Addiction 2022.2
06-17-22, 08:46 AM
#8876
Should Be More Popular
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Originally Posted by topslop1
Making sure that I can push a ride w/ GPS file to a Garmin and not pay $50/yr membership for Ride w/ GPS in order to do so / have it function correctly on the garmin.
Basically I can use my cell phone AS the 'gps/bike computer' but it requires $50/year to go to ride w/ GPS.
This is the nonsense I'm writing about mid-work-meeting.
Basically I can use my cell phone AS the 'gps/bike computer' but it requires $50/year to go to ride w/ GPS.
This is the nonsense I'm writing about mid-work-meeting.
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Originally Posted by rjones28
Addiction is all about class.
06-17-22, 08:55 AM
#8877
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Originally Posted by datlas
It depends on the Garmin and the type of file it wants or will accept. For crazy reasons, ridewithGPS will NOT allow me to export a .FIT file without a paid subscription. My Garmin 130 only accepts a .FIT file so that was a problem. It will allow you to export a .GPX and other formats with the FREE version. So like most questions with technology, it gets complicated in a hurry.
06-17-22, 08:57 AM
#8878
Fat n slow
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Originally Posted by datlas
Way more time but fees are dictated by insurance companies so same payment.
06-17-22, 09:00 AM
#8879
VFL For Life
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Originally Posted by DougRNS
more cowbell, less Vol = happy life
Originally Posted by rjones28
The response I expected.
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Originally Posted by Velo Vol
People here don't get it.
06-17-22, 09:09 AM
#8881
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Originally Posted by WhyFi
Do you even need to export them? I'm certain that, with the Wahoo, at least, I never had to - I just had to sync my RwGPS account with my Wahoo account and any routes created or pinned would migrate over automagically.
__________________
Originally Posted by rjones28
Addiction is all about class.
06-17-22, 09:11 AM
#8882
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Originally Posted by phrantic09
Have you ever looked at what your billing people are submitting? There are modifier codes etc that can increase the payment in a pretty meaningful way for the more in depth visits.
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Originally Posted by rjones28
Addiction is all about class.
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06-17-22, 09:12 AM
#8883
cowboy, steel horse, etc
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Originally Posted by Velo Vol
06-17-22, 09:13 AM
#8884
cowboy, steel horse, etc
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Looks like he's in the small/small combo, AKA the getaway gear 
06-17-22, 09:20 AM
#8885
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Originally Posted by datlas
We have to do our own billing and my understanding is that the vast majority of third party payors reimburse MD/DO the same as NP/PA.
Originally Posted by LesterOfPuppets
Whaddya think? 2002ish Cannondale with tanwall slicks or semislicks?
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Originally Posted by Velo Vol
People here don't get it.
06-17-22, 09:21 AM
#8886
cowboy, steel horse, etc
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Originally Posted by LesterOfPuppets
Whaddya think? 2002ish Cannondale with tanwall slicks or semislicks?
06-17-22, 09:22 AM
#8887
cowboy, steel horse, etc
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Originally Posted by Velo Vol
Are you a bike detective?
06-17-22, 09:24 AM
#8888
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Originally Posted by Velo Vol
Maybe the billing is wrong? I heard a podcast recently on how the biller/insurance person is one of the most important people at a healthcare provider.
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Originally Posted by rjones28
Addiction is all about class.
06-17-22, 09:25 AM
#8889
Fat n slow
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Originally Posted by datlas
We have to do our own billing and my understanding is that the vast majority of third party payors reimburse MD/DO the same as NP/PA. There are a few that reimburse them at 85% but I think that is when they are alone and not working "under" a physician. The whole thing is a dysfunctional scam IMHO.
One of the primary reasons I never go to urgent care is that they’re typically staffed with NPs and PAs, I’d rather get a same day sick visit with my PCP, I get better care and it costs me less out of pocket.
Does your practice participate in any full risk models? I’ve seen family practice physicians making specialty surgery money under those models. It’s tough to get going and requires a pretty heavy up front investment in case management, but usually pays dividends. Who’s the big payer in your area? Highmark?
06-17-22, 09:26 AM
#8890
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Originally Posted by phrantic09
Strange, here in NY I’m 99.99% positive that they have to be working under the supervision of a physician by law.
One of the primary reasons I never go to urgent care is that they’re typically staffed with NPs and PAs, I’d rather get a same day sick visit with my PCP, I get better care and it costs me less out of pocket.
Does your practice participate in any full risk models? I’ve seen family practice physicians making specialty surgery money under those models. It’s tough to get going and requires a pretty heavy up front investment in case management, but usually pays dividends. Who’s the big payer in your area? Highmark?
One of the primary reasons I never go to urgent care is that they’re typically staffed with NPs and PAs, I’d rather get a same day sick visit with my PCP, I get better care and it costs me less out of pocket.
Does your practice participate in any full risk models? I’ve seen family practice physicians making specialty surgery money under those models. It’s tough to get going and requires a pretty heavy up front investment in case management, but usually pays dividends. Who’s the big payer in your area? Highmark?
:shrugs:
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Originally Posted by rjones28
Addiction is all about class.
06-17-22, 09:28 AM
#8891
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Originally Posted by datlas
We have some risk contracts and ACO patients. The big payer here is IBC and they actually pay us less than Medicare, last time I checked. Plus the 50% cut if we use -25 modifier.
:shrugs:
:shrugs:
06-17-22, 09:34 AM
#8892
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Originally Posted by LesterOfPuppets
It is a pleasurable pastime. Pic is pretty bad here though. Take drive side photos next time
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Originally Posted by Velo Vol
People here don't get it.
06-17-22, 09:34 AM
#8893
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Originally Posted by datlas
Maybe. I know there is a "Garmin Connect" app that can sync routes, but that is such a piece of crap I typically just download the routes to my PC and then drag/drop them into my Garmin which I have plugged in via the USB. That's how I have done it but I expect there are other ways. I borrowed a Hammerhead Karoo and it worked simply by syncing as you describe.
06-17-22, 09:38 AM
#8894
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Boringest series ever pitch: Bicycle Mechanic CSI. A bicycle expert uses bike evidence to solve crimes.
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Originally Posted by Velo Vol
People here don't get it.
06-17-22, 09:41 AM
#8895
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Originally Posted by datlas
Anything is possible but pretty sure my billing is right. Most of my visits are straightforward office visits, level 3 or 4. Occasionally I bundle a physical exam with an office visit and use a -25 modifier, but the main Blue Cross/Blue Shield insurer does not like that and cuts the payment for the office visit by 50% when we do that. We have no choice but to suck it up. Or go Gault.
06-17-22, 09:41 AM
#8896
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Originally Posted by phrantic09
Less than Medicare is insane. I’d love to know how they get away with that when most payers are banging out 125-150% of Medicare for Part C or Commercial members
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Originally Posted by rjones28
Addiction is all about class.
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06-17-22, 09:42 AM
#8897
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Originally Posted by datlas
Anything is possible but pretty sure my billing is right. Most of my visits are straightforward office visits, level 3 or 4. Occasionally I bundle a physical exam with an office visit and use a -25 modifier, but the main Blue Cross/Blue Shield insurer does not like that and cuts the payment for the office visit by 50% when we do that. We have no choice but to suck it up. Or go Gault.
I have no idea how medical billing works.
06-17-22, 09:44 AM
#8898
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Originally Posted by phrantic09
I think this analogy is spot on. Most NP/PA I’ve worked with take little time and and aren’t very good.
For what it’s worth- we pay DOs and MDs much more than lower levels of licensure. A low office visit E&M (20 minute visit) for an MD is like $125
For what it’s worth- we pay DOs and MDs much more than lower levels of licensure. A low office visit E&M (20 minute visit) for an MD is like $125
06-17-22, 09:45 AM
#8899
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Originally Posted by WhyFi
Okay, I just poked around - yeah, if, from within your RwGPS account, you connect/authorize your Garmin Connect account, the routes created/pinned will migrate over to your Garmin head unit without jumping through any other hoops (other than making sure that your devices are talking to each other and you have internet access).
06-17-22, 09:49 AM
#8900
Klaatu..Verata..Necktie?
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Another average day
Wordle 363 4/6
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Wordle 363 4/6
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"Don't take life so serious-it ain't nohow permanent."
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