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Paging Mark Cuban. How is it possible that we don't have more redundancies built into our system to prevent this from happening? Oh, right. Quarterly profit numbers. #GITwitter #LiverTwitter #MedTwitter

The people at Epic probably think this is some kind of flex, but it is a perfect encapsulation of how poorly designed and cluttered their EMR is. It's designed by people who don't have a basic understanding of functionality.

Just spoke w/Karen Le (pharmacist) Blue Cross Blue Shield Association, who denied coverage on the 2nd half of an 8-week course of treatment because HCV RNA wasn't checked at 4 weeks even though 2023 AASLD/IDSA guidelines recommend simplified testing. #GITwitter #LiverTwitter #IDTwitter

Update: Just spoke with Thanh-Truc Le (tddctx.com/thanh-truc-le-…), who said they have to follow insurance guidelines, but could not explain the rationale for checking at week 4 and would not say that she would have checked on her own patient. #GITwitter #LiverTwitter #MedTwitter

Did you know that the ICD10 code for personal history of colon polyps was changed from Z86.010 to Z86.010x? Whose idea was this? Why make things more complex? aapc.com/codes/icd-10-c… #GITwitter American Gastroenterological Association (AGA) ACG ASGE GI Endoscopy AMA GI Pearls

It looks like Provation has not updated this yet at least not at the 3 hospitals/centers I work at. Has your center updated? #GITwitter American Gastroenterological Association (AGA) ACG ASGE GI Endoscopy Manoj Mehta MD Don Portocarrero CM Alex Perelman GI Pearls

#Independent #GITwitter

I visited one in Brickell a year ago and I let them explain the product without mentioning that I was a practicing physician. It seemed like a product a bunch of MBA students came up with over a weekend.

What time do you typically get “morning” labs back at your hospital? #GITwitter #MedTwitter #LiverTwitter #MedEd

What change to your practice has made the biggest difference in management of patients this year? New testing/procedure? New medication (GLP1, IBD, etc)? Something else? #GITwitter #LiverTwitter GI Pearls Manoj Mehta MD Baha Moshiree MD, MSci, FACG, AGAF Elliot Tapper Steven Bollipo Austin Chiang, MD MPH FASGE FACG

At what point do you think an individual requires hospital admission for work-up of abnormal LFTs? #livertwitter #GITwitter #MedTwitter Elliot Tapper @AtoosaRabiee GI Pearls Manoj Mehta MD Cynthia Levy, MD ACG American Gastroenterological Association (AGA)

Do you look at imaging studies or just read the report? #GITwitter #LiverTwitter Elliot Tapper GI Pearls Steven Bollipo @AtoosaRabiee Manoj Mehta MD Alex Perelman Cynthia Levy, MD Baha Moshiree MD, MSci, FACG, AGAF Harry Thomas Jonathan Erber Don Portocarrero Jami Kinnucan, MD, FACG, AGAF, FCCF CM

Interesting choice by Eli Lilly and Company to go with a full page ad telling people to be skeptical of medications. I know it is in reference to compounded tirzepatide, but it will be interpreted by many as questioning all medications. #MedTwitter #MedEd #GITwitter #Livertwitter

How often do you order non-invasive screening tests like Cologuard, Shield, or CT? #GITwitter #Screening #ColorectalCancerAwarenessMonth GI Pearls Manoj Mehta MD Alex Perelman Harry Thomas Don Portocarrero Gastroenterology ACG ASGE GI Endoscopy

Would love to see the methodology used by an independent analyst defining "valid" and how many of these are approved without the physician having the fight for it.

So we are increasing payments to insurance companies and decreasing payments to physicians. Am I getting that right? CMSGov Dr. Mehmet Oz #medtwitter AMA Bobby Mukkamala, MD