DOJ/FTC Complaint Form for Healthcare Monopolies/Anti-Competitive Practices
You can pick your favorite and complain.
Submit a Healthcare Competition Complaint
www.justice.gov
What happens after I submit my complaint?
The Department of Justice and the Federal Trade Commission will review your complaint and determine how best to proceed. This may include opening an investigation under the relevant legal authorities or coordinating on investigation efforts.
Complaints will be handled in the following way:
The agencies will create...
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Source: Student Doctor Network - April 19, 2024 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Interesting clawback from Humana
Got a "refund request" from our good friends at Humana today. Clawing back two 99204s and one 99214 because "diagnosis code(s) are inappropriate". The only code all three charts have in common is G894 chronic pain syndrome. None of them use it as a primary or even secondary diagnosis, but as a 3rd or 5th diagnosis. Just a heads up don't use that code at all for Humana pts. (Source: Student Doctor Network)
Source: Student Doctor Network - April 19, 2024 Category: Universities & Medical Training Authors: drrosenrosen Tags: Pain Medicine Source Type: forums
Sacramento pain doctor sues medical board over probation. ‘Putting my reputation in danger’
I actually agree with the doctor here. It sounds like someone was out to get him. Wonder who he pissed off. (Source: Student Doctor Network)
Source: Student Doctor Network - April 16, 2024 Category: Universities & Medical Training Authors: Agast Tags: Pain Medicine Source Type: forums
Clinical privileges question
I left my job recently (private practice set up) and my clinical privileges at a hospital (no direct clinical role there-- just mainly for insurance purposes) was automatically suspended due to my malpractice insurance ending for that practice. I was left with the option to either resign my privileges (would have to reapply for privileges if I need it again in the future) or keep it suspended until a new COI for my malpractice insurance was submitted. I will be starting work again with...
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Source: Student Doctor Network - April 15, 2024 Category: Universities & Medical Training Authors: Bandwagon1 Tags: Pain Medicine Source Type: forums
Any advice on my school list?
Hello everyone, I am gearing up for a potential reapplication cycle and would love some feedback on my medical school list.
Here is some information from my application:
Demographics: ORM, 23M, CA
Undergrad: T20
GPA: 3.87
MCAT: 514 (130/124/129/129) which was improved from 506
Clinical Experience:
Medical Assistant: ~1000 hours completed
Medical Scribe: 350
Research:
~1500 hours completed with 2 publications (mBio and Cell Reports Medicine).
Shadowing:
Interventional pain...
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Source: Student Doctor Network - April 15, 2024 Category: Universities & Medical Training Authors: billybob321 Tags: What Are My Chances? WAMC Medical Source Type: forums
NASS vs ACGME Fellowships: Which Makes a Better Doctor in Real World?
ISMM Fellowships
The primary focus of NASS-recognized ISMM fellowships is the clinical assessment and treatment of patients with spine and musculoskeletal conditions. The fellowships are unique from ACGME Pain Medicine fellowships, which require training in inpatient acute pain management, palliative care, psychiatry, pediatric pain management, and intubation. (Source: Student Doctor Network)
Source: Student Doctor Network - April 14, 2024 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Considering prescribing HRT?
I’ve started to go down a rabbit hole of perimenopausal/menopausal symptoms and treatment. This topic was not discussed much in medical school, (obviously not my training in anesthesia). Every month there’s new literature that comes out that fascinates me. It’s made me wonder if these mid 40 year olds with fibromyalgia type symptoms should try progesterone/estradiol replacement therapy to see if it helps their symptoms. Perimenopause and fibromyalgia seem almost identical in presentation it...
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Source: Student Doctor Network - April 12, 2024 Category: Universities & Medical Training Authors: Papermate44 Tags: Pain Medicine Source Type: forums
SCS doesn ’t work?
Evidence doesn’t support spinal cord stimulators for chronic back pain – and they could cause harm
A recent Four Corners episode questioned the use of surgically implanted devices called spinal cord stimulators for chronic back pain. Here’s what the evidence says.
theconversation.com (Source: Student Doctor Network)
Source: Student Doctor Network - April 12, 2024 Category: Universities & Medical Training Authors: lobelsteve Tags: Pain Medicine Source Type: forums
New TPI restrictions?
well CMS is at it again! making our jobs harder with every new LCD update. this time trigger point injections are coming under fire. you know, because a $50 reimbursement is really breaking their bank. Anyway, the part that has me most concerned is this line about limitations below. it looks like they are only allowing TPI with local anesthetics. while not specifically calling out steroids, "Any other injectate" seems very vague and could include steroids in my opinion which sucks because in...
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Source: Student Doctor Network - April 12, 2024 Category: Universities & Medical Training Authors: Multimodal Tags: Pain Medicine Source Type: forums
maximum time allowed between 2nd MBB and 1st RFA?
After two successful Dx blocks, is there a maximum time allowed within which RFA has to be done? I have a patient in this situation, and we are holding off on RFA for a number of reasons, but wanting to know how long we can delay the RFA, without having to potential start over with MBB again, or do the RFA only to have it denied for payment. He has BCBS Commercial insurance. I do not see anything about this in BCBS medical policy or Medicare LCD. (Source: Student Doctor Network)
Source: Student Doctor Network - April 12, 2024 Category: Universities & Medical Training Authors: ctts Tags: Pain Medicine Source Type: forums
New thoracic MBB anatomy
Based on new locations of articular branches from this dissection by Maus, looks like the articular branches are not always coming off the medial branches, or if they are, are very close to DRG.
Doesn't seem like targeting the MB at the sling would do much--would only hit lateral branch. TP targeting seems more medial than previous models. Pedicle shadow technique seems like it would hit MB but miss articular branches too.
Thoughts?
...
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Source: Student Doctor Network - April 10, 2024 Category: Universities & Medical Training Authors: RoloTomassi Tags: Pain Medicine Source Type: forums
Cervical MBB initial placement tip (posterior approach)?
Looking for tips on efficient cervical MBB placement with the posterior approach. What's your initial approach or landmark to getting the nice needle placement almost parallel to the articular pillar / trapezoid without using up a bunch of fluoro time (pictures appreciated)? I know some people do the lateral approach but I like to keep everything posterior for cervical MBB so it directly translates to RFA as well. For posterior I start slightly lateral & inferior but somehow still need a...
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Source: Student Doctor Network - April 10, 2024 Category: Universities & Medical Training Authors: CarabinerSD Tags: Pain Medicine Source Type: forums
MBB and RFA
whats the typical work flow for the MBB and RFA for you guys?
MBB-office visit- MBB- office visit- RFA-Office visit
or do you get MA to call after the MBB for percent relief
also it appears we have to do the ODI before and after the MBB's and RFA
I am trying to see how i can streamline the process without insurance disapprovals
thanks (Source: Student Doctor Network)
Source: Student Doctor Network - April 10, 2024 Category: Universities & Medical Training Authors: med7343 Tags: Pain Medicine Source Type: forums
Fellowships Scraping the Bottom of the Barrel: Implications for Pain?
There are unconfirmed rumors that pain fellowships have had problems filling slots and are taking applicants of questionable quality this year. (Source: Student Doctor Network)
Source: Student Doctor Network - April 9, 2024 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Happy Doctors Day: There's Pizza in the Break Room
National Doctors Day: Sending Thanks to our Physicians
We’re grateful for their dedication and skill — and the compassionate care they provide.
about.kaiserpermanente.org (Source: Student Doctor Network)
Source: Student Doctor Network - April 7, 2024 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
