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  • Avatar okayplayer 
    Participant
    Status: Physician
    Posts: 121
    Joined: 05/25/2016

    Neglected to mention that I am in a specialty with extremely low Medicare reimbursement compared to commercial payers compared to most other specialties. The most concerning elements of the proposed legislation tie OON reimbursement to 133% of Medicare reimbursement (IF that became the standard reimbursement rate for commercial payers, it would amount to a 60-70% paycut for physicians in my specialty).

    in reply to: Proposed federal bills limiting OON billing #239785 Reply
    Avatar okayplayer 
    Participant
    Status: Physician
    Posts: 121
    Joined: 05/25/2016

    Presumably the patient is not staying in Mexico all that long (maybe a week). Who deals with more delayed postop complications, since the surgeon is located nowhere near the patient geographically?

    I would not have anything permanently implanted in me in a third world country to save a few bucks, but that is just me. I’d be very worried about sterilization processes, who is anesthetizing me and what is their competency, etc. I’ll pay my $5,000 copay and sleep in my own bed on POD 1/2, thank you very much.

    in reply to: NYT: Total knee arthroplasty in Mexico #238003 Reply
    Liked by wonka31
    Avatar okayplayer 
    Participant
    Status: Physician
    Posts: 121
    Joined: 05/25/2016

    Data can be deprioritized I guess over postopay customers (has not been my experience at all). Can’t finance a phone (I never would anyway).

    Seems like an awesome deal.

    in reply to: Corporate Verizon/AT&T discounts #237913 Reply
    Liked by billy
    Avatar okayplayer 
    Participant
    Status: Physician
    Posts: 121
    Joined: 05/25/2016
    medical school scholarship sponsor

    Just an update: I did what gas passer recommended and switched us to Verizon prepaid. VERY happy so far. 2 lines with more data than we’d ever need is $75/mo including taxes. I bought discounted prepaid cards which brought it down to $60/mo total. So far, service has been perfect. Have not had any issues at all. Thanks for the great recommendation.

    in reply to: Corporate Verizon/AT&T discounts #237725 Reply
    Avatar okayplayer 
    Participant
    Status: Physician
    Posts: 121
    Joined: 05/25/2016

    Joke is on us when he defaults on his US government backed student loans and we all pick up the tab.

    This garbage school should not be allowed to issue US federal student loans.

    Obviously this clown was never going to match, yet they admitted him and took his money.

    Avatar okayplayer 
    Participant
    Status: Physician
    Posts: 121
    Joined: 05/25/2016

    runfast00 is my new hero.

    in reply to: Prior-Auth/Utilization Review Side Gig #236411 Reply
    Liked by legobikes
    Avatar okayplayer 
    Participant
    Status: Physician
    Posts: 121
    Joined: 05/25/2016

    Update:
    Visible is not good!! I can’t get into it due to what a massive headache it has been, but I had to update here lest anyone consider switching to that company.

    Will pony up for Verizon. I get a $150/mo pretax deduction through my corporation for internet/phone and my wife gets paid $50/mo for a phone from her employer, so that obviously covers the whole cost for a legit carrier. I can’t run the risk of not getting a call from the hospital when I’m on call (I’m in a critical, time-sensitive specialty) because I was being cheap.

    in reply to: Corporate Verizon/AT&T discounts #236080 Reply
    Avatar okayplayer 
    Participant
    Status: Physician
    Posts: 121
    Joined: 05/25/2016

    Woah, interesting. We have a solo 401k with an EIN.

    in reply to: Corporate Verizon/AT&T discounts #235854 Reply
    Avatar okayplayer 
    Participant
    Status: Physician
    Posts: 121
    Joined: 05/25/2016

    Verizon prepaid sounds like a good way to go if Visible is a bust (I’m a little skeptical to be honest). I didn’t commit to anything beyond the first month with Visible.

    The only folks who have service at my hospital have Verizon, so I was restricted to their network when I was looking to switch.

    in reply to: Corporate Verizon/AT&T discounts #235199 Reply
    Avatar okayplayer 
    Participant
    Status: Physician
    Posts: 121
    Joined: 05/25/2016

    So my wife and I switched to something called Visible (uses Verizon’s network). $40/mo each for unlimited everything (all taxes included). No contracts. I feel like a bit of a cheap skate but that is under half of what Verizon would have run us for the same plan.

    If it ends up being a bust, we are not committed and will switch to Verizon I guess.

    in reply to: Corporate Verizon/AT&T discounts #235057 Reply
    Avatar okayplayer 
    Participant
    Status: Physician
    Posts: 121
    Joined: 05/25/2016

    Also, buy 2-3 extra propane containers and keep them full. Nothing worse than cooking 75% of a dinner and realizing you are out of propane.

    in reply to: To grill or not to grill? #234832 Reply
    Avatar okayplayer 
    Participant
    Status: Physician
    Posts: 121
    Joined: 05/25/2016

    Nice grill. Mine is a Weber Genesis as well but I don’t remember it being that expensive. I would stick with a base Genesis and skip the Bluetooth and all the other weird frills (strikes me as a major gimmick). Get a pizza stone and try making pizza on there. Crank the heat with the pizza stone on there until it’s 550 or so. Killer pizza.

    Mine is 5 years old (was one of my big splurges when I became an attending). I use it at least weekly, if not more. Helps it is under a covered patio right off my kitchen where it is extremely convenient.

    in reply to: To grill or not to grill? #234829 Reply
    Avatar okayplayer 
    Participant
    Status: Physician
    Posts: 121
    Joined: 05/25/2016

    Other recent reads:
    Shoe Dog
    Howard Stern Comes Again
    Bad Blood
    I’ll Be Gone In The Dark
    Beautiful Boy

    All really good in their own way.

    in reply to: How much do you read a day? #234049 Reply
    Avatar okayplayer 
    Participant
    Status: Physician
    Posts: 121
    Joined: 05/25/2016

    2-3 books a month on my Kindle, mostly in down time at work. Last 2 books I read:
    Where Men Win Glory – Krakaeur (bio of Pat Tillman)
    When Pride Still Mattered – Maraniss (bio of Vince Lombardi)

    I do throw in the occasional novel too.

    Most of my books I check out through the public library and read on the Kindle. You only have 21 days to read them before they are automatically returned, but I found a loophole where if you put your Kindle in airplane mode after downloading the books, it won’t be automatically returned until you reconnect to the internet.

    in reply to: How much do you read a day? #233995 Reply
    Avatar okayplayer 
    Participant
    Status: Physician
    Posts: 121
    Joined: 05/25/2016

    No hospital email address. I’ll try with the badge.

    in reply to: Corporate Verizon/AT&T discounts #233871 Reply
    Liked by G
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