tag:blogger.com,1999:blog-18943510.post943139583077324405..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: When the Feds Come KnockingDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-18943510.post-32578077797419279532012-03-27T22:48:34.039-05:002012-03-27T22:48:34.039-05:00A related question that I struggle with: what do ...A related question that I struggle with: what do you do with a post cabg patient with an EF of 30% that remains in complete heart block? Do you place a biv ICD because of the low EF and expected 100% ventricular pacing or do you place a dual chamber pacemaker and re evaluate in three months after acei and beta blocker are maximized? Do follow the medicare guidelines increase the risk of Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-68603826040789845942012-03-27T08:48:03.276-05:002012-03-27T08:48:03.276-05:00Wes said, "ICDs can only be offered to patien...Wes said, "ICDs can only be offered to patients who meet Medicare’s rigid, outdated, and still-to-be-updated National Coverage Decision for implantable defibrillators."<br />Medicare criteria are rigid and outdated, but the EMR is accurate and up-to-date, with all the details the Feds need to hang physicians. We're helping them prosecute us unnecessarily!Tim Hulsey, MDnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-3976123152870996922012-03-26T23:02:01.798-05:002012-03-26T23:02:01.798-05:00I assume you've sent this in to JAMA.
Great ...I assume you've sent this in to JAMA. <br /><br />Great post.Margaret Polaneczky, MD (aka TBTAM)https://www.blogger.com/profile/16555722791007332247noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-53813188845805850912012-03-26T18:18:09.089-05:002012-03-26T18:18:09.089-05:00They the government not 'we the government'...They the government not 'we the government' believe that since 'they' are footing the bill, you must submit to increased regulation and in this case pure intimidation. My personal belief is that the academicians have whispered in the ears of the pols enough saying that the private practice docs are flagrant abusers filled with avarice 'cutting of legs making 40,50,60 thousandAnonymousnoreply@blogger.com