u/ENSIGN_W_CRUSHER

I am an attending anesthesiologist. This post is inspired by another post I read on this forum of a guy talking about his 4:1 medical direction job.

I am wondering how common it is for groups to bill for medical direction, but not actually meet the criteria for medical direction. How much liability is there in regard to billing fraud? How much liability in regard to malpractice?

My understanding is that groups used to bill everything QZ so that they wouldn't have to worry about meeting all criteria. Now that QZ often pays less, I’m wagering that the groups are now billing QK, but may not be meeting criteria.

In order to bill for medical direction, the physician anesthesiologist must perform and document the following activities:

a) Perform a pre-anesthetic examination and evaluation

b) Prescribe the anesthesia plan

c) Personally participate in the most demanding procedures in the anesthesia plan, including induction and emergence, if applicable

d) Ensure that any procedures in the anesthesia plan that he/she does not perform are performwd by a qualified anesthetist

e) Monitor the course of the anesthesia administration at frequent intervals

f) Remain physically present and available for immediate diagnosis and treatment of emergencies

g) Provide indicated post-anesthesia care

In the You Can See Everything trailer, everyone is remarking how off and bizarre she was being, but personally I just don't see it.

The unusually close physical proximity of Nathan and Elizabeth was weird. At the end I also got the impression that she was trying to be sexual/seductive which is also weird.

I am not seeing all these obvious sociopathic clues that everyone else is exclaiming though. Given that she scammed a bunch of people, maybe its not actually that obvious. Maybe people are just aware that she is a felon and base judgement off that fact? Or am I just oblivious?

PS I’ve watched Nathan For You and The Rehearsal.

Attend anesthesiologist here.

Looks like https://eegforanesthesia.iars.org/ is expired. I used this website back in the day to learn EEG. I wanted to review it, but its unfortunately taken down.

Anyone have advice on a good substitute?

Thanks!

Attending Anesthesiologist. Have done LT for the past several years and am considering signing on for a W2 Job.

Job:

Base mid 500’s + ~25k annual quality bonus that is almost guaranteed

Vacay 12w

30 x 24h in house a year (in house guaranteed call off)

40 x back up call year (call 2-4) (not guaranteed off but off sometimes and/or priority out)

90% solo cases with remainder medical direction

Most people making at least an additional 100k by working extra call and/or selling back some vacay. (Good and also indicates that the baseline call burden although a lot on paper is likely not actually bad)

Location: Job in home town parent, sibling, nieces, nephews near by. Blue collar city with approx 150k population. 1.5 hours from a major metro.

Job seems decent and having family near by is a big plus, but I am worried about my social life outside of that connection. On the other hand, locums has not been good for social life either. Im single currently also and finding SO is a concern

Jobs in the major metropolitan area aren't as good from a pay and vacay standpoint and also generally have a lot of medical direction or supervision and have a more limited scope of practice. Jobs closer in miles to the metro area also aren't as good and still far in terms of time due to traffic into the city.

I would love to hear everyone’s advice