Alexander Podboy, MD, DABOM

445 posts

Alexander Podboy, MD, DABOM

Alexander Podboy, MD, DABOM

@AlexanderPodboy

Associate Professor of Medicine @MUSC | @CedarsSinai @MayoClinic and @Stanford_GI Alum|

Charleston, SC Katılım Ekim 2019
640 Takip Edilen1.2K Takipçiler
Alexander Podboy, MD, DABOM
Alexander Podboy, MD, DABOM@AlexanderPodboy·
I nerded out and looked at the Medicaid data files from a GI perspective. And the findings are wild. Of the 4.1 million colonoscopy claims from 2018-2024 Only 23% were billed as purely diagnostic (45378) What was even weirder was among high volume proceduralists (>1000 cases)
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Alexander Podboy, MD, DABOM
Alexander Podboy, MD, DABOM@AlexanderPodboy·
If truly aberrant, that’s potentially over 17 million in overcharges to Medicaid in a 7 year period on colonoscopy claims alone. More smoke than fire, but interesting nonetheless
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Alexander Podboy, MD, DABOM
Alexander Podboy, MD, DABOM@AlexanderPodboy·
When adjusting for provider location, it was overwhelmingly individual providers rather than ASCs or Hospitals that preferentially billed lower diagnostic codes. With some specific States more prone that others.
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Ahmad Bazarbashi MD أحمد بازارباشي
ESD friends, what’s your practice on management of this pulsatile large vessel at resection site of 6cm rectal ESD. Coagraspers? Clips? Assembling peptide gel? Close the defect? Combination therapy? Leave it alone?
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Alexander Podboy, MD, DABOM
Alexander Podboy, MD, DABOM@AlexanderPodboy·
Hi Vikas, thanks for your work on this, very interesting and robust analysis. However I noticed that the sub-speciality analysis is very granular (cardiology alone) and doesn’t capture interspeciality subspeciality ( like interventional cardiology vs structural cards, or general GI vs therapeutic GI) Do you think some of the gap could be explained by gender differences in subspecialities?
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Vikas Sabnani
Vikas Sabnani@vsabnani·
@olsonplanner Thanks for sharing. Yeah - some of the findings are sobering - Even after adjusting for all factors, there is a 7% unexplained gap. Even wRVU conversion rates and signing bonuses are smaller for female physicians marithealth.com/reports/physic…
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Tyler Olson, EA
Tyler Olson, EA@olsonplanner·
Not surprised. But wow this sucks.
Tyler Olson, EA tweet media
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Alexander Podboy, MD, DABOM
Alexander Podboy, MD, DABOM@AlexanderPodboy·
@MoreForYou_CLE Joke of a franchise firing two time coach of the year but not the GM responsible for the worst signing in NFL history… peak browns
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Alexander Podboy, MD, DABOM
Alexander Podboy, MD, DABOM@AlexanderPodboy·
The em dash scourge in medical research has reached pandemic levels. “No one” is using chat gpt but every review now has em dashes every where
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Alexander Podboy, MD, DABOM
Alexander Podboy, MD, DABOM@AlexanderPodboy·
Honored to have spent these past years at UVA working alongside dedicated colleagues and caring for remarkable patients. Thank you for the support and collaboration. Looking forward to the next step in South Carolina!
Alexander Podboy, MD, DABOM tweet mediaAlexander Podboy, MD, DABOM tweet media
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Alexander Podboy, MD, DABOM
Alexander Podboy, MD, DABOM@AlexanderPodboy·
@DrBloodandGuts @bostonsci The use of distal fixation is also very interesting do you always fix the distal end? I’ve used the mantis for LAMS fixation with similarly good results but haven’t used it for FCMS
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Andy Tau, MD
Andy Tau, MD@DrBloodandGuts·
Recently, ⁩ I am using ⁦@bostonsci mantis clips to affix the distal ends of esophageal FCSEM stents the gastric cardia mucosa and so far pretty decent results. Wonder how this compares to OTSC stenfix or the prohibitively expensive Overstitch.
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Alexander Podboy, MD, DABOM
Alexander Podboy, MD, DABOM@AlexanderPodboy·
My reaction when apparently there’s a grand criminal conspiracy occurring around you at work
GIF
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Alexander Podboy, MD, DABOM
Alexander Podboy, MD, DABOM@AlexanderPodboy·
Always amazed at how serpiginous the periduodenal portion of the bile duct can be. Here’s a “S” on cholangiogram as you can see the contrast course back on itself.
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