patients
Discuss.
https://www.statnews.com/2017/03/17/mayo-insurance-medicare-medicaid/ (Source: Student Doctor Network)
Source: Student Doctor Network - March 18, 2017 Category: Universities & Medical Training Authors: Ampharos Source Type: forums
Mayo to prioritize privately insured patients over Medicare/caid
One random article but you can find a thousand others if you type Mayo into Google news: http://kimt.com/2017/03/15/mayo-cli...-will-prioritize-patients-based-on-insurance/
What do SDN people think of this? Certainly makes sense from a business perspective, but does it fly in the face of Mayo's mission re: "the needs of the patient come first"? Is this just business as usual and Mayo happened to be the place that got caught? (Source: Student Doctor Network)
Source: Student Doctor Network - March 18, 2017 Category: Universities & Medical Training Authors: ChrisMack390 Source Type: forums
Seattle Times: The OR Factory Hospital Churn...
Choose your employer wisely:
https://projects.seattletimes.com/2017/quantity-of-care/hospital/
"A steady churn of high-risk patients undergoing invasive brain and spine procedures allowed Cherry Hill to generate half a billion dollars in net operating revenue in 2015 — a 39 percent increase from just three years prior. It also had the highest Medicare reimbursements per inpatient visit of any U.S. hospital with at least 150 beds." (Source: Student Doctor Network)
Source: Student Doctor Network - February 21, 2017 Category: Universities & Medical Training Authors: drusso Source Type: forums
Private practice family medicine still possible?
Still possible for FM doc to start a private practice after residency? I totaled up bills average around 200-220k per year with three employees. Estimating the average physician sees approximately 18 patients per day if the schedule is fully booked for 240 work days out of the year approximately 4320 visits per year. Average reimbursement for medicare is less than 50$ per visit while medicaid is less than 75$ so 50/50 practice would earn 62.5$ per visit or 270,000 per year working 9 hour...
Private practice family medicine still possible? (Source: Student Doctor Network)
Source: Student Doctor Network - February 11, 2017 Category: Universities & Medical Training Authors: MrSunny1 Source Type: forums
Dermatologist in FL must pay CMS $10M for radiation fraud
http://www.prnewswire.com/news-rele...ologist-medicare-fraud-lawsuit-300403678.html
Incredible level of fraud:
* He conspired with a pathologist to falsely diagnose benign lesions as malignant
* These "malignant" lesions were treated with radiation therapy
* He billed CMS a much higher rate based on radiation equipment he didn't have.
Really hope this guy sees serious jail time.
Sent from my iPhone using...
Dermatologist in FL must pay CMS $10M for radiation fraud (Source: Student Doctor Network)
Source: Student Doctor Network - February 9, 2017 Category: Universities & Medical Training Authors: Gfunk6 Source Type: forums
Don't discharge old people any more
This great study from BMJ just came out:
http://www.bmj.com/content/356/bmj.j239
Objective To measure incidence of early death after discharge from emergency departments, and explore potential sources of variation in risk by measurable aspects of hospitals and patients.
Design Retrospective cohort study.
Setting Claims data from the US Medicare program, covering visits to an emergency department, 2007-12.
Participants Nationally representative...
Don't discharge old people any more (Source: Student Doctor Network)
Source: Student Doctor Network - February 8, 2017 Category: Universities & Medical Training Authors: The White Coat Investor Source Type: forums
