Trust your team members for the patients sake please

[Anthodite]

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Edit: ignore this post. Didn’t realize insurances role in dictating practice.

 

[TheWallnerus]

You may not realize how hard/impossible it is for a doc/center to get paid for IMRT for skin stuff.

 

[Anthodite]

You may not realize how hard/impossible it is for a doc/center to get paid for IMRT for skin stuff.

Sorry yeah didn’t realize that applied to deep skin lesions as well. God I hate insurance companies.

Forget I wrote anything <3

 

[udrag14]

You may not realize how hard/impossible it is for a doc/center to get paid for IMRT for skin stuff.

Really? I get IMRT approved all the time.

Any elective neck radiation is an auto approve. If the disease is deep and around an OAR, I might have to do a peer to peer but it isn't very difficult.

I agree that you should listen to your staff and seek advice. If you think as a physician you know better, then explain it to the staff before the simulation and see what their thoughts and/or concerns are.

 

[thesauce]

Really? I get IMRT approved all the time.

Any elective neck radiation is an auto approve. If the disease is deep and around an OAR, I might have to do a peer to peer but it isn't very difficult.

I agree that you should listen to your staff and seek advice. If you think as a physician you know better, then explain it to the staff before the simulation and see what their thoughts and/or concerns are.

Very regional and insurance-specific in terms of difficulty of approval.

One particularly crazy case was that I got a parotid salivary gland approved for imrt without elective nodal, but not a poorly differentiated squam with invasion into the parotid with elective nodal.

 

[medgator]

Yeah I've never had a skin imrt issue. I have had some insurers limit to 30 fractions