Recent content by bedrock

He practices in Florida. Medicare is often the best payor in Florida and California. This is why I don’t live in Florida or California, though I’m sure a high volume efficient office based procedural practice could still do well in those states similar to callmeanesthesia

In which state do you practice?

I do C, I can understand B. A is a hell no from me. Safety first.

bringing this topic back up. One thing I find odd, is that several procedural atlases, will recommend moving the C-arm cranial and several atlases recommend moving the C-arm caudal. Several atlases recommend moving C-arm ipsilateral oblique and several recommend contralateral oblique. Same...

For $100 it is worth it for a fellow. But not essential. I trained with two ipsis presidents for contex. I’m a big fan of sis in general. The IPSIS courses are very worthwhile for a fellow. However the new IPSIS guidelines are worse than the first edition guidelines. The book is three times as...

I agree with you and disagree with steve. A patient with buttock pain that improves with ESI simply has a more mild radiculopathy than someone with pain radiating to the knee or beyond.

Where do you practice? It seems you indulge your patients a bit too much. 1- If a patients family calls or want to do a phone call during a visit, my staff is trained to tell them I don't offer that. (Any family member is welcome to accompany any patient to an office visit, but I will not...

I don't have the exact numbers but the drop is significant. I think a toradol injection IM is about $7, while a TPI is about $55 (medicare). Not even worth the time to do just a toradol injection, I would either do nothing further or I'd just tell my assistant to send in a medrol pack, while I...

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https://vtdigger.org/2024/05/20/gov-phil-scott-signs-bill-limiting-prior-authorization-other-health-insurer-practices/

Wow. Only a hardcore liberal would be oblivious to all the people who were forced to take Covid tests or they would lose their jobs or lose 2 weeks of pay from their jobs.

Close. Two level ACDF is their favorite surgery.

Agree with this. Don’t have the NP see the MBB f/u. Also agree the best use of mid levels is to see the patients you don’t want to see.

Wrong. Plenty of docs I know, purchased the preservative free steroid at a higher cost than depo, because they felt it was safer for the patient.

Since sympathetic block isn’t being paid I bill small joint injection, flouro guidance, and “other” nerve block code Still not great , but 3 codes that pay is better than one that doesn’t.