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Addiction 2022.2

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Road Cycling It is by riding a bicycle that you learn the contours of a country best, since you have to sweat up the hills and coast down them. Thus you remember them as they actually are, while in a motor car only a high hill impresses you, and you have no such accurate remembrance of country you have driven through as you gain by riding a bicycle. -- Ernest Hemingway

Addiction 2022.2

Old 06-17-22, 08:46 AM
  #8876  
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Originally Posted by topslop1 View Post
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.
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.
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Old 06-17-22, 08:55 AM
  #8877  
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Originally Posted by datlas View Post
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.
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.
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Old 06-17-22, 08:57 AM
  #8878  
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Originally Posted by datlas View Post
Way more time but fees are dictated by insurance companies so same payment.
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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Old 06-17-22, 09:00 AM
  #8879  
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Originally Posted by DougRNS View Post
more cowbell, less Vol = happy life
You don't seem to be much of a happiness guru these days, frankly.
Originally Posted by rjones28 View Post
The response I expected.
A logically unassailable one.
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Old 06-17-22, 09:02 AM
  #8880  
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Oh boy.

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Old 06-17-22, 09:09 AM
  #8881  
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Originally Posted by WhyFi View Post
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.
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.
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Old 06-17-22, 09:11 AM
  #8882  
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Originally Posted by phrantic09 View Post
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.
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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Old 06-17-22, 09:12 AM
  #8883  
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Originally Posted by Velo Vol View Post
Whaddya think? 2002ish Cannondale with tanwall slicks or semislicks?
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Old 06-17-22, 09:13 AM
  #8884  
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Looks like he's in the small/small combo, AKA the getaway gear
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Old 06-17-22, 09:20 AM
  #8885  
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Originally Posted by datlas View Post
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.
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.
Originally Posted by LesterOfPuppets View Post
Whaddya think? 2002ish Cannondale with tanwall slicks or semislicks?
Are you a bike detective?
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Old 06-17-22, 09:21 AM
  #8886  
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Originally Posted by LesterOfPuppets View Post
Whaddya think? 2002ish Cannondale with tanwall slicks or semislicks?
2007 cdale F5 perhaps
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Old 06-17-22, 09:22 AM
  #8887  
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Originally Posted by Velo Vol View Post

Are you a bike detective?
It is a pleasurable pastime. Pic is pretty bad here though. Take drive side photos next time
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Old 06-17-22, 09:24 AM
  #8888  
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Originally Posted by Velo Vol View Post
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.
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.
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Old 06-17-22, 09:25 AM
  #8889  
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Originally Posted by datlas View Post
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.
Strange, here in NY Im 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 theyre typically staffed with NPs and PAs, Id 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? Ive seen family practice physicians making specialty surgery money under those models. Its tough to get going and requires a pretty heavy up front investment in case management, but usually pays dividends. Whos the big payer in your area? Highmark?
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Old 06-17-22, 09:26 AM
  #8890  
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Originally Posted by phrantic09 View Post
Strange, here in NY Im 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 theyre typically staffed with NPs and PAs, Id 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? Ive seen family practice physicians making specialty surgery money under those models. Its tough to get going and requires a pretty heavy up front investment in case management, but usually pays dividends. Whos the big payer in your area? Highmark?
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:
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Old 06-17-22, 09:28 AM
  #8891  
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Originally Posted by datlas View Post
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:
Less than Medicare is insane. Id 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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Old 06-17-22, 09:34 AM
  #8892  
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Originally Posted by LesterOfPuppets View Post
It is a pleasurable pastime. Pic is pretty bad here though. Take drive side photos next time
Maybe you should offer your expertise to Chattanooga Fire?
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Old 06-17-22, 09:34 AM
  #8893  
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Originally Posted by datlas View Post
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.
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).
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Old 06-17-22, 09:38 AM
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Boringest series ever pitch: Bicycle Mechanic CSI. A bicycle expert uses bike evidence to solve crimes.
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Old 06-17-22, 09:41 AM
  #8895  
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Originally Posted by datlas View Post
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.
What do you charge someone who pays cash?
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Old 06-17-22, 09:41 AM
  #8896  
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Originally Posted by phrantic09 View Post
Less than Medicare is insane. Id 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
Because IBC has a virtual monopoly on commercial insurance in the Philadelphia area.
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Old 06-17-22, 09:42 AM
  #8897  
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Originally Posted by datlas View Post
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.
Can you just not bundle?

I have no idea how medical billing works.
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Old 06-17-22, 09:44 AM
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Originally Posted by phrantic09 View Post
I think this analogy is spot on. Most NP/PA Ive worked with take little time and and arent very good.

For what its 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
No wonder you are thrifty. ☹️
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Old 06-17-22, 09:45 AM
  #8899  
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Originally Posted by WhyFi View Post
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).
It's occurred to me that both your kids are now in school. Do you tend to do your vacuuming at the same time everyday? Floors? Laundry? Kitchen cleanup? Daytime soaps and gameshows?
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Old 06-17-22, 09:49 AM
  #8900  
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