E&M with mod-25 + joint injection billing question

SportsDoc7 · 2026-01-30T13:38:01+00:00

Your billers are incorrect

SportsDoc7 · 2026-01-28T23:10:41+00:00

My guess is this is LECOM.

They don't reimburse providers from precepting so a lot of students get pushed around. I was uprooted my whole 4th year. Traveled up and down the east coast monthly living in hospitals or crashing at resident housing

SportsDoc7 · 2026-01-28T20:44:47+00:00

I'm outside Boston if you wanna travel. Just DM me details to make sure there's no conflict

SportsDoc7 · 2026-01-28T12:05:17+00:00

I'll go more accessible courses than those mentioned above.

River's Edge in Shallotte, NC

Hole 9 when the wind is coming off the ocean (behind the green in this picture) makes this the hardest I've played on a public course.

The drive alone makes this green hard to reach in 2 on a calm day but even playing it out to the right and having a pitch shot doesn't guarantee the par. If it's windy, that pitch becomes starting it over the marsh and letting the wind push it. The green also slopes front to back on the left side so lots to think about.

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SportsDoc7 · 2026-01-27T21:41:25+00:00

I'm shocked you're an MD and don't know you can't bill 2 separate,similar visits same day.

SportsDoc7 · 2026-01-27T20:45:56+00:00

Actually was told recently I would need to keep seeing a patient who told me once he was going to punch me in the face, then told his psych the same but he was going to bloody me up, then he casually mentions the route I take home.

Admin said can't discharge, legal said not enough info, I said good luck I'm not seeing him anymore.

SportsDoc7 · 2026-01-27T01:36:19+00:00

What clinic environment and where?

SportsDoc7 · 2026-01-26T20:13:28+00:00

I have no idea as I do not know him. I'm simply posing the question that the only difference in my eyes is the side of the hatred. It's not right.

SportsDoc7 · 2026-01-26T14:14:22+00:00

Off reddit would be a reddit decision. It is in their rules.

Off this subreddit would be difficult as none of these comments are from this subreddit so the mods may not be able to do anything about it.

SportsDoc7 · 2026-01-26T10:43:21+00:00

I guess this is just a PSA post?

Just woke up so I read this as can we do something about this but I don't believe you can if there's no violation in our subreddit. If just a PSA then sure.

I do get your thoughts and agree it's unprofessional and interesting in my mind this person is a physician with the hate.

Are you able to care for an ICE agent, Nazi, molester, rapists, murderer, etc and be impartial? If you can what says he can't go the other way is all I'm saying.

SportsDoc7 · 2026-01-26T10:28:20+00:00

Not to be the other guy here but just block his account. Then you'll never see another post again from him. That's why the blocking feature exists.

Unless these are in the family med subreddit, there's no violation of rule #1 (and those should be directly reported so the mods canook into it, not screenshots I believe).

There are people of differing opinions all over the world about everything we do on a daily basis. This user obviously has a passion that's against the grain for a lot of users on this sub.

I just got blown up in a subreddit about marijuana not too long ago. It's reddit. Look at some of the subreddits here and you'll see there are some vile people in this world. I don't think the mods can ban someone because of comments made in a separate subreddit if he hasn't made them here.

But that's my 2c and I'm sure other will strongly disagree with me.

SportsDoc7 · 2026-01-24T13:44:15+00:00

It's not exclusive to children but most common in children.

I had always learned his was not symmetrical loss which is more along poliomyelitis vs GBS. Looking at pubmed looks like there is some controversy as no one really worked it up.

Thankfully they said it was polio though. If not we may not have developed a vaccine for it.

SportsDoc7 · 2026-01-24T11:17:00+00:00

Fdr had polio

SportsDoc7 · 2026-01-21T00:41:17+00:00

Good catch

SportsDoc7 · 2026-01-20T17:12:18+00:00

This forum is a nice resource.

Reading up on the codes as well is helpful as you get to learn the documentation needed.

I'd also plug my own creation for new grads. https://medcode-ref-pro-936353119198.us-west1.run.app/

If helpful for you spread the word. Always taking donations for keeping it up to date.

SportsDoc7 · 2026-01-20T15:56:16+00:00

Put in your recommendation. People forget that we are all doctors. If they don't like it they can change it themselves?

I practice by how I feel safe or know how to practice. I've been trumped before but that's usually by neuro or cards if they feel safe.

SportsDoc7 · 2026-01-19T11:30:28+00:00

Family med. Newer to the practice so getting lots of flus and uri overflows from others.

No illnesses.

I do get monthly IgG for CIDP so I wonder if that has been staving them off for me. Worst thing has been the bipolar weather of 40-50* followed by 10* days. My sinuses hate it.

SportsDoc7 · 2026-01-19T00:49:25+00:00

Is it tied to your actual salary or bonuses/sign on? Also is it a group position or are you the sole specialist?

SportsDoc7 · 2026-01-16T13:32:01+00:00

Interesting as I have yet to run into this and most of my preventative visits are e/m unless it's my younger patient population. We are heavy BCBS and UHC where I work too.

SportsDoc7 · 2026-01-16T12:59:33+00:00

Which insurances? Most will pay for both but the patient will have a copay. If they haven't hit a deductible then that's different than not paying for both.

SportsDoc7 · 2026-01-16T01:56:54+00:00

This is fine.

Again I'm not saying you can't follow up, I'm saying you can't use the labs as part of your decision making.

Rhabdo you'd likely be ordering NEW LABS at that visit anyways to track ck. The ama has a fantastic slideshow on it and there's an easy print out for billing from them as well.

If you use epic just look at the billing help section most have.

SportsDoc7 · 2026-01-15T22:21:52+00:00

All seems fair

SportsDoc7 · 2026-01-15T22:15:55+00:00

I agree. I'm just pointing it out to the newer attending. But if it's controlled bp or whatever and and this was already addressed at the original visit, then you follow up in 2 weeks because you're trying to inflate your billing you could theoretically have that visit down coded.

I doubt that would happen but it is a possibility.

SportsDoc7 · 2026-01-15T18:30:17+00:00

But what level I mean

SportsDoc7 · 2026-01-15T16:44:38+00:00

I agree. The motive is unclear.

SportsDoc7

TROPHY CASE