JC

Irrational Philly Sports Fan. ED Doc

[Jack Fritz @JackFritzWIP]

Clean-up Bohm for the 4th straight year.

[Philadelphia Eagles @Eagles]

Hate to be on the other side of them...
SO RT TO GET 'EM ALL TO THE PRO BOWL 😏💥

@LaneJohnson65
@BigTicket73
@CameronJurgens
@Landon_2012
@jordan_mailata

#ProBowlVote

[Amy Faith Ho, MD MPH @amyfaithho]

This is massively misleading to bundle physician fees and hospital fees together…

Literally, physicians are paid “professional fees” and hospitals are paid “facility fees”, the latter of which is many multiples what the physicians are paid.

Case in point: A 99285, which is the highest complexity ER visit, professional fee (to the physician) is 4.00 workRVUs, or $134 by the current Medicare conversion factor ($33.88/RVU). The Medicare conversion factor has been cut year over year.

In contrast, the facility fee to the hospital is on average $1800, and has increased 531% over the past 17 years…

We are literally fractions of the cost.

[JC @jamescir1]

@reverendofdoubt Don’t forget “I saw xyz specialist in their office for months of nonemergent complaint and they said I need a ct but it’s faster to get in the ED so I should come directly to you”

[Adam Bruggeman, MD @DrBruggeman]

Physician conversion factors:
2000: $36.6173
2003: $36.7856
2006: $37.8975
2009: $36.0666
2012: $34.0376
2015: $35.7547
2018: $35.9996
2021: $34.8931
2024: $32.7442

UHC stock up 8,556%
Insurance premiums up 342%
Inflation up 86%
Physician pay down 10%

We should keep cutting physician pay so families have more money in their pockets through reduced costs and reduced premiums based on the last 25 years of experience.

[Adam Bruggeman, MD @DrBruggeman]

Physician pay over last 4 years: -7.76%

Yet physicians (as small businesses) have helped carry the economy through every downturn, generate new jobs, and pay taxes to their local economy.

Let’s fix this problem. Physicians are critical to local and national economies and require payment updates commensurate with the cost of doing business.

[JC @jamescir1]

@TheNicksBlitz @ScottHanson @NBCOlympics @peacock @ScottHanson listen to this MAN

[Amy Faith Ho, MD MPH @amyfaithho]

Dear Doctors,

Happy annual cut-your-compensation day.

This one comes with an additional demand for you to change your practice to address “whole body care” and spend lots of administrative overhead proving your “quality” with metrics that are mostly gamesmanship and complex paper pushing.

Love,
US Government

https://t.co/8CsZW2w7GQ

TLDR: 2.8% cut across the board through the RVU conversion rate. This has decreased every year since 2020, for a 10% cut ever since become COVID "healthcare heroes"...🤬

#medtwitter @CMSGov @MedicareGov @AmerMedicalAssn @ACEPAdvocacy

[Josh Reynolds @JoshReynolds24]

Oh man, this is so good…

This gentleman by the name of Randy, who is a combat veteran, called into WIP & told this amazing story about receiving a message from Jason Kelce during the darkest time of his life. Chills.

Sports mean more in Philadelphia.

[JC @jamescir1]

@NOTWAXY Red Notice by Bill Browder

[JC @jamescir1]

@IM_Crit_ Peripheral is ok if planning for patient to come off pressors within 12-24hrs but otherwise should get a cvc imo

[JC @jamescir1]

@DocDifferently @LinkedIn @DocCafe Meanwhile the Washington post is publishing articles about how doctors are overpaid

[JC @jamescir1]

@MichaelJH4444 @DecadeInvestor Michael you don’t have a car that’s why

[JC @jamescir1]

@friedurethra @MichaelJH4444

[JC @jamescir1]

Chief @thedibar

[Jeff Morris Jr. @jmj]

Is there anything more condescending than calling someone “bud”?

[JC @jamescir1]

@DrMaryam_AlAli @amalmattu @smithECGBlog @EM_RESUS @MubarakAlhatemi STE in lead II> lead III favoring pericarditis

[JC @jamescir1]

@AlanaKinrich Recently had a young otherwise healthy pt sent in by UC for r/o DVT of the right arm because they had arm pain and just flew 4hrs. Infuriating. It’s not the act of flying/altitude

[JC @jamescir1]

@taramtobias @drjgutt @Dr_Oubre Idk if it’s fair to say your doctor doesn’t care? Not ordering a test that you don’t need actually tells me they do care. The problem is they probably don’t have enough time to explain to you why you don’t need it because the system doesn’t allow for it

[JC @jamescir1]

@GRDecter Basically a medical resident