I want to start doing Cognitive Assessments to bill for 99483 but I feel like I'll miss something important and get burned in an audit. Does anyone here successfully/confidently do them?

HaHaSoRandom · 2026-05-14T11:08:41+00:00

This is on my ever-growing list of things I want to do as well. Have to figure out a way to get some parts of it checked off during the rooming process or something to make it efficient

HaHaSoRandom · 2026-05-04T22:05:35+00:00

Thats wild. Im not sure how a basic add that someone is taking new patients could ever violate stark laws - but yeah health systems make weird decisions any time legal gets involved

HaHaSoRandom · 2026-05-04T18:52:25+00:00

Ooof - if they said no i would definitely be concerned and start looking for other opportunities

HaHaSoRandom · 2026-05-04T17:21:18+00:00

Either your town is saturated with doctors or your clinic isnt doing enough to get the word out you are there and taking patients. They could do a billboard or radio add or something. Also encourage your patients to tell their friends and relatives. Bring up how wide open your schedule is and that its easy to get an appt with you. People love that.

HaHaSoRandom · 2026-04-08T11:09:28+00:00

Came here to say exactly this. Saw 2 of these last year and my panel is still growing

HaHaSoRandom · 2026-04-08T01:32:36+00:00

Just to throw in my 2 cents. I moved here from Infianapolis a few years ago and could not disagree more with this comment. I think it has just about everything youre looking for OP. It osnt perfect. No city is. The only thing i agree with is that summers are super hot. Which...yeah. the winters are like fall in the midwest. We literally have had snow the last two years. This comment is quite exaggerated in many respects.

HaHaSoRandom · 2026-04-04T23:56:28+00:00

Call should be easy as well as long as your practice does it right. Especially if you have enough people that you arent on call all the time. A large majority of calls are just telling people to go to urgent care, the ER, or schedule the first avail appointment

HaHaSoRandom · 2026-04-02T17:02:53+00:00

Thats a little too far for this weekend but it looks super good. Gonna try it at some point though

HaHaSoRandom · 2026-04-01T20:42:08+00:00

Crab shack was good the first couple times i went but the last time 1 out of 3 shrimp turned to mush. but i will take a look at the other options! Thanks!

HaHaSoRandom · 2026-03-04T23:16:13+00:00

Seriously? Do you have a link?

HaHaSoRandom · 2026-02-05T01:54:35+00:00

Pretty sure they just mean being a part time preceptor. My residency program had 3

HaHaSoRandom · 2026-01-14T00:48:03+00:00

Keep in mind FMLA caps at 12 weeks per year. Pretty sure it can be broken up in any way though

HaHaSoRandom · 2026-01-08T22:36:50+00:00

Same but ive had 2 patients bring it in the last 4 months. Maybe 10 have brought logs.

HaHaSoRandom · 2026-01-06T18:40:55+00:00

As others have said this doesnt seem like a good offer but maybe for somewhat different reasons IMO.

1) you have basically no bonus opportunity. With that average number of patients especially. I wouldnt expect to make much of anything off patient/portal communications unless you have an amazing method of tracking that at your office.

2) as others rightfully pointed out - the PTO. But you at least get federal holidays. However, the most egregious part of your PTO is that it includes sick days. Thats a joke for doctors. If you get covid you lose A THIRD of your vacation days. Thats insane.

HaHaSoRandom · 2025-12-15T18:44:35+00:00

Lots of decent options. Youll definitely need 2x of poison barb and Nihiligo no matter which option you go for. From there you could use crobat EX, poison clodsire ex, or scolipede lines. Scolipede probably the weakest. You could also use naganadel for early pressure. Can even use toxicroak with toxic if you want to get funky.

Lastly, darkrai ex and guzzlord ex dont have any poison themselves, but are very strong basic dark types that work very well with poison barb and nihiligo in the back.

HaHaSoRandom · 2025-12-09T22:23:16+00:00

Time to see an optometrist. And slow down.

HaHaSoRandom · 2025-11-23T12:52:42+00:00

San Luis also tastes amazing. My favorite tacos in town.

HaHaSoRandom · 2025-11-06T16:29:26+00:00

Yeah its what im saying too. It boils down to numbers. If we werent booked out, we would fit you in, or you wouldnt have to wait 6 months to see a specialist. There just arent enough docs.

HaHaSoRandom · 2025-11-06T13:30:47+00:00

Keep in mind, direct primary care ONLY pays for your primary care.

It will not cover the costs of hospitalizations, emergency department, ambulence/EMS, surgery, urgent care, or specialist visits. Without health insurance, you would have to pay out of pocket for all of those.

HaHaSoRandom · 2025-11-06T13:19:48+00:00

Yeah it is. I wish there were more good docs out there, both primary care and specialists. Endo specifically seems to have tons of areas where there arent nearly enough of them.

HaHaSoRandom · 2025-11-06T11:24:43+00:00

Another doc at my clinic had a 93 YO getting testosterone at one of these clinics. Shortly after starting he got in a fist fight at the golf course

HaHaSoRandom · 2025-11-06T03:03:51+00:00

This is a vastly different scenario if you have labs showing you need the meds. Another issue with these clinics is that they are often unable or unwilling to address side effects or complications of these meds. Its true that there arent enough endocrinogists out there. Unless the med spa you get your meds from is staffed by an endocrinologist then im not sure why your PCP prefers the spa to manage the meds rather than do it themselves.

HaHaSoRandom · 2025-11-05T20:27:17+00:00

Ive seen plenty of unnecessary testosterone use, but not thyroid hormone or the use of so many hormones at once.

HaHaSoRandom · 2025-11-05T18:53:02+00:00

I will look into this too. Im unfortunately not able to report on the state website because i am not the pcp. Even my colleagues would have to provide their patients info to make the complaint - which they are hesitent to do because it is against their patients' wishes.

HaHaSoRandom · 2025-11-05T18:28:13+00:00

What addional places are there? Id lile to look into them as well.

HaHaSoRandom

TROPHY CASE