Devin Zarkowsky
@DevinZarkowsky
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California Vascular Health Specialists #aorta #AortaEd #AAA #aneurysm #aorticdissection #carotid #CLTI #CLI #PAD #spinalaccess No disclosures.
CA
Joined October 2019
RT @dtmcdevitt: @DutchRojas It's exhausting and time-consuming. While we spend all day fretting over patients and outcomes, everyone else…
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RT @BrentAWilliams2: This is basically how it works, and there are many iterations of this: The Center for Medicare and Medicaid Innovatio…
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@AaronGoodman33 What vascular access is he using? I don’t see a tunneled cath… so does he have a fistula?
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RT @Dr_Sudi: Can someone please explain to me why it’s legal for businesses to increase prices due to #inflation but a doctor is not allowe…
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RT @BrentAWilliams2: This is probably the biggest problem in the entire medical profession. If you can't find a MD, this is why. If you h…
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@dtmcdevitt @Benefitsguynick Start negotiating at say 70% of the local Medicare collection. Each of those acute events has a readily-accessible figure.
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RT @dtmcdevitt: @BrentAWilliams2 Technically, the hospital is paying docs from the fees the hospital gets paid. Physicians cannot generate…
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RT @realdocspeaks: Please add the following: • Site-neutral payments • Eliminate Stark Laws • End the exemption from the anti-kickback l…
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RT @RepGregMurphy: 2025 Health Agenda: Fix Physician Fee Schedule. No Medical Sch DEI. Reform (or gut) Med Advantage. Rectify PBM abuse. Ab…
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@MaherSabalbal @jl35wilsonMD What you’re leaving out is the hospital DRG in the US. Pro fees and gear are part of the story. This case likely exceeds the DRG for a fem endart, but the garden variety outpatient endo case is 3-10x cheaper than the complementary case done in the hospital. BC of the hospital fee
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@realdocspeaks I think “cash price” is the wrong term: nobody in the practice infrastructure understands what that means. If a patient said “regional Medicare rate”, I’d offer 70% of that number and start my negotiation there.
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@realdocspeaks The sad part is, those controlling denial policy within the giant corporation remain amorphous and unidentifiable while the physician working for them signs a denial and absorbs the risk. Sigh.
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@LeonardoRandial @docpark @jmills1955 @ErbenYoung @farkomd @GAEscobarMD PS - don’t forget to present options to the person possibly getting jabbed in their already-uncomfortable belly 200-400x depending on dose. From my second-hand involvement in 3 gestations, real discomfort trumps theoretical risk often. Good luck.
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