Ethical APP Billing

[Otolith]

listen to the freakanomics podcast on prediction.

[Otolith]

Unless you are treating very high uninsured or medicaid this is a bad deal....

[Otolith]

Until you graduate just try to max out 401k/403b that is better than most.

Saving for non retirement in taxable account is fine just make...

[Otolith]

Many places once you switch you cant go back so make sure there is no seasonal volume variability

Since taking vacation on pure productivity...

[Otolith]

ABCs

Anesthesia: Airway Book Chair

Surgery: Arrive Belittle Criticize

Emergency Medicine: Arrive Begin CTsca...

[Otolith]

Live in recreational state. Had a few patients that used edibles post op tonsillectomy and had anecdotal pain relief. I don't endorse it but I let my...

[Otolith]

Unpopular opinion but if service is included in the price or there is no service involved don't tip. Carry out, starbucks, dunkin....

If...

[Otolith]

I still like their trucks, would love one
though they raised price and delays on delivery... therefore i'm out...

[Otolith]

Exactly...

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Thanks for sharing....

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I don't think I would assume all these docs are bad and practice bad medicine....

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You payed more than you wanted for something you want. Don't move for awhile and it wont matter. You are clearly at a point in your life where you should...

[Otolith]

Summer Labrador brook trout lodge trip...

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If your son or daughter was starting residency would you want to make changes (to benefit the resident) from the one that you went through?
I know...

[Otolith]

elephant in the room: The $200- $4,000/month "check" in the mail from not having to pay student loans.

With the job market the...

[Otolith]

Agree 4k will be eaten by dealer fees, taxes, registration ect...

options I would personally consider:
1. Keep it and when you finish...

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From healthcare.gov: "Insurance plans can’t require higher copayments or coinsurance if you get emergency care from a hospital outside your plan's...

[Otolith]

If you are salary and have no extra pay for call, a call split based on FTE could be fair

If you are salary but get payed additional nightly...

[Otolith]

If women in general: work just as hard (volume/efficiency/hours), are as competent or often more competent, and get payed less for the same work Why...

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1. Find out current FPs WRVU totals to make sure 4700 is even obtainable
2. You need to know particulars of mal practice
3. How long do you...

[Otolith]

My first thought was
1. What a terrible way to die

2nd:
Mixing up two medications that begin with V, oh man thats awful...Wait...

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Personally I would have another Job lined up. That way when you leave you can say something political like "moving to a new position that is a better...

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Yes. It makes watching sports a lot more fun. I put in 200$ to the site and did bets as small as 1$. Thus far it has been all NFL. I'm up 200$ and plan...

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If specialists insists on specific test then they should order it period. If a specialist sees concerning features that warrant screening for certain...

[Otolith]

Curious as to how many of you utilize APPs to maximize ethical billing.
Specifically outpatient vs inpatient in RVU employed system

...

[Otolith]

I don't think you should be too anxious. numbers sound reasonable to me.

I payed full asking price for my house and at the time that was...

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1. Secondary to covid the job description changed for the worse. This was not offset by pay increase
2. This created short staffing which made #1...

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Thank you...

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Currently the head ache factor associated with working as a nurse is not worth the pay

Anything that fixes the above statement wins......

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Total Noob question but how is the companion pass better than a travel card that pays >2pts/dollar spent regular purchases (southwest card gives 1pt/dollar)....

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"my body is very sensitive to medications"...

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If I were in your shoes I would continuously look for a house and if the "perfect" house came on the market for what I could afford I would...

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Interesting article. I ask myself hasn't the market priced this in already. Furthermore Bitcoin the so called inflation hedge and answer doesn't seem...

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I always enjoy posts including alternate views it really forces people to justify their own actions and view points. Especially ones where they go against...

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i've always found the definition of "sleep through the night" interesting from person to person. That article defines sleeping through the night...

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Ya where did Peds and entdoc go?

To answer your question I place in numerator and denominator as well...

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I'm seeing people across all specialties seeing their wRVU totals go up by 10%+ secondary to the 2021 wRVU increase. Then they are comparing this to 2020...

[Otolith]

MGMA is helpful but the true mean $/wrvu is what other docs and jobs in your city area are getting.

Look into how they tally their wRVUs...

[Otolith]

Just put your spouse and child first then plan work around that. It takes 2-4 weeks to get the hang of it. You will figure it out. I go to work a little...

[Otolith]

Regular size or IPAD air is the size I like. Anything smaller I would just use my phone.
I will say if you have to do a remote log on to a windows...

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I use Haiku EPIC App on my IPAD. I can do everything I need except physically review Images of scans and prescribe narcotics. I use it for hospital rounds,...

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Agree you have either made your decision based off that post or overlooked the negatives to private practice. Clearly Pros seem better. Make a list of...

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I know many on here keep there E Fund in this bond. Down quite a bit recently. I have some goals that I need cash for in 5-7 years, VTEB is where I hold...

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Surgeon Own occupation 10k/month with option to increase to 15k/month
similar age
~$350/month what I pay

[Otolith]

I hear you i'm in the same boat.

We have decided to use HSA to pay for things and presume that the 7200$ will be more than needed and year...

[Otolith]

I had the same problem. I reached out to my senators office. Their office nudged fed loan and within 7 days they finally reviewed my payments. maybe it...

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I have a different take:
Knowing how productive you want to be and what your net collection rate or $/wrvu is. Local hospitals here use MGMA average...

[Otolith]

I would not do that deal.......

[Otolith]

That is very difficult to answer.

Quick look (not sure of accuracy as I only know for my specialty): Average wRVU for non invasive Cards:...

[Otolith]

How much real estate does the practice own?

Unless the 4mil buy in includes substantial immediate part ownership in very valuable real estate...

[Otolith]

Spot on...

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Every specialty has its things that are not fun or oven mildly gross/annoying

GI: Feces
Cardiology: Elderly people with pitting edema...

[Otolith]

I'll start by saying I don't have a problem with your plan and it sounds reasonable. Many on this forum insist on renting for year 1 and during residency...

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I think you will find your wRVU is only negotiable as a group. Meaning all of your group has same $/wRVU. Oftentimes hospital systems have a policy around...

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I would say "I'm happy to share consults with you. However, when a hospitalists contacts me directly to see a consult I feel obliged ethically to...

[Otolith]

Yes I have been picking up as it continues to go down. I reallocated some of my small cap exposure to CCRN. The current dip has not made it seem like...

[Otolith]

Recognize you will have 30k+ in closing costs when you combine buying and selling a 500k house.
Then think worst case scenario either you cant...

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I'd encourage you both read "happiness curve". Sounds like she may be having waves of unhappiness. Looking at house size and material things...

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I would keep it simple: Refinance or leverage the student loans which ever is a lower "rate" then pick a date you want that payed off by and...

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I think student loans will be the deciding factor. Gen Z and many millennials grew up with parents and an environment/culture that stressed the utmost...

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If you are short staffed then they have extra income to give. If you are not happy with RVU structure insist on flat salary model or leave. Then if you...

[Otolith]

Big risk to buy a house like that until you know you are happy with job/location. Agree with waiting to make sure job works.
Another thought is...

[Otolith]

Grand ambitions. Individual decision when it comes to supporting family that only you can make. What I would advise you do is pay yourself first. Meaning...

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I know what you are asking. Depends on 403b vs 457 and how your employer does the match.

1. My employer match is based off what I contribute...

[Otolith]

great work congrats

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I guess I just don't see how something can have strong financial utility enough that it one day replaces USD or becomes the standard and still be volatile/growth...

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I think as long as you purchase it at a price point where you know you can rent it to cary the costs it will probably be fine.

The question...

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When I hear/read about the latest real estate fund mentioned on WCI it always makes me say: What changed? Isn't that similar to picking individual funds/stocks?...

[Otolith]

Whats the argument that Bitcoin is better long term investment than say VTI?...

[Otolith]

Vote for If you have BOA and merril edge just do VTEB in merril edge, you can liquidate it and do almost instant transfer back to BOA....

[Otolith]

I would try to contribute minimum to 403b to get employer match if any. That way you are not leaving money on the table. Most people can afford a 3-4%...

[Otolith]

My wife and I made a list of our must haves/desirables in a house. I then further made us narrow it down by each picking 3 that were non negotiable and...

[Otolith]

I hate the stories of people losing their digital wallet or USB with their old bitcoin on it......

[Otolith]

Just sit down and make your goals together:
1. How much to save for retirement
2. How much of Emergency fund
3. How much to save for...

[Otolith]

If my job was shift work and I could pick which shifts I worked I would never leave. The fact is you cant do my job without having stuff added on outside...

[Otolith]

1. See high volume
2. Have a high quality perfect note
3. Spend a lot of time with patients

If you don't want to work crazy hours...

[Otolith]

Another thread got me thinking. I learn really well from my own mistakes but also hearing from others...

What are some mistakes you made?...

[Otolith]

I almost invested in ARK I was ready to hit the buy button. Then I had an epiphany that If i'm positive about this so is everyone else because in the...

[Otolith]

Chlorophyll, more like Borophyll...

[Otolith]

F you money

So that if someone or something at my job ever makes me do something I really don't want to do I can say F you and walk away....

[Otolith]

Similar situation had to do deep dive

You "save money" by 1 or more of the following

1. premium you pay is less
2. Employer contribution

...

[Otolith]

I enjoyed video posted by Outdoors

Couple serious questions. Don't take this as doubt in bitcoin but rather genuine questions.
...

[Otolith]

If beaches are ok: Florida, West Coast. Fort Myers, Sanibel ect...

[Otolith]

Don't take it personally. People on this site forget that they were once learning and now they get annoyed when a new person comes on and asks the same...

[Otolith]

I think the younger generation and those close to retirement are more willing to say screw this its not worth the money...
i'm technically a millennial...

[Otolith]

7k a week for 36hr of work = almost 200/hr for a hospital system. Yes by semantics you are correct its only 105hr plus benefits/living expenses but from...

[Otolith]

The 2 jobs that are non profit and PSLF eligible do you put in 30hrs/week that can be verified? Have you sent in an employment certification form and...

[Otolith]

https://www.crosscountrynurses.com/search-jobs/

Impressive...

[Otolith]

Spoke with a colleague from another hospital. They only have enough nurses to staff 4/12 ORs. So 8 ORs are going unused per day...

Perhaps...

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I agree probably wont be forever but its psychological plus to make money off the situation......

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The leading cause of nurses leaving is insufficient staffing. To me it seems like a downward spiral as when one leaves it worsens the problem. Nurses...

[Otolith]

I bet if you take more time off whether it be 1 day a week or 1 week every 2 months I bet you have more energy at work and may even have better resul...

[Otolith]

I'm sure many are going through this, but our hospital and OR currently has several traveling nurses.
Ive seen ICU traveling nurses getting payed...

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When student loans resume Jan-March 50million Americans suddenly start having minimum $300 less per month. I think that will have an effect.......

[Otolith]

I would hands down pay off all student loans with your cash, even sell small amount of Tesla to do it if needed. (unless PSLF is an option...)
I...

[Otolith]

To answer original posters question.
1. Everyone will tell you to rent for a few years (which is a good idea) though when we did a forum poll practically...

[Otolith]

#too big to fail...

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As most of you are aware federal student loan payments have been on pause secondary to covid. Not only have they been on pause they have been 0% and counting...

[Otolith]

I'm very curious to see what happens with cryptocurrency prices when student loan payments resume.

Some people will sell crypto to fund...

[Otolith]

I agree with scaling and I am in no way convinced rivian can do it. What I am saying is ford has 150k reservations but from what I can tell they are saying...