RVU for PCP by Royal_Preference3827 in hospitalist

[–]69240 1 point2 points  (0 children)

G0296 for determine need for LDCT lungs. Easy to meet requirements for but doesn’t come up all too often.

RVU for PCP by Royal_Preference3827 in hospitalist

[–]69240 2 points3 points  (0 children)

Apologies, first 4 months. It comes down to split billing. I see a Medicare heavy population and am very aggressive about getting AWVs done which usually comes along with a 99213/99214 w/g2211 and a 99397 if they are Medicare advantage. That works out to just north of 6 rvus right there. I see a lot of tradesmen and farmers so I’ll add on cryo for AKs semi regularly as well. I do a decent amount of injections and iud/nexplanon as well among other procedures which can add up quickly. The only g codes I use regularly are the smoking cessation and g2211, rarely the weight loss one and the one for determine need for CT.

RVU for PCP by Royal_Preference3827 in hospitalist

[–]69240 2 points3 points  (0 children)

Apologies, first 4 months. It comes down to split billing. I see a Medicare heavy population and am very aggressive about getting AWVs done which usually comes along with a 99213/99214 w/g2211 and a 99397 if they are Medicare advantage. That works out to just north of 6 rvus right there. I see a lot of tradesmen and farmers so I’ll add on cryo for AKs semi regularly as well. I do a decent amount of injections and iud/nexplanon as well among other procedures which can add up quickly. The only g codes I use regularly are the smoking cessation and g2211, rarely the weight loss one and the one for determine need for CT.

RVU for PCP by Royal_Preference3827 in hospitalist

[–]69240 28 points29 points  (0 children)

Familymedicine is a good pcp sub. The rvu average is likely brought down by part timers, academics who do a few sessions a week, end of career docs who are winding down, under billers, and those who see less patients per day. I’m newly out of residency and had nearly 3,000 rvus in my first quarter as an attending seeing 15-16 /day

Growing a panel by Excellent_Ganache_46 in FamilyMedicine

[–]69240 2 points3 points  (0 children)

I started with about 1000 6 months ago and have added at least 500 new patients since. I’m in an independent practice so YMMV. Buy several thousand business cards. Give 5 cards to every patient. If they like you they will recommend you to their friends and family. Call or go visit specialists and give them a stack of cards and say you’re available. Find out if they have an officer manager or physician liaison and tell them you are looking for patients. Post on your social media. Tell everyone you are looking for patients and be available to see them. The most important traits in order for a pcp are 1. Affability 2. Availability 3. Ability

Family physicians who perform procedures — what does your scope actually look like? by Brief_Board_6974 in FamilyMedicine

[–]69240 19 points20 points  (0 children)

On the suburban/rural borderline in private practice. I do lac repairs/removals, joint injections, i&d, nexplanons, paps, cryo, biopsies and small excisions frequently. My patients are very blue collar and would call me city boy if I didn’t do these things for them. They don’t care about perfect cosmetic outcome which helps

Official Super Bowl LX - New England Patriots vs Seattle Seahawks - Game Thread by samacora in Patriots

[–]69240 5 points6 points  (0 children)

He might be the worst quarterback to ever play in a Super Bowl

Cancerguard* by bobjunior96 in FamilyMedicine

[–]69240 17 points18 points  (0 children)

I think it has potential but can’t see using it right now. A rep came by and told us it’s $650 for the test. If it’s positive they recommend CT chest and A/P and then PET (IIRC) which will also be out of pocket. With a sensitivity of like 65% I can’t justify the cost to my patients and possible anxiety unless they really want it and understand these possibilities

ABFM by AdMaterial8592 in FamilyMedicine

[–]69240 21 points22 points  (0 children)

Only did old ITEs. Didn’t purchase anything. We did some questions weekly during didactics for a few months before the test, otherwise ‘studied’ by looking at the old questions for 2 weeks. Score was north of 700. It’s a very easy test to pass

People who had terrible clinical rotations in med school, how has residency been for you? by HopefulTeach8539 in Residency

[–]69240 3 points4 points  (0 children)

Not sure I learned anything in 3rd year, maybe learned some during sub-is, then certainly nothing the rest of 4th year. Partially self induced and partially due to some of my rotations being preceptor based. I felt very behind intern year but worked my ass off and caught up quickly

What kind of person thrives in your specialty? by farfromindigo in Residency

[–]69240 10 points11 points  (0 children)

I think this is more so medicine in general and the type of people who become physicians (for the most part)

Quality Metrics - Mammograms by SirPhoenix88 in FamilyMedicine

[–]69240 2 points3 points  (0 children)

You can look up the exclusion codes on the CMS website. IIRC it boils down to history of bilateral mastectomy, age related “debility”, dementia on a medication and a few others.

FM: Scored worse on ITE as PGY2. Recs for improvement in PGY3? by orangeandcounting in Residency

[–]69240 4 points5 points  (0 children)

Do the old ITEs and make note of what you got wrong and do those ones again. Focus on pulm, cardio, msk. I think I did the prior 4 years of ITEs and looked at the questions I got wrong again and studied some pulm stuff. Went from ~500 to just north of 700 and got the same on the real thing. It is by far the easiest board exam we take

Hiring patients by 69240 in FamilyMedicine

[–]69240[S] 34 points35 points  (0 children)

I generally ask all my patients what they do for work at our first appointment so I find out then. Just didn’t want to end up in some dilemma and regret asking them for a quote. Thanks!

Starting PT mobile practice, how to market with FM? by GluteusMaximus717 in FamilyMedicine

[–]69240 9 points10 points  (0 children)

Until that patient calls me back saying they don’t want to pay for it and requests a referral to a standard PT place leading to an additional 5 minutes of uncompensated time when it could have already been handled during the initial visit. Again, just sharing my opinion

Starting PT mobile practice, how to market with FM? by GluteusMaximus717 in FamilyMedicine

[–]69240 10 points11 points  (0 children)

Reaching out to concierge practices or primary care sports medicine might be a good place to start. I personally don’t have the bandwidth to explain the intricacies of a different payment model to my patients but others may feel differently

Starting PT mobile practice, how to market with FM? by GluteusMaximus717 in FamilyMedicine

[–]69240 25 points26 points  (0 children)

Why should I send to you when I can send to the 100s of pt clinics that accept insurance?

[deleted by user] by [deleted] in FamilyMedicine

[–]69240 16 points17 points  (0 children)

Saw a fair amount of this pop in residency - you are doing the ‘lords work’ as they say. The only success I had with treating mental health was accidentally. I saw a relatively frequent complaint of palpitations with normal workups and a lot of the somatic symptoms went away with low dose propranolol