riahi

15 ms·

121.
by riahi 9y ago
This is a bit more nuanced than this. There's 31,757 positions offered. However, if you are applying into a specialty, you apply simultaneously for a PGY1 and PGY2 position, so those people are being double counted. As a result, you n
122.
by riahi 10y ago
Medicare and Medicaid often reimburse below cost. Healthcare businesses make up the difference from private insurance. By forcing people to accept the lowest rate (which is not negotiated, but effect by decree), you absolutely destroy the
123.
by riahi 10y ago
Because paying people to be there 24/7 is not as cheap as paying people to be in an urgent care from 9-5 or even 9-9. Precisely because the facility is designed to handle massive emergencies means that your fixed costs are inherently h
124.
by riahi 10y ago
#2 is illegal under Medicare/Medicaid rules. We are required by law to charge the same price to all payers, including patients. We can't offer a cash discount at the time of service, as it is Medicare fraud. We can charge you, a
125.
Fully Automated Deep Learning System for Bone Age Assessment(link.springer.com)
1 points by riahi 10y ago|0 comments
126.
by riahi 10y ago
That's the big problem. What we charge is universal across carriers; it's the law. What the carriers then do is try and negotiate me down to accept some fraction. I could charge $5,000 to everyone for a PETCT; Medicare laughs an
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by riahi 10y ago
There's a lot of rant in this post which I'm going to leave to the side, because I have no idea what happened between you and that physician / billing agency / insurance. "In office surgery" may mean you got s
128.
by riahi 10y ago
Is your hourly rate set to a certain price by a central body? Why should mine be?
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by riahi 10y ago
All ERs are bound by EMTALA. It's hard in this modern era to have a hospital that doesn't have an ER.
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by riahi 10y ago
We are legally required to charge the same price to all patients. Specifically, we cannot charge less than we charge Medicare/Medicaid. Insurance companies are charged the same amount too; except, they negotiate a set reimbursement f
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by riahi 10y ago
It's not that ridiculous. She has only been an attending physician for 2 years, having graduated from Physical Medicine and Rehabilitation residency in 2014. However, she is not an infectious disease physician by training, which i
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by riahi 10y ago
There's multiple factors to this and multiple ways despite laws against this that it happens. 1. They incorrectly code the encounter leading to a lesser charge. This is Medicare fraud if the doctor ever get audited, but if it's a
133.
by riahi 10y ago
...Calm down the conspiracy theories. The AMA only represents at BEST 15% of American physicians [1]. If you want ANYONE to blame, it's Medicare/Medicaid, Insurers, and Hospitals. CMS and Insurance regulations mean you cannot ch
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by riahi 10y ago
Mammograms/other imaging also tell you where the tumor is. Until we have perfect chemotherapy, local treatment with surgery and radiation will remain standard of care. To perform those, you need to know where the tumor is. I find the u
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by riahi 11y ago
Correct. PHI coming from insurance claims absent a signed HIPAA release for uses related beyond "treatment/medical education, payment, and operations" would be a HIPAA violation on the part of the insurance company. Employer
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by riahi 11y ago
It is cheap, but how do you measure that? There's no impact factor or associated journal publication. Since simply providing the data can't be measured for tenure or fit into a line item on a CV, academia as a whole assigns it zer
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by riahi 11y ago
Sharing the data doesn't get you promoted in academia. Writing papers where you repeatedly mine the hand-crafted-over-20-years dataset does. If you give your dataset away for free, you're destroying your only way to advance in a
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by riahi 11y ago
Someone pays. All the software devs in this thread ranting about overpayment of physicians should think about their hourly consultation rate and their praise of articles like "fuck you, pay me". Or other articles talking about how
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by riahi 11y ago
This is true. We are told not to apologize. Institutions sometimes have funds to compensate patients with errors, but they don't typically admit fault per se. In our current legal setting, admission of fault means uncapped potential fo
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by riahi 11y ago
What are your consulting fees?
141.
by riahi 11y ago
That Washington Post article is a straight up hit piece on the Relative Value Update Committee. Here's how medical compensation is decided in the US (simple simple SIMPLE edition): All office visits, procedures, labs, radiology tests,
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by riahi 11y ago
This varies by specialty/subspecialty, state, and even zip code (I'm an resident). Rates are tough to find. I found a carrier in California that publishes their rate ranges, but California is one of the few states that has malpra
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by riahi 11y ago
Not to put words in his mouth, but I think the above poster was referring to having medical insurance cover said dental costs because the loss of bone in the jaw would cause other medical complications down the line in young people.
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by riahi 11y ago
How do you measure difficulty? It's a surprisingly hard problem.
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by riahi 11y ago
This is surprising. Are these databases not considered HIPAA covered entities? If they are not, is the state government itself forcing physicians and pharmacists to violate HIPAA by sharing medical and prescription information with a non co
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by riahi 11y ago
It's also an unfunded mandate. The government declared that all patients must be seen, but did not provide a mechanism to pay physicians, nurses, and hospitals for their services to care for those patients. They also did not shield t
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by riahi 12y ago
Because no hospital system wants to pay for transcriptionists when they can mandate the MD do the data entry themselves. You hear the big backlash from the private practice MDs who still used a combination of paper chart and dictation that
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by riahi 12y ago
Well articulated and 100% true.
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by riahi 12y ago
Meditech?
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by riahi 12y ago
Sounds a lot like FirstClass by OpenText. My university used that as well.

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