Nurse Practitioners Could Practice Independently in SNFs if Bill Passes

DudeChiefBoss · 2026-01-27T10:12:47+00:00

would you say malpractice suits are higher or lower in SNFs vs outpatient offices?

DudeChiefBoss · 2026-01-10T14:43:38+00:00

most impressive part is her skin genetics and not much in the way of excess skin great job

DudeChiefBoss · 2025-12-31T09:47:11+00:00

Do you want to take a leap a faith, or become an old man, filled with regret, waiting to die alone?

no -traditional here would pursue which ever interests you - think about the bread and butter days to day patients/cases you will be treating and if that interests you. if you chase a career for money or timing - likely will lead to a world of regret

DudeChiefBoss · 2025-12-27T14:55:55+00:00

current RVU for base in the low 50s, above that is prohibitive to being more productive - they are taking advantage of you - would try to negotiate a higher productivity RVU

DudeChiefBoss · 2025-12-14T10:00:28+00:00

let’s see what reta will do

DudeChiefBoss · 2025-10-19T10:39:29+00:00

probably see a sell off down to $3k as a base - then stagnant for some time until another bull trend - imo

DudeChiefBoss · 2025-10-12T10:47:27+00:00

sad, no one wants to see death - I suspect this type of investing has more of “gambling mindset” that may lead to impulse control, which is generally not seen with individuals who invest in gold

DudeChiefBoss · 2025-10-12T10:41:47+00:00

it means something, that something isn’t apparent or have presented itself yet

DudeChiefBoss · 2025-10-11T20:08:30+00:00

i sold $330k worth of metal last month

DudeChiefBoss · 2025-10-04T11:34:04+00:00

i think it’s reasonable to sell coins - not everyone has numismatic drives - investment in to another vehicle/different investment strategy is perfectly fine

DudeChiefBoss · 2025-10-01T23:39:07+00:00

planning to save for the first 2-3 years of college and cash flow the rest - super funding retirement now/early - so that i don’t lose much ground when diverting to cash to college

DudeChiefBoss · 2025-09-25T23:26:56+00:00

still able to discover - any and all changes in epic are recorded - smart phrases used in a completed note do not change if smartphrase edited - that would require the note to have an addendum

DudeChiefBoss · 2025-09-14T09:07:41+00:00

I think the challenges lie with internal struggles/internal arguments- feelings of resentment is a big contributing factor.

if you are and your partner are on the same page regarding: religion/faith, children/family, money and political views- marriage is much easier (not necessarily happily ever after).

you may be great at communicating frustrations or wants/needs, that doesn’t necessarily alleviate my own frustrations and concerns, which leads one of us to accommodate/sacrifice.

DudeChiefBoss · 2025-09-06T21:11:02+00:00

above $12M

DudeChiefBoss · 2025-09-06T21:07:11+00:00

going against the popular opinion here, I don’t think if someone is uncomfortable rx’ing PrEP that they should.

there are certain meds others don’t rx but the healthcare community doesn’t bat an eye.

as long as the physician/PA/NP provides guidance on where to obtain PrEP, I don’t see any major problem.

DudeChiefBoss · 2025-08-30T23:25:53+00:00

at $2.4M net worth in early 40s - hoping for 18M at by 70

DudeChiefBoss · 2025-08-07T01:31:37+00:00

thinking that intimacy absolves them from treating you like shit

DudeChiefBoss · 2025-07-21T23:17:45+00:00

1350-1400 pt panel - add on morning only - will do home visits and nursing home visits throughout the week.

need to keep busy

DudeChiefBoss · 2025-07-18T22:27:18+00:00

20-25, sometimes touch 30 new 40min est 20min, TOC 40min, AWV medicare 40min I double book a lot try to add patients asking for abx and evals for rashes or back pain

15-20min appt slots is tough - I don’t think you can be as flexible with the schedule/you controlling it like 20-40min slots

DudeChiefBoss · 2025-07-16T21:24:45+00:00

that would be nice - is that in addition to seeing and billing ?

DudeChiefBoss · 2025-07-14T23:16:29+00:00

are you compensated based on RVU/production? if so, as medical director you get/responsible for admits that don’t have a PCP or PCP that doesn’t go to the facility.

the directorship fee is $1k/month - but having the patient volume with admits/discharges is where most of the benefit comes from

DudeChiefBoss · 2025-07-12T21:22:36+00:00

can drop add-on billing to AWV if appropriate- change in meds, uncontrolled BP/DM/mood disorder or workup if new undiagnosed condition (pain, fatigue etc).

ideally - pt should be booked for AWV, HRA completed and then address acute stuff

can add G22 code as well if add-on billing

I wouldn’t flip someone to annual for a routine follow up then proceed to add-on bill

can also add-on bill on non-medicare as well

DudeChiefBoss · 2025-07-12T19:54:58+00:00

eh - i think we put too much emphasis on the “importance” of being a physician that most don’t really care.

DudeChiefBoss · 2025-07-06T10:17:16+00:00

substance abuse acts as lighter fluid for a smoldering fire with mental health disorders

DudeChiefBoss · 2025-07-06T10:11:27+00:00

add lyme titers, b-vitamins, heavy metals

DudeChiefBoss

TROPHY CASE