Nate Clements, MD

Family man | Interventional Pain Doc | Trained @UTHealthSA || @uofumedicine alum | Utah Jazz | Utah Utes | Views are my own

[Nate Clements, MD @NDClementsMD]

@dromarselod I’m also using Heidi and have loved it so far. Some tweaks to templates and it is certainly helping with efficiency and accuracy of history reporting.

[Dutch Rojas @DutchRojas]

Today, a physician working at the same productivity level is stuck with $32.36 per RVU—which means, adjusted for inflation, they’re effectively making HALF of what they used to.

Think about that: same work, half the pay.

Meanwhile:
Hospitals get sweetheart site-of-service fees.

Private equity buys up independent practices at fire-sale prices.

@CMSgov @droz @hhsgov @seckennedy
keeps slashing physician reimbursement.

Bureaucrats rake in raises while doctors get the shaft.

In 1992, the Medicare conversion factor was $31.00. Today? $32.36.

That’s a $1.36 total increase in 33 YEARS. If it had just kept up with inflation, it would be over $64.00 today.

Instead, it’s more than 50% below where it should be.

A doc today has to see twice the patients, do twice the procedures, and grind twice as hard just to keep up.

And what does Congress do?

No doc fix in the latest CR.
No relief.
No respect.

Just another reminder that the system values hospitals and middlemen over the people actually delivering care.

Physicians aren’t just underpaid.
They’re being systematically devalued.

@WaysandMeansGOP
@GOPDoctors
Not #healthcare

[Nate Clements, MD @NDClementsMD]

@BoMcNally So bad

[Nate Clements, MD @NDClementsMD]

@DrKalava Would love to hear how he does and your approach. I have a patient I’m working with right now with the same issues.

[Nate Clements, MD @NDClementsMD]

Referred by neurosurgery^

[Nate Clements, MD @NDClementsMD]

Any #painmedicine, interventional alone or spine surgery colleagues have literature or experience on treating non osteoporotic traumatic fractures with augmentation? I know it’s not Medicare guidelines. @dougbeall @darthglader @JayKarriMD @Ryan_S_DSouzaMD @eckmann_max

[Nate Clements, MD @NDClementsMD]

@JayKarriMD Love the deep oblique. Do you routinely do this AND a lateral or one vs the other?

[Nate Clements, MD @NDClementsMD]

@cronair So painful to watch.

[Nate Clements, MD @NDClementsMD]

@DrAmitSharmaMD @JayKarriMD @doctdeer @drdesaimd @Ryan_S_DSouzaMD @jonhagedornmd @Sympathy4TheDr Absolutely, but my case discussions don’t help with their official CME.

[Nate Clements, MD @NDClementsMD]

Question for my #painmedicine and interventional spine colleagues and friends. Does anyone have recommendations on high yield conferences for nurse practitioners and PA’s? @JayKarriMD @doctdeer @drdesaimd @Ryan_S_DSouzaMD @jonhagedornmd @Sympathy4TheDr

[Nate Clements, MD @NDClementsMD]

@danmckeeMD @MDAndersonNews Congrats Dan!

[Nate Clements, MD @NDClementsMD]

@Ryan_S_DSouzaMD These are awesome. Thanks for sharing. I’m 💯 in on the US guided intercostal blocks.

[Nate Clements, MD @NDClementsMD]

@JSinghMD @JayKarriMD Thanks y’all. That is how I understand the Medicare lcd as well.

[Nate Clements, MD @NDClementsMD]

@JayKarriMD Are you doing any intra-articular facet injections? If so, how do you bill/justify based on the Medicare LCD?

[Nate Clements, MD @NDClementsMD]

@JayKarriMD I have started using spot fluoro trying to reduce my radiation exposure. If I have a hard time visualizing the spread or anything atypical I’ll go live.

[Nate Clements, MD @NDClementsMD]

@JayKarriMD I’ve seen this a couple of times and questioned the spread. I noticed the contrast followed more of a straight line rather than truly spreading along the curve medial pedicle.

[Nate Clements, MD @NDClementsMD]

@JayKarriMD I use it all the time simply because I like it. But I no longer code it other then some commercial plans.

[Nate Clements, MD @NDClementsMD]

@cronair We will be there that week too! Following for all the recs

[Nate Clements, MD @NDClementsMD]

@DrJesseMorse @Snowboard_dad Care to share which products you find most successful and supporting literature?