Recent content by stsa84

I get what you're saying, though there are other ways to improve procedure % besides doing unnecessary procedures. #1 would be encouraging referrals from sources which will likely have pathology amenable to procedural options, such as surgeons. My procedure % from PCP's range from as low as...

hold 2 days, restart 6+ hours after

How long are your clinic visits? Start/stop times in the morning and afternoon? Do you chart as you go or catch up at the end of the day? Do you pre-chart ahead of time? Do you put in orders, or tell your staff to order?

Someone in admin scared you'll make more than them?

I'm hitting towards the top of the groove between the SAP and TP, so should be getting medial branch well.

I gotcha. I am flat $/RVU.

You mean the difference of my calculated rvu's vs theirs? I figure the difference is mostly related to the fact that I was using 2021 E/M wrvu values while they've been still been using 2020. I don't know whether the new fee schedules are something that need to be followed by hospital systems.

So, a day after I emailed payroll asking why we're using the 2020 fee schedules, our hospital CEO (of a massive state wide system) sends out an email that we're changing to the 2024 schedule. It was obvious this had been in the works for a while, but the timing was uncanny. We'll see if it works...

Just found out our hospital is still using 2020 values. I was told that they use the 2024 fee schedule for everything else, but the 2020 fee schedule for E/M. Was told "this was the direction management decided to go", back in 2021 when the new E/M fee schedule came out. So they're just...

Yes, I usually oblique 25*, no tilt, and land at the eye. No worries about bulky facets getting in the way.

Needle tip goes down and makes contact with os. Then twist the hub and deploy the tines. The needle tip doesn't really push back when deploying the tines, so the nerve should still really be right about at the point of the needle, with the tines spreading out from there, with the center of the...

Yes, I've been doing perpendicular approach with Trident. N = 40 or so. I've seen about half back in clinic with all but 1-2 doing very well at 4 weeks. Very pleased with the ease of use, time savings, decreased painfulness of the procedure, and results.

https://dirostech.com/product-details/rf-tridenttrident-hybrid-cannulae/ Made by Diros Technology, purchased by Avanos a little bit ago. The hub rotates and deploys the tines. Lesion extends past the needle tip, allowing for direct approach for RFA. Similar idea to cooled. Needles are pricy...

I like Trident 100x better than cooled. Drives better, stays in place once you reach the target, shorter lesion time. Never going back to cooled.

Website shows $100/month for a single user.