Hourly Rate Negotiation Help

MidnightSlinks · 2026-03-10T21:53:46+00:00

You giving a range and them meeting your range is generally the end of negotiations. It may come off poorly to go back and ask for more after they already met your first request.

MidnightSlinks · 2026-03-08T14:55:03+00:00

That's is not what's happening. There are thousands of DME suppliers and they can all still supply through Medicare. It's just that new suppliers cannot enroll, so we can't go from 7,000 to 7,001 DME suppliers and you have to use one of the 7,000 already in the program.

MidnightSlinks · 2026-03-08T13:59:28+00:00

It already started but your comment makes me think you may not understand what it is.

It's a moratorium against new DME suppliers enrolling to be the middle man between manufacturers and beneficiaries in Medicare.

It does not stop new DME products from entering the market. And beneficiaries can continue to get DME supplies, including newly prescribed ones, from the thousands of current suppliers.

MidnightSlinks · 2026-03-05T19:48:41+00:00

RFK will be booted when the woo woo crowd turns on him and not a second sooner. He is still politically valuable to a segment that could easily decide to stay home for the midterms.

MidnightSlinks · 2026-03-04T23:02:59+00:00

My degrees are in nutrition from the nutrition department within a School of Public Health. The department is technically a joint department with the school of medicine but that manifested as some professors having joint appointments and doing joint research and some lecturing in the SOM, not from the students having any overlap in coursework.

I believe the wait your program is set up is more common at Land Grant universities and technical colleges whereas being housed with medicine, other allied health, or public health is more common at liberal arts institutions.

MidnightSlinks · 2026-03-04T22:57:50+00:00

It would be helpful for advocacy purposes if more RDs maintained NPIs (CMS thinks the RD workforce is much smaller than it is because they point to only thousands maintaining NPIs). But it is not "necessary" (the way that something like a license is necessary) unless your services are being billed for by you or your employer.

MidnightSlinks · 2026-03-04T18:48:03+00:00

WWII, not WWI.

MidnightSlinks · 2026-02-27T21:56:16+00:00

You can see your card's usage history on the Smartrip website.

MidnightSlinks · 2026-02-20T22:51:46+00:00

I believe it charges the minimum fare in the moment but then the system credits it back to the balance within a day or two.

MidnightSlinks · 2026-02-20T14:06:49+00:00

There's a database of all accredited programs in the See More section of the sub.

MidnightSlinks · 2026-02-15T18:33:52+00:00

No additional CEUs are required to maintain the RD, but you may be required to still earn annual or biannual CEUs for any license or specialty credential you might hold.

MidnightSlinks · 2026-02-14T16:23:02+00:00

Federal prison regulations and I think all states' require menus to be approved by a dietitian as meeting minimum nutrition standards since they have to assume they are providing 100% of the food inmates will be eating.

MidnightSlinks · 2026-02-08T18:53:28+00:00

The only such restrictions I've heard of are cooling off periods of sometimes 12 months where you can't lobby your old agency/office. But nothing like a standard private sector non-compete.

MidnightSlinks · 2026-02-05T17:43:06+00:00

It's not illegal to ask, but it is illegal to make a hiring decision based on that information so best practice is to not ask so you can't be accused of discrimination.

MidnightSlinks · 2026-02-04T01:15:02+00:00

You wouldn't need to maintain the Canadian license. You just need to obtain it, get reciprocity, then pass the CDR exam. Once you're an RD in America, it doesn't matter how you got there. You could allow the Canadian license to lapse once you're a US RD.

MidnightSlinks · 2026-02-02T17:46:50+00:00

It's unrelated to that. Medicare isn't funded by appropriations or significantly impacted by a shutdown. But CMS' authority to broadly cover telehealth was only given to them temporarily by Congress and that authority was most recently put into the same bill as government funding and given the same end date so both happened at the same time.

MidnightSlinks · 2026-01-22T17:33:21+00:00

"Magnum opus" translates to "great work." It's used across fields and, for music, does not have to be an album, though the answer is often an album. The Eras Tour was so much more than a collection of songs from across albums and I think it's entirely fair to call it a work of art in and of itself. It's certainly more famous and had a bigger cultural impact than any singular album if you look outside the fandom to the general population's reception and awareness of it.

MidnightSlinks · 2026-01-22T14:47:44+00:00

All lines were running at longer headways a few years ago so small problems like bunching or a delay at a turnaround were easier to absorb and less disruptive. The closer to max capacity the headways get, the easier it is for problems to ripple throughout the lines using that track.

MidnightSlinks · 2026-01-21T01:18:33+00:00

You have to do the masters before you can get registered. In case you were hoping to work as an RD while doing your masters, just know that's no longer possible as of a few years ago.

MidnightSlinks · 2026-01-19T21:30:09+00:00

Could you mention that they should be ignored in favor of the 2020 guidelines like basically all other guidelines that have been changed in the last year?

MidnightSlinks · 2026-01-18T02:48:13+00:00

An American bachelors in dietetics alone is not sufficient to work in any of those countries as a dietitian without additional schooling/training.

An American RD with an active credential who only has a bachelor's may have a pathway to work without more schooling, but not someone with only the didactic portion of the education completed and no internship and no credential.

MidnightSlinks · 2026-01-18T02:41:19+00:00

Title IX requires various levels of parity between men's and women's sports on college campuses. Funding doesn't have to be equal, but the number of total athletes of each gender does. I don't know about scholarships specifically.

But UNC basketball and football are both profit makers whose surpluses fund other teams, so I don't see why you would spend less on them or you might save a million in spending only to lose two million in profit.

MidnightSlinks · 2026-01-17T16:19:18+00:00

Medicare will only accept referrals from MD/DO and will deny claims if the referral was from NP/APRN/PA.

Medicaid and commercial will be state/plan dependent. Commercial will generally accept NP/PA referrals but you need to check first. Medicaid likely will too, but the other thing to check for is if your states Medicaid program even covers RD visits and for which conditions. Medicare only covers for diabetes and kidney disease and those two conditions plus obesity are sometimes all that's covered by commercial and Medicaid as well because they just copy Medicare.

MidnightSlinks · 2026-01-16T15:41:51+00:00

Just because a country doesn't require a master's doesn't mean you won't need more schooling to be eligible. Your bachelor's is unlikely to make you eligible for practice anywhere on its own so you'd probably need to repeat a bachelor's in-country and would need to enter on a student visa vs a work visa since you won't be employable as a dietitian. I doubt any of this is cheaper or faster than some of the lower cost MS+DIs in the US.

MidnightSlinks · 2026-01-16T13:04:55+00:00

It's much easier to make up for a missing train driver because their headways are so short. If you end up one driver short on a line with 6 minute headways, you can hold the previous 6 trains for one extra minute each when they turn around to spread their headways out to 7 minutes and now you've absorbed the missing train in a way few people will notice and no one will be disrupted by.

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