Addiction 2022.2
#8876
Should Be More Popular
Join Date: Dec 2007
Location: Malvern, PA (20 miles West of Philly)
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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.
#8877
Senior Member
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Location: TC, MN
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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.
#8879
VFL For Life
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Location: Knoxville, TN
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#8880
VFL For Life
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#8881
Should Be More Popular
Join Date: Dec 2007
Location: Malvern, PA (20 miles West of Philly)
Posts: 43,056
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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.
#8882
Should Be More Popular
Join Date: Dec 2007
Location: Malvern, PA (20 miles West of Philly)
Posts: 43,056
Bikes: 1986 Alpine (steel road bike), 2009 Ti Habenero, 2013 Specialized Roubaix
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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.
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#8883
cowboy, steel horse, etc
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#8884
cowboy, steel horse, etc
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Looks like he's in the small/small combo, AKA the getaway gear
#8885
VFL For Life
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Are you a bike detective?
#8886
cowboy, steel horse, etc
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#8887
cowboy, steel horse, etc
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#8888
Should Be More Popular
Join Date: Dec 2007
Location: Malvern, PA (20 miles West of Philly)
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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.
#8889
Fat n slow
Join Date: Oct 2013
Location: Saratoga, NY
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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?
#8890
Should Be More Popular
Join Date: Dec 2007
Location: Malvern, PA (20 miles West of Philly)
Posts: 43,056
Bikes: 1986 Alpine (steel road bike), 2009 Ti Habenero, 2013 Specialized Roubaix
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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:
#8891
Fat n slow
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Location: Saratoga, NY
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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
#8892
VFL For Life
Join Date: Feb 2005
Location: Knoxville, TN
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#8893
Senior Member
Join Date: Jan 2010
Location: TC, MN
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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.
#8894
VFL For Life
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Location: Knoxville, TN
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#8895
Senior Member
Join Date: May 2016
Location: Yucatán. México
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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.
#8896
Should Be More Popular
Join Date: Dec 2007
Location: Malvern, PA (20 miles West of Philly)
Posts: 43,056
Bikes: 1986 Alpine (steel road bike), 2009 Ti Habenero, 2013 Specialized Roubaix
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Because IBC has a virtual monopoly on commercial insurance in the Philadelphia area.
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#8897
-------
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Location: Tejas
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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.
#8898
-------
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No wonder you are thrifty. ☹️
#8899
Senior Member
Join Date: May 2016
Location: Yucatán. México
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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).
#8900
Klaatu..Verata..Necktie?
Join Date: May 2007
Location: SF Bay Area
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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."
"Everybody's gotta be somewhere." - Eccles