DermRads

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Panacea Financial Contract Review
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I am guessing that "electron beam therapy" is an administrator's error. Probably SRT or EBT.
 
This job gets posted every couple of years, sketchy
 
radiaterMike said:
I am guessing that "electron beam therapy" is an administrator's error. Probably SRT or EBT.
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SRT would not require one of us.

Can't wait for an out of the basement episode about PE + Sensus + Dermatologists.

I review these cases. 77280 x every fraction. IGRT every fraction with US. And this is from guidance from the company.
 
RealSimulD said:
SRT would not require one of us.
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Joining Welcome Home GIF
 
Ya that’s been post on and off for years. First time I recall seeing a salary quoted though. At $700k/year doesn’t seem like it would be hard to fill especially with late career types retiring to FL.
 
RealSimulD said:
SRT would not require one of us.

Can't wait for an out of the basement episode about PE + Sensus + Dermatologists.

I review these cases. 77280 x every fraction. IGRT every fraction with US. And this is from guidance from the company.
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In Colorado at least, they were bold enough to go on the news and imply that the 77280 is being done by a radiation therapist without MD supervision. It seemed very sophisticated. She had an ultrasound probe in her hand and Im almost positive the cord was connected to a screen.
 
NotMattSpraker said:
In Colorado at least, they were bold enough to go on the news and imply that the 77280 is being done by a radiation therapist without MD supervision. It seemed very sophisticated. She had an ultrasound probe in her hand and Im almost positive the cord was connected to a screen.
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insurance companies are aware and are trying to resist
 
A_DeMichele said:
insurance companies are aware and are trying to resist
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I always wonder about the benefit on this. Obviously, 77280 isn't a high-dollar charge, and while DermRads is definitely "a thing", it's not like you're finding a stripmall SRT setup cooking Grandma on every corner.

What does it cost even one carrier to combat the abuse, in terms of aggregate time and manpower?

Maybe I'm wrong and it would save the carriers a ton of money.
 
All in, even with daily igrt and 77280, it’s still cheaper than MV electrons, because you can’t charge 77427 with srt
 
RealSimulD said:
All in, even with daily igrt and 77280, it’s still cheaper than MV electrons, because you can’t charge 77427 with srt
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Doesn’t mean it’s right to do all that extra stuff. Just commenting on rates when you add up the whole case
 
A bit ridiculous that the rules were changed in 2015/2016 to disallow 77427, dosimetry, physics, devices, etc (although I get why it happened). A case where perhaps case rate payments make sense (treat with electron 30 fx, or SRT 15 fx with ultrasound/simple sim, whatever, get paid the same).

A case where if payers crack down too much on use of daily sim/IGRT, they may shoot themselves in the foot and drive to more expensive tx modalities for some patients (I bet Villages places would have bought SRT machine if they could consistently get payers to pay similar or even 20-25% less for SRT as with electrons)
 
My buddy is a Derm and gives XRT treatments 7 days a week.
 
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