The PCMH Parade

pcmh

The AAFP loves to put their winners in the limelight and they did it again recently when they paraded out some docs from Rhode Island. These physicians jumped into a PCMH (patient centered medical home) pilot project “thanks in part to financial and technical support from public and private entities”. Never hurts to use other people’s…

The Old Woman and the Sea

cs

This lady is living out the rest of her life on a cruise ship.  The number put forth is over $164K a year but that really seems like a lot.  With all the deals you see out there including slow periods, I believe this could be a lot cheaper.  Seems to me a half or…

Suckers by Pat Conrad MD

three-card-monte

Far be it from me to pile on, but…what the hell. Doug recently posted a piece documenting how the supporters of the ACA are (again) surprised that the bad idea which is Medicaid just got a whole lot bigger, and worse. The leftist oracle New York Times moans: “Just as millions of people are gaining…

Stupid CMS Codes by Michael Gorback MD

cdd

It’s early so we may have some other good candidates for Stupidest Coding of the Year but here goes: Novitas, the CMS carrier for TX, only allows the following ICD-9 codes for trigger point injections: 723.1 Cervicalgia (translation: neck pain that [1] I couldn’t figure out or [2] didn’t take the time to figure out)…

The Idiots Are Getting It

bw

In the article The great Obamacare bait “n” switch the authors seemed surprise to realize these the ACA: Has no doctors who will take these extra Medicaid patients Medicaid pays so little to doctors that it is a financial loss Doctors can’t write off pro bono work More doctors are taking less and less Medicare patients…

23% Effective

flu

I had brought up the crappy effectiveness of the flu before and got hammered on my own blog.   I am not anti-vaccine. I am anti-shitty products.  This year’s flu is now found to be 23% effective. That sucks, people.  And that is my point.  Tracking effectiveness of the flu shot is new for the CDC.…