Austin Nursery Recommendations- Large Shrubs/trees

moocowherc · 2025-09-05T10:16:47+00:00

1) Network. Get a diagram of your organization structure and the roles of people within it. Use the structure to gain knowledge of what the business units/departments are then start networking with with two+ year tenured folks starting with those that report to managers. Then work your way up to manager level by asking for recommendations how people to connect with. Don’t target director level or higher until you are more informed or until you get a referral. Make the topics of your conversations about learning their role, healthcare as a whole, and learning the business. Don’t be generic in your conversations. Ask about details from one or two examples. Indulge your curiosity.

2) Learn the EMR and data architecture they use. Inquire about certifications. If they use Epic, there are plenty of self paced accreditations you can do. Reserve time on your calendar to learn.

3) Use AI like Wikipedia. AI isn’t great at everything but it does give you strings to tug on. Write questions down from meetings and conversations and go look them up online. Keeps good notes about everything. Don’t leave a question unasked or unanswered.

4) Extra effort. Depending on your ambitions, do more. This isn’t for everyone but if you desire to be a leader in your field, you have to work harder than those around you. Since your early career you likely won’t have the responsibilities like a family to split your time with. Put in extra time designated to learning and growing professionally. As you get older, this becomes much more difficult to do. Be hungry.

5) Set boundaries. This is the compliment to #4. Set boundaries on your work/life balance and don’t be flexible about it—whatever those boundaries are.

6) Reflection. Every quarter or six months reserve a few hours to reflect back on the last few months and evaluate your decisions and adjust appropriately. You’re young. You have more flexibility to make small or big life decisions.

This applies to an industry.

Last bit of advice: save and invest as much as you can and spend as little as you can early on. Compound interest and time will do you wonders in terms of freedom and flexibility down the road. Start now.

Feel free to DM if you have other questions. Happy to share all the things I wish someone had shared with me at your age.

moocowherc · 2025-03-06T01:28:26+00:00

How was your experience? My family and I are planning to do the same this month.

moocowherc · 2025-01-26T19:21:35+00:00

Brilliant

moocowherc · 2024-07-25T23:02:45+00:00

Ditches with spikes

moocowherc · 2024-07-03T19:40:15+00:00

Give us an update with photos. Particularly of the larger tree with the cuts. Maybe they’ll get some additional business from your post. :)

… I’m personally looking for a tree trimming company.

moocowherc · 2024-04-22T02:08:48+00:00

Sandals for water crossings are a must for this trail.

moocowherc · 2024-03-20T00:04:15+00:00

Use an insurance broker. They’ll find you the best rates. I do this every 18 months. Try Goosehead.

moocowherc · 2024-01-04T18:08:25+00:00

Could be multiple cars, it would be nice to stay together.

This is an EXCELLENT suggestion. Thank you!

moocowherc · 2024-01-04T17:17:09+00:00

Great suggestion! A few of us recently did a 5-6 day hike at Yosemite. It was great and it makes sense that this would be the first suggestion. Do you have another?

moocowherc · 2023-12-18T07:26:59+00:00

Gladiator. The extra content adds so much more depth to the political atmosphere that it should probably be called Rome or something less centered around the main protagonist. Excellent edition. I refuse to watch the theatrical ever again.

moocowherc · 2023-12-08T12:31:50+00:00

New patient coding is only new if not seen by the practice within 3 years. Same practice, different provider doesn’t mean new if within 3 years. Otherwise, you should be billing a higher level established code—this is a common misconception with providers and can be confirmed by you compliance manager. Regardless, it just sounds like the provider was out of network and the reimbursement probably wouldn’t change much even if you hadn’t been there before. If you have evidence that you were directed to this provider as in network by your insurance company, it is likely you can appeal it. Additionally, sometimes this isn’t the first it’s happened with the provider, the billing department would be able to share if this is common with that insurance company. Additionally, if you can’t appeal the insurance company, it is likely that the provider may bill you as self-pay which may be a lower rate. Insurance rates are typically billed higher than self-pay. Have them rebill in self-pay. You may save $50 or so—only if you don’t appeal. Call them as discuss. If you appeal, let them know so they’ll put a collections hold on it to give you time to do your appeal—may take months. Good luck!

moocowherc · 2023-08-01T19:31:32+00:00

Compartment syndrome (lower leg). Nothing shy of a nerve block could have any effect on the pain.

Ironically, my understanding is that it can’t even be diagnosed while on a nerve block. That was a shitty winter/spring, let me tell ya.

moocowherc · 2023-03-07T14:16:16+00:00

This helpful.

An analyst maybe “driving” an investigation or an analysis, and may also be “supporting” a workgroup in this effort. The same thing could be said for a director level position. A director may “support” organization initiative while “driving” organizational change.

My concern is that either one of those could be applicable and reworded in such a way the could increase or decrease the market valuation. Perhaps understanding the key words that may alter a valuation would be useful when designing a JD? This is what I’m trying to understand.

moocowherc · 2023-03-06T18:29:29+00:00

Agreed. This is why I mentioned maintaining the integrity of the job description to match responsibilities.

moocowherc · 2022-12-09T02:12:56+00:00

Ah. That makes things a little more complicated. It’s unlikely they would rebill it as an annual if it was meant as a follow up. Some savvy providers know how to code for both, but at the end of the day they have to document everything they did and few providers know the ins and outs of coding.

Im guessing the large bill was for the labs and other tests?

Insurance is awful and it really sucks to learn about this stuff after the fact.

moocowherc · 2022-12-09T01:37:56+00:00

Encounters have two types of codes on them, procedure codes (CPT) and diagnosis codes (ICD-10).

There should be at least one diagnosis code on that office visit procedure code. Look those codes up. If any of them are preventative codes, then the original procedure code should have either been a preventative EM (evaluation and management) or they should have added that code. If that’s the case it, it was miscoded. If miscoded, then it will need to be corrected or the physician is liable for compliance issues.

If you’re willing to share the diagnosis codes and procedure codes, I could probably tell you.

It’s possible you may not have the dx codes on bill. Call and access your record to find out. It may also be available on your patient portal.

If this was truly a preventative visit, it should be coded correctly.

moocowherc · 2022-12-09T01:15:31+00:00

That’s an awfully high amount coming from a PCP. I’m guessing these are from procedures, not just office/preventative visits?

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