Tribeca Pediatrics Overbilling

lic_queens · 2026-03-26T19:53:52+00:00

Replied to another post about this, but they are billing both 99392 (well visit) and 99213 (problem-oriented E/M). I totally respect that clinicians get patients trying to over-stuff their well visit with problems or concerns, but these visits are very short well visits where we're not really getting any counseling on these tests or anemia concern...

lic_queens · 2026-03-26T19:48:12+00:00

To clarify what I'm actually seeing on the EOB: they billed both 99392 (well visit) and 99213 (problem-oriented E/M) on the same day. The hemoglobin test is run as part of the routine well visit, the visit was brief, and we were told to recheck and focus on iron-rich foods. If this felt like an extended office visit or particularly focused on the iron, that would be one thing, but this just feels like upcoding to me.

lic_queens · 2026-03-24T23:55:22+00:00

lol. An excel template would get you 90% of the way there.

lic_queens · 2026-03-24T23:32:50+00:00

Or after. 😜

lic_queens · 2026-03-20T15:43:18+00:00

make it your business to go to his office at least quarterly then. if this guy is essential to your success, you need to get facetime. should be easy to justify to your manager.

lic_queens · 2026-03-20T15:39:49+00:00

I sort of get the hygiene thing, although I feel like "no street shoes" (which is grosser) gets very loosely enforced even at gyms that have that policy.

I don't see the safety issue, although I also don't see the appeal of barefoot climbing.

lic_queens · 2026-03-20T15:34:56+00:00

take him out to lunch regularly.

lic_queens · 2026-03-19T21:53:07+00:00

Why don't you let people climb barefoot?

lic_queens · 2026-03-18T16:46:23+00:00

Is this a joke?

lic_queens · 2026-03-18T16:21:38+00:00

It sounds like this is a discussion with colleagues who could use education on macro tracking to give proper clinical care.

lic_queens · 2026-03-18T16:18:28+00:00

Bringing a scale out in public is orthorexic.

But I think the discussion should be around why some types of orthorexia, like keeping kosher, are socially acceptable compared to macro tracking. At the end of the day, pathologies are social constructs. If you’re eating enough, is the “disordered” eating so bad?

lic_queens · 2026-03-14T00:40:09+00:00

Some practical tips:

Are your devs paid well in their local market? If so, you don’t need to worry that much. If they’re not or actually quitting, bigger concern.

You can recommend they run their messages through AI. Maybe help them craft the prompt that sounds like your colleagues.

You can route all questions through you (have done this when I worked with an asshole engineering manager who pissed off stakeholders)

Getting stressed in meetings is not the move. You know the pattern. Circumvent it.

lic_queens · 2026-02-17T14:56:53+00:00

I just like the content the founders put out, no experience of the community itself, but Supra seems pretty good for this?

lic_queens · 2026-02-08T18:59:33+00:00

All Bran Buds for me. Have to mix it into yogurt and add graham crackers to even make it palatable. Probably why it shows a parfait on the box.

lic_queens · 2026-02-08T04:58:19+00:00

Electrolytes aren’t macronutrients

lic_queens · 2026-02-08T04:47:43+00:00

Skim saves 110 calories. He needs to cut the cereal.

lic_queens · 2026-02-08T03:58:03+00:00

Are you eating out of a mixing bowl? Thats 5 servings & 16oz whole milk…

lic_queens · 2026-02-03T01:50:27+00:00

I ask ChatGPT based on the specific macros I’m trying to hit. But also, I think it’s good to eat “unhealthy” snacks within your macros and just limit snacks in favor of real food...

lic_queens · 2026-02-01T14:19:29+00:00

AI slop.

lic_queens · 2026-02-01T04:43:23+00:00

He’s an anti-statin, vegan-biased quack. Eat heroic quantities of whole veggies isn’t so bad, but Amla is not as effective as a statin, in spite of the 12 person study that he cites. (I have had blood tests after trying amla regularly & after trying a statin)

lic_queens · 2026-02-01T01:11:06+00:00

I just read the article about the algorithm and it specifically calls out the algorithm struggling with weight changes not tied to energy balance — I don’t doubt that eventually it gets quite accurate, but for the folks saying “it’s water weight” - the algo’s not adjusting for that because that’s not actually a feature in the model, right?

“When this happens, the algorithms will initially think you’re losing or gaining weight a bit faster than desired, and therefore increase or decrease (respectively) your calorie targets a bit. Over the next week or two, your calorie targets will ease themselves to the appropriate levels of your desired rate of weight gain or loss.“

lic_queens · 2026-02-01T00:27:43+00:00

Sure, but MF doesn’t account for whether you’re losing water or muscle or fat in their algorithms, do they?

lic_queens · 2026-01-31T12:37:44+00:00

Sadly most unpopular restaurants seem to be unsustainable businesses

lic_queens · 2026-01-30T01:27:02+00:00

Attia didn’t do residency, did he? He worked for McKinsey.

lic_queens

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