Shahein Tajmir

Radiologist interested in AI and PET/MR.

[Shahein Tajmir @ShaheinT]

@sethmhardy @MStempniak Yeah I was thinking pure physician owned. I can’t imagine JV set ups would have rads “burdened” with prior auth.

[Shahein Tajmir @ShaheinT]

@sethmhardy @MStempniak Why would the hospital do prior auths for the machines you own?

Agree this is likely a minority.

I wish the ACR would grow a spine on certificate of need. It’s turning us into sharecroppers on hospital or PE land.

[Shahein Tajmir @ShaheinT]

@QasimHussainiMD @fumikochino @JordanJ65544091 @Hopkins_HemOnc @ASCO @hopkinskimmel @jacobadashek @Charbel_matar1 @GlopesMd @OncBrothers @oncology_bg @fischmd @MSKCancerCenter Don’t your findings directly prove that the PPS exempt center gets 20% more payment per dose? Pembro is ASP+6% in my understanding so why is CMS payment different at all for these hospitals? We’re Case Mix Index effects on reimbursement investigated?

[Shahein Tajmir @ShaheinT]

@toddscarbrough @AdamOlsonMD @SbrtSean @DrMarkCorkum @JuddMoul @RTendulkarMD AFAIK, PSMA sensitivity has not been rigorously defined in the recurrent setting. Most papers report detection rate during biochemical recurrence, which is around 58% for psa<0.5. FACBC was 30%. 40% sensitivity is for upfront staging.

[Shahein Tajmir @ShaheinT]

@sethmhardy @danortizmd @ExitACR I’m questioning why you even need it. Just have a tech do the exam and review with you. No risk of them trying to go solo. Or why even offer the service if it’s so useless.

[Shahein Tajmir @ShaheinT]

@sethmhardy @danortizmd @ExitACR Read the MARCA legislation with an eye to current NP and PA regulations. It establishes the RRA as an independent billing provider. The ACR likes to claim they don’t interpret but that’s not addressed by MARCA.

[Shahein Tajmir @ShaheinT]

@sethmhardy @danortizmd @ExitACR In some states, RTs can run the fluoro camera. No masters needed. Why do we need another midlevel that can bill Medicare independently only to have them advocate for independent practice in 5 years?

[Shahein Tajmir @ShaheinT]

@drmoneymatters @danortizmd @RadiologyACR @RSNA @AURtweet @ARRS_Radiology Agree. This is not a problem new grads have any leverage to solve or even protect themselves. It’s going to take mid career leaders who want to preserve the specialty going forward. In our case, 10 people had to find new jobs because of the chaos.

[Shahein Tajmir @ShaheinT]

@francisdeng Agree this is absurd. Somehow Pearson test centers are good enough for ABNM and Cardic CT exams.

[Shahein Tajmir @ShaheinT]

@francisdeng @broentgenology @dishantcom @hyunkwang_lee @SynhoDo @MGHImaging Window settings matter because most of the shelf AI algorithms operate in image space, not Sinogram/“raw data” space.

[Shahein Tajmir @ShaheinT]

@danortizmd @dwulfeck98 I bet the negative predictive value of CT is high, especially in a “we have no test capacity” situation.

[Shahein Tajmir @ShaheinT]

@francisdeng What’s normal DDimer in pregnancy?

[Shahein Tajmir @ShaheinT]

@francisdeng @PBalthazarMD @SocAbdRadiology Whatever allows the process to be done within 6 months. Even primary specialty matches are done from Oct to Mar. The amount of time this is taking is way too long. The other solution is what happened when I applied to med school. No offers before a set date.

[Shahein Tajmir @ShaheinT]

@francisdeng @PBalthazarMD @SocAbdRadiology Yes. It’s ridiculous that there is a huge wait from interviews over winter to match day in June. Just do the whole thing from July to December of 3rd year with match results in either December or January.

[Mass General Imaging @MGHImaging]

#MGH's Dr. Shahein Tajmir (@ShaheinT) and colleagues published a study showing #AI-augmented bone age assessment proves accurate and reliable. https://t.co/DE9K5TTpKs (via @RadiologyBiz)

[Shahein Tajmir @ShaheinT]

@joshchomd @francisdeng I wish I were so arrogant that I would tell Oncologists and Surgeons how they should practice to save the system money without ever consulting them on their speciality.

[Shahein Tajmir @ShaheinT]

@joshchomd @francisdeng This is another example of that team being out of touch. All cCT have a FFOV series to detect incidentals. You cone down for resolution, not to ignore incidentals. You have to irradiate the whole chest to get the cardiac images. Can’t just target heart.