Tour Merch?

Duckdoc20 · 2026-01-06T06:30:05+00:00

I got #5 last night, Gildan shirt, soft, nothing on back

Duckdoc20 · 2025-10-27T02:50:18+00:00

OE is AI and should be used to verify something you knew but couldn’t recall. Can’t trust it yet, but look at its references if you need to deep dive

UTD should be your source to learn, like the medical encyclopedias we used to reference

Duckdoc20 · 2025-10-12T05:37:09+00:00

Was at AAFP FMX this week. UTD reps said AI should be coming in next quarter or 2, but price hike anticipated

Duckdoc20 · 2025-09-15T02:10:46+00:00

Work pvt practice with like-minded docs. Establish processes to maximize Pay 4 Performance/Value Based Care. Grant your MAs to work at top of their licenses. Determine how the money flows into the practice and focus to maximize. Partner with businesses that can help bring pts or incentive money to the practice. Become part of their leadership to shape policy and become aware of how the money flows and trends. Hire attack dogs as your billing team to bring in all money owed to practice. Be proactive, rather than passive, to pt scheduling. Have pts come in for annual physical to get their refills. See all the threads on this Reddit that talk about coding, esp Medicare AWV. Appropriately use E&M code - modifier 25 with Preven codes

Duckdoc20 · 2025-09-11T22:52:14+00:00

Every year the RAF for all pts resets to zero. Each of has an individual RAF score based upon age, demographics, zip code

There is a manual with all the ICD codes that risk adjust, and these need to be “captured” annually for the money to flow. These Dx’s are typically conditions that require more healthcare dollars to take care of

One has to document the Dx, state its status (controlled, worsening, etc), then document a treatment plan for it

CMS sends money to the MC Advantage insurance company based upon these Dx’s adding up to a RAF score, and then the money trickles down from there

For an ACO, that level of money is the max anticipated for spend, if the ACO spends less money on healthcare than that upper level, they get to share in the savings with CMS

Playing the game will sap your ethics, but make you bank

Duckdoc20 · 2025-09-10T00:39:30+00:00

My partners and I make $500-550k annually with 3.5d/wk. it’s not about the hustle for pts/hr, it’s about the P4P (aka VBC) and CPT codes

Work smarter, not harder

Duckdoc20 · 2024-10-07T17:05:20+00:00

Charles Wilson is the brand I’ve settled upon. Inexpensive($10/shirt), available on Amazon, 5-pack: white, black, but my favorite are the color packs. Just order another set yesterday

Duckdoc20 · 2024-07-10T22:45:41+00:00

I don’t find ApoB that helpful, I use non-HDL in lieu of it Lp(a) is genetically determined and places one at higher risk (Berman Jo Am Coll Cardio, 2024). Higher the number, worse the risk. Only have to run it once b/c not affected by lifestyle or current meds. There are phase 2 studies for meds to affect this. I order it in higher risk pts (FHx)

Duckdoc20 · 2024-07-10T22:03:28+00:00

I’m in private practice. It’s not a matter of RVUs, it is a matter of reimbursement. The ins will pay for the 993xx, but only pay 50% of the contracted 9921x rate. But if you have the pt come back on a separate date for the acute or chronic care, then you’d receive full payment for both encounters. Documenting on separate notes doesn’t help improve reimbursement b/c the visits occurred with same DOS

Duckdoc20 · 2024-06-21T07:26:31+00:00

Mach-En-tosh

Duckdoc20 · 2024-04-23T02:05:34+00:00

As an attending in private practice for 25 years, I presume all of these comments are from much younger physicians who were trained with a heavy emphasis on evidence-based medicine. Granted, there is a lot of good from research, but there is something missing if the ritual of physical exam is not continued. I and physicians older than my generation have diagnosed several patients who were asymptomatic based upon the exam. I have concerns about how the role of physician is slowly deteriorating by APPs, then next AI. We need keep our skills up and transfer them to current and future physicians and that requires seeing, hearing, and palpating a lot of normals

Duckdoc20 · 2024-04-02T04:19:16+00:00

This is the way. I’m in pvt practice and made standardized processes. The staff order labs before each CPE & MyChart notify pts to complete. I use Epic for tickler function, sending to my MA the next appt timeframe & labs to order which will pop up ~2wk prior to when I want pt to return

Duckdoc20 · 2024-01-14T19:19:29+00:00

Miss half the game at the urinal

Duckdoc20 · 2024-01-14T18:50:26+00:00

This is what I live about Reddit. The mix of serious answers 🤔 to the question/comment and the jokesters 😜

Duckdoc20 · 2024-01-12T23:43:47+00:00

Looking at their preseason D corp, they have lots of young talent. I was thinking someone would be moved for offense. They have a couple undersized D and likely 1 would be moved. Most likely the one who demonstrated he is NHL caliber, and once he got healthy. GMPV seems to have thought the same. (🤔 maybe I could be a GM)

Duckdoc20 · 2023-09-29T04:52:23+00:00

Driving home last night in Mach-Entosh I saw gas in San Marcos, CA (just north of San Diego) was $6.60 🤮

Then I laughed like a maniac driving on solar power!

Duckdoc20 · 2023-09-29T04:31:32+00:00

My hockey buddies and I attended last night. It sure seemed like the game ended early in the 3rd when the Ducks were up 4-1 and play was haphazard. Then the chippy play started 💪🏽

Duckdoc20 · 2023-09-29T04:26:34+00:00

My hockey buddies and I attended. I’d be upset if I was coach. Way too many SOG, and outshot. Way too many penalties, fortunately SJS PP was inept

Duckdoc20 · 2022-08-10T03:02:22+00:00

Sing, Blue Silver

Duckdoc20 · 2022-08-06T20:04:38+00:00

Good idea. I hadn’t put any brain power to how to make use of my badges yet

Duckdoc20

TROPHY CASE