FaFaRog

Can this only be billed if the patient changes their code status? I know that the encounter must be voluntary (initiated by the patient?) but it is standard practice to ask all new admits about code status. How do people usually bill this? Do you use it on most of your admissions even if they stay full code?

https://shmpublications.onlinelibrary.wiley.com/doi/10.1002/jhm.13367

Thoughts on this universally beloved metric by admin?

There is specific language in my contract pertaining to this, but I'm not sure if it's an outright breach.

We get lectured incessantly about underbilling, but it seems like the hospital has been skimming 0.2 to 0.4 wRVUs off the top.

To my understanding, the value of a 99233 went up in 2023. Is there any value in bringing this up to my boss? They weren't up front about this when I signed but I imagine I'll be given the run around.

Anyone else work at a place at credits you based on the 2022 schedule (while accumulating collections based on the current one)?

They'll probably argue that they're still generously giving us $34 / RVU when the current conversion factor is $32.75.

But when yo

Trying to reduce pages from nursing to improve efficiency.

Hi, I am looking for a reseller of Star IPTV services who can hopefully provide a short trial. We are looking for Star since they have malayalam channels and VOD. We are open to other services if the price is right.Thank you.

My hospital has a lot of blood cultures that grow skin flora.

There's a disagreement among clinicians here in terms of how this should be handled.

Generally, when it is one out of two sets and clearly a contaminant in the absence of systemic signs of infection, I do not repeat cultures.

Many feel that repeat cultures are necessary, though.

How do you generally approach this?

We would each like to have our own set of saves for tears of the kingdom. Is it possible to do safely?

Is there a way to take advantage of the most recent update without purchasing an apple product? Seems counterintuitive to buy a product from the company that caused this issue in the first place.

Would it be appropriate to use code 99418 for an additional 15 minutes of care? Is a modifier 25 necessary? Thank you.

Does anyone have a resource that clearly defines aspects of high level medical decision making including what qualifies as a 'severe exacerbation of chronic disease' or 'drug therapy requiring intensive monitoring for toxicity'?

I feel like many patients would qualify for a level 3 (99233) visit depending on how this is interpreted but I've been told my some that it is now more difficult to bill for a level 3 somehow.

Thanks for your help!

Looking to sign a new job with an RVU threshold of 4500 / year after which you make $33 per RVU.

My current job is pure salary so this is a whole new world for me.

How many RVUs do hospitalists fully produce in a year?

The base salary for this job is so-so. Would it be possible to add $20k if I haul ass?

Also should I try to do more admitting shifts and do as many admits as possible to maximize the RVU potential?

Hospitalist practicing in rural hospital.

Had no urology coverage as our urologist was on vacation.

We had a patient come in with right flank pain. CT showed right proximal ureter stone of 6 mm with mild hydro. No leukocytosis or AKI, clean UA.

Admitted for pain control.

Passed a fragment on hospital day 2.

On morning of day 3 pain has resolved. Received oxycodone that morning.

Had ultrasound done which showed no stone or hydronephrosis.

Sent home with tamsulosin, pain meds.

Came back later that night. ER elected not to rescan. Got better with some toradol and sent home.

Went to an affiliate the next morning due to ongoing recurrent pain. Rescan showed the 6mm stone was still there,