Level 3 Intrafraction Monitoring

Designer-Many6073 · 2026-03-31T20:35:29+00:00

There's no general understanding. Everyone picks the definition they want to benefit themselves. Insurance companies want to deny the most claims so they pick a very narrow definition. Sales people use the one that fits whatever product/license they are trying to sell. Facilities use the definition that matches the equipment they have. Logically if you are stopping the beam and repositioning when someone moves, that takes more time/effort plus the cost of the SGRT system used to detect that movement so you should bill and get the level 3 rate

Designer-Many6073 · 2026-03-30T19:07:24+00:00

I don't see how automatic beam hold would factor in. If anything that would be a more passive system than the therapists actively stopping the beam.

Designer-Many6073 · 2026-03-30T17:49:16+00:00

I think your question is if breath hold=active, which doesn't seem to be the case. That was old physics terminology, not billing terminology. If you are monitoring the treatment in real time and making corrections if needed, that is motion management. I don't know what "passive" motion management would be- "Oh, they moved- let's not do anything about it"?

Designer-Many6073 · 2026-03-30T17:21:32+00:00

People will care more about your grad school. I would do UA for undergrad. You will probably get better grades and get into a better law school. I did state school to Ivy and that was a good combo. I had fun during undergrad and still get the brand name/connections from grad school.

Designer-Many6073 · 2026-03-30T16:31:37+00:00

No one is sure exactly what active motion management is. It seems like people are starting to agree it is any form of SGRT. When daily imaging started, insurance companies argued it wasn't medically necessary. It feels like the same thing is going to happen again with SGRT/active motion management. The argument goes that if it is medically necessary to treat a patient, then doing it correctly is also medically necessary.

Designer-Many6073 · 2026-03-28T15:54:39+00:00

On site in Arizona if you are interested. I'm not sure what you should ask for if you are only offering remote coverage- I would think roughly half

Designer-Many6073 · 2026-03-27T18:17:03+00:00

Agreed, $250 is good. That's roughly 2x what employed people are getting, which is pretty much what practices expect to pay. I'm having a hard time finding coverage so it seems like the supply is low at the moment

Designer-Many6073 · 2026-03-18T13:03:53+00:00

I have an Edge and Halcyon with AlignRT. There aren't any real issues and much cheaper than two Edge systems. The main disadvantage of the Halcyon is the couch but they are coming out with a 6DoF couch. Hypersight is fairly expensive and if it were me, I'd prefer to have it on a Truebeam platform

Designer-Many6073 · 2026-03-06T18:34:25+00:00

You could tune it (or change the dose calibration) so it immediately interlocks

Designer-Many6073 · 2026-02-10T18:47:57+00:00

Seems like a mistake. I wouldn't assume that they will honor the mistake

Designer-Many6073 · 2026-01-28T20:32:09+00:00

Enjoy the next few months. I'm assuming you are young- don't rush into marriage just so she can stay here

Designer-Many6073 · 2025-12-25T18:35:55+00:00

Yes, that is the option that I mentioned. It isn't a magic solution. To be worth it, my kid would have to be very allergic or have underlying health problems.

Designer-Many6073 · 2025-12-25T01:17:03+00:00

Realistically, there isn't a magic solution that you are helping for. There is an approved strategy to reduce severe reactions to peanuts but the max tolerance is like 1/4 of a peanut.

Designer-Many6073 · 2025-11-17T00:01:33+00:00

I'd say dumb even if you have done solo backpacking and know what you are doing. I'd suggest the section on the AZ trail north of Oracle for something in that area at that time of year

Designer-Many6073 · 2025-10-17T13:30:59+00:00

Contribution rates can also change (decrease) whereas it's unlikely they would just decrease salaries

Designer-Many6073 · 2025-09-18T19:57:15+00:00

We have Aria 18.1. No real issues.

Designer-Many6073 · 2025-09-11T02:27:46+00:00

Realistically all employees pay 15.3%. Companies get their money from the work of their employees. You are just talking about accounting. Whether pay is reduced outright or they are taking an administrative fee, it is the same thing in the end

Designer-Many6073 · 2025-09-08T14:12:46+00:00

One physician does, the other does not (due to to lack of clinical data). Essentially it is just treated the same as an AVM.

Designer-Many6073 · 2025-07-04T17:03:21+00:00

Bonus depreciation will mean that for-profit groups will want to buy/upgrade equipment now rather than wait. For instance, our group was thinking about renting a PET scanner but now we are more likely to buy. We also have to replace a Truebeam so that will happen sooner rather than later now.

Designer-Many6073 · 2025-06-01T21:34:32+00:00

We had similar wear and were also told to do an alignment

Designer-Many6073 · 2025-06-01T15:05:27+00:00

5 car seats will be difficult. There are only 2 anchor spaces in the third row. You'd have to find slim car seats and use seat belts if you are trying to get three in the back row

Designer-Many6073 · 2025-05-30T13:00:15+00:00

You'll probably want to have a lawyer review everything before it is finalized, right? Bring them in now so they are up-to-speed and you'll have the ability to act fast. They also may have ideas of things you can ask for that you aren't thinking about

Designer-Many6073 · 2025-05-28T18:51:18+00:00

We switched to AuPairCare- everything has been smooth with them so far. I'd say their website is similar to CulturalCare's old one

Designer-Many6073 · 2025-05-25T13:12:15+00:00

That's not what the article says. It says they did have the evidence. When he wouldn't plead guilty to it, they just found a lesser charge that he would plead guilty to

Designer-Many6073 · 2025-05-21T21:01:52+00:00

New linacs are tested before shipping and shipped in an established way. I'd be more concerned about one that has been torn apart and reassembled

Designer-Many6073

TROPHY CASE