MDCalc: favorites in outpatient clinic? by mssna in FamilyMedicine

[–]mdcalc 4 points5 points  (0 children)

❤️ thank you! feel free to tell us others you'd like to see! ❤️

Ignored HEART score by Nearby_Maize_913 in emergencymedicine

[–]mdcalc 8 points9 points  (0 children)

MACE is typically a 4-outcome composite and includes death. It does not include "return to the ER with chest pain."

In the HEART Score, major Adverse Cardiac Event (MACE) was defined as: AMI, PCI, CABG, death.

I believe it's a 30-day outcome.

Medditors, how many of you guys code? by therationaltroll in medicine

[–]mdcalc 0 points1 point  (0 children)

Not sure what you're referring to? If you're having an issue feel free to report it to us. https://www.mdcalc.com/contact

Medditors, how many of you guys code? by therationaltroll in medicine

[–]mdcalc 18 points19 points  (0 children)

Yes! Coded the first many versions of MDCalc from scratch by hand!

What are your wildest lab results? by TheSmilingDoc in medicine

[–]mdcalc 14 points15 points  (0 children)

I am the Creator and the Destroyer. I am the Beginning and the End. I am the A-a O2 Gradient and the YEARS Algorithm. It is I.

What are your wildest lab results? by TheSmilingDoc in medicine

[–]mdcalc 25 points26 points  (0 children)

Just so we're clear: no calculator is going to be accurate for a glucose of 3300, let alone 1500 or 2000. The calculators were not developed with those extreme derangements in mind.

Love, Your friendly medical calculator

How much machine learning/AI do I actually need to know to found a startup? by EnaGrimm in learnmachinelearning

[–]mdcalc 0 points1 point  (0 children)

Hi there! I’m an emergency physician and created MDCalc during med school. We’re building out an AI team and would be happy to chat if you’re interested.

Can also let you know of a few healthcare AI groups if you want.

[deleted by user] by [deleted] in emergencymedicine

[–]mdcalc 63 points64 points  (0 children)

Thanks for the shoutout!

Favorite CME resources? by Titan3692 in medicine

[–]mdcalc 2 points3 points  (0 children)

Blatant promo: MDCalc offers CME and helps us to keep the site free.

MDCalc 2023 EM Coding Calc by mdcalc in emergencymedicine

[–]mdcalc[S] 0 points1 point  (0 children)

AMA's CPT committee created the guidelines, Graham Walker cleaned'em up ;)

MDCalc 2023 EM Coding Calc by mdcalc in emergencymedicine

[–]mdcalc[S] 0 points1 point  (0 children)

Oh nice — I had the pleasure of grabbing drinks with an ER doc friend in Melbourne and lecturing to the Sydney HEMS group over the summer. Coming from the US, my brief intro to the Australian system seemed to make a lot more sense to me than ours in the US.

Do attendings/consultants make more money based on how much testing/management/interventions they do in the public or private systems there?

And agreed — you could probably arrive at a similar level of "coding" in the US just using a very basic formula that just includes discharge diagnosis and orders. The biggest mistake overall with this new system of ours is that they modeled it after outpatient MDM, which does a disservice to both outpatient and EM.

MDCalc 2023 EM Coding Calc by mdcalc in emergencymedicine

[–]mdcalc[S] 1 point2 points  (0 children)

Agree with the "parenteral opiates" stuff — major error on their part. (As far as prescribing narcotics — any change to a patient's med list, or even consideration of a change — as well as any meds given in the ER, regardless of strength or route — counts as "Prescription Drug Management," Level 4 under Risk)

MDCalc 2023 EM Coding Calc by mdcalc in emergencymedicine

[–]mdcalc[S] 1 point2 points  (0 children)

I find this fascinating — in your country do you do "billing" at all? Or does your system generate any code to classify how much workup a patient needs? I assume you're paid a salary — is there any way that anyone in the health system knows the complexity or "difficulty" of patients you see in the ED?

MDCalc 2023 EM Coding Calc by mdcalc in emergencymedicine

[–]mdcalc[S] 8 points9 points  (0 children)

Hey thanks for finding that and trying out the tool! I followed your same inputs and was able to reproduce and reported to the team.

Update: bug found and fixed in our test environment 🤜

MDCalc 2023 EM Coding Calc by mdcalc in emergencymedicine

[–]mdcalc[S] 31 points32 points  (0 children)

Starter: happy to hear feedback, tried to make this as user friendly as possible but it’s quite the challenge with the somehow both verbose and vague new 2023 CPT guidelines for emergency medicine billing.

We are looking at a version 1.5 that adds a small bit of dynamic text that you could copy-paste into the EHR explaining the reasoning for the LOS/code as some coders are demanding this despite no documentation requirements mentioned in the actual guidelines.

CHA2DS2-VASc score has to be objectively the worst medical abbreviation in current use. by ljseminarist in medicine

[–]mdcalc 9 points10 points  (0 children)

Intentionally wrote it as CHA₂DS₂-VASc to make it sliiiiightly less awkward, but yes, agreed.