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Searching: insurance denials
Results: 36
Message Board
Views: 1885 | Replies: 121
insurance industry, it is generally accepted by providers that only about 60% of claims get paid for. Denials are over 20% for first time claims, often for no identifiable reason. By requiring providers to hire a room of ladies to sit on the phone all day appealing denials, they know that providers
July 21, 2021
Pharmacology
Message Board
Views: 1095 | Replies: 34
liability insurance. It's not much more per year and gives you peace of mind. The attorneys know most of us are 1milion/3million and their damages will magically be just above the limits. Does the evidence say that infected joints are colonized with bacteria readily found in the mouth? Yes
May 14, 2026
Pharmacology
Message Board
Views: 41 | Replies: 1
, or performance. That needs to become as routine as asking about anticoagulants. Then there is the gray market, which is where things get messy. Demand for these drugs has exploded faster than access. Cost, insurance barriers, and shortages created a gap, and the market filled it. Compounding pharmacies
March 27, 2026
Pharmacology
Message Board
Views: 431 | Replies: 11
Prescribed Denavir 1% for patient. Insurance did not cover and was told cash price was $900!!! I called pharmacy thinking this must be a mistake. Nope! $900. What the hell happened there? We're talking about a long standing antiviral cream; nothing new here. WOW. Anyone have suggestions
June 05, 2019
Pharmacology
Message Board
Views: 37 | Replies: 1
Anyone had to do a Prior Authorization when prescribing an antibiotic to a patient? Our office prescribed Doxycycline for a patient and the pharmacy faxes us a form telling us we need to get Prior Authorization. Needless to say the process was daunting. Even if a patients' insurance required
January 20, 2021
Pharmacology
Message Board
Views: 568 | Replies: 20
. Back story is pt used up her insurance this year, wants to wait till january for reset , and very upset about needing another rct. I cant own the patients problems however I would like to buy her time with AB. I got what you are saying about management of C Diff needs to be address with Physician
October 24, 2024
Pharmacology
Message Board
Views: 26 | Replies: 2
Concerns have been raised that enabling AI to prescribe medications might allow insurance companies to leverage predictive analytics to favor lower-cost or generic prescriptionspotentially prioritizing shareholder profits over patient health. H.R.238, introduced by Representative David Schweikert
January 25, 2025
Pharmacology
Message Board
Views: 648 | Replies: 21
Why Walgreens and CVS Are Shutting Down Thousands Of Stores PBM can stand for pharmacy benefit manager, a third-party company that manages prescription drug benefits for clients like health insurers, Medicare Part D drug plans, and large employers. PBMs act as intermediaries between insurance
August 12, 2024
Pharmacology
Message Board
Views: 63 | Replies: 4
** The only thing I could think of that would make this above board would be needing an ICD code to input to an insurance company for dispensing payment approval. If the patient is paying cash, then even that doesnt apply. Good god, dont call the pharmacy board. Chill out, its perfectly within
January 31, 2025
Pharmacology
Message Board
Views: 143 | Replies: 3
I have noticed many pharmacies are charging hundreds of dollars for Zovirax Ointment and many insurance companies will not pay. I rarely prescribe this ointment but have a few patients who request it. Does anyone have a topical alternative to Zovirax Ointment? Has anyone had it compounded? Diode
March 09, 2017
Pharmacology
Message Board
Views: 139 | Replies: 7
on the benefits of their insurance for better pt outcomes and case acceptance. Healthcare providers and, in the US, patients are indoctrinated early and bombarded frequently with messages brainwashing us that we need these things to fix our problems. I have yet to see a tv commercial stating the importance
October 18, 2025
Pharmacology
Message Board
Views: 293 | Replies: 3
hours but these may not be on a patient's insurance plan and they may not get them because of the expense. Except from the article. For patient with true allergy to penicillin, the primary alternative antibiotic recommendation has changed. It is now azithromycin with a loading dose of 500 mg
March 16, 2021
Pharmacology
Message Board
Views: 152 | Replies: 2
it be for me to stock and injectable antibiotic and use it when necessary? Which one would be best for gram negative anaerobic infections? Would doing IM antibiotic injections in office jeopardize my liability insurance? I like using Cleocin 900mg and Piggyback off of one liter of Lactated Ringers
February 19, 2016
Pharmacology
Message Board
Views: 115 | Replies: 1
opioids. Over 90 percent of respondents reported that cannabis was associated with fewer side effects than conventional pain medications. Most respondents in the study possessed health insurance and had never received treatment for drug or alcohol use. Respondents represented about half of the total
May 19, 2015
Pharmacology
Message Board
Views: 199 | Replies: 4
is remove what's causing the swelling. Are these not extractions you would be comfortable doing? If not call your os and ask if they can see them ASAP, you don't want this infection to get out of control. If you are comfortable doing an I/D why not just take out the offending tooth and let OMFS handle the rest when he sees them in a couple of days. Money talks. Insurance, and everything else walks.
April 22, 2018
Pharmacology
Message Board
Views: 202 | Replies: 7
paste (Aphthasol), topical lidocaine for pain relief, or even off-label use of clobetasol in certain cases. However, affordability can still be a challenge depending on the patients insurance or financial situation. If Kenalog in Orabase remains your preferred treatment, you might want to partner
January 07, 2025
Pharmacology
Message Board
Views: 819 | Replies: 8
mouthwash is over $110... the pt calls back and asks do they really need it? it's mostly for palliative treatment. Is there any product on the market that accomplishes lidocaine, diphenhydramine, hydrocortisone, tetracycline, nystatin? That is covered by insurance or doesn't cost over $100? Cut out
January 26, 2023
Pharmacology
Message Board
Views: 416 | Replies: 16
isn't worth the headache bro Im posting this to genuinely learn something about the protocol for methotrexate, since I have never found a straight answer, not because of insurance Bump, any suggestions? Maybe one of our awesome Townie super surgeons can help...they might not be seeing this thread
March 04, 2025
Pharmacology
Message Board
Views: 143 | Replies: 1
in January 2025 as the first new acute pain class in decades. It blocks sodium channels in peripheral nerves, delivering opioid-level relief without addiction risk, but at a much higher cost and with uncertain insurance coverage. Second, CBD was discussed as a possible adjunct for patients who
August 17, 2025
Pharmacology
Message Board
Views: 938 | Replies: 9
. Still got lesion. Had the beginning of one last week. Started Xerese applied 4-5 time a day. Started within the first 24 hours Never went full blown. Stuff is expensive without insurance though. It's acyclovir and hydrocortisone.Viroxyn works well and is affordable. However, I haven't been able
March 03, 2017
Pharmacology
Message Board
Views: 117 | Replies: 3
Today I had a patient call in and ask some questions that I just had to share with you folks. Patient : Hi, I was in there a couple of weeks ago and the doctor said i needed some procedure and my insurance won't pay for it untill next july so I did not get it. So ever since then I started flossing
August 14, 2018
Pharmacology
Message Board
Views: 1885 | Replies: 121
the pharmacy arm of our insurance so they could have been billed as well without my knowledge. But then the pharmacy insurance (or whatever they call themselves) will start sending letters to use the mail order pharmacy instead of CVS to fill my Lipitor rx and I might wonder why I'm getting
July 24, 2021
Pharmacology
Message Board
Views: 160 | Replies: 8
I had a patient start a rant about her mothers generic medications not working as well. She would go to the hospital, get better, then when she went home and got the Rx filled (with generic as required by her insurance) her conditions got worse again. I didn't have time to get into it with her
February 12, 2020
Pharmacology
Message Board
Views: 3320 | Replies: 44
with your malpractice insurance carrier on whether or not they have a recommendation on how to manage this. GJK The Ada 2014 study said no but only if there are complications in the joint surgery so in general it's not needed but it is a bit vague similiar to all the antibiotics given for MVP
February 02, 2022
Pharmacology
Message Board
Views: 754 | Replies: 31
are on chronic opioid pain meds. It is sad to see how their teeth look 2-3 years in. Chronic xerostomia wreaks havoc. Till a couple of years back we would get reports from I want to say the insurance of patients who were getting multiple narcotic Rx from multiple providers. Haven't seen that in a long time
September 07, 2024
Pharmacology
Message Board
Views: 2248 | Replies: 76
Just ask the pharm if they have a release from the patient to have that hippa...Sprix is pretty awesome for dental pain control. Problem is that if patient does not have private medical insurance they are looking at about $200 for a five day course. The government meddling into the doctor-patient
September 17, 2014
Pharmacology
Message Board
Views: 1049 | Replies: 24
that there are no guarantees. If patient is in for an appointment for something else I may do for free , if not I only charge $25 and my assistant usually does it. I guess I could charge more? Never sent to insurance either.I have never seen any scaring as a result. i found the settings for those that have a periolase
June 10, 2022
Pharmacology
Message Board
Views: 2492 | Replies: 83
two different gyno portable examination chairs. Doc I lost my job and have no medical insurance, my MD always wrote me BP meds prescription, can you just write some for me, I know the dose, here's the old bottle Doc I think I have a sinus infection but my Dr. said I need to go to an ENT, can I just
March 07, 2024
Pharmacology
Message Board
Views: 406 | Replies: 15
patients under influence?Maybe insurances will start including snacks on their covered services This is probably the safest form of sedation out there. The real question is are dental schools/boards going to get educated on the plant as the laws continue to change nationwide.The problem with Cannabis
March 15, 2018
Pharmacology
Message Board
Views: 509 | Replies: 16
. In any case, I suggest keeping your DEA registration active and current, as it may be needed in the future for ID proofing, insurance company enrollment, or e-prescribing. iPrescribe, its free . They just updated the app. Does not integrate with any software and can only use on phone or tablet. Very good.
August 17, 2021
Pharmacology
Message Board
Views: 898 | Replies: 24
which was recommended when she was last in. If she wants to talk about her treatment options then she needs to schedule an appointment. Also, have your staff quote her an estimate for the office visit. As we know insurance companies only provide benefits for a couple exams per year and I would say
March 15, 2017
Pharmacology
Message Board
Views: 1147 | Replies: 32
. One thing I noted when I took a Malamed course was that he focused on us recognizing how to avoid having to use your emergency med kit. First, in my opinion, emergency kits are like having personal disability insurance. You go thru life/career and you hopefully don't ever have to use it. But your
January 27, 2021
Pharmacology
Message Board
Views: 2565 | Replies: 41
legal insurance if available.There is WAY too little information on this case to know what to think. Dose? Duration? AB allergies? Med history? Did pt inform doc when diarrhea developed and if so what was the response? Regardless, sometimes Clindamycin is indicated. Usually one week or less is best. We
May 24, 2018
Pharmacology
Message Board
Views: 1042 | Replies: 39
to do in a tough situation I crave my mommies advice................she will know what to do.............pre med or no pre med.......you know.......she will know what to do........she is in the insurance business..............hahahhahahahjajahah........serious........I do this all the time.........eff
October 01, 2014
Pharmacology
Message Board
Views: 2091 | Replies: 50
is probably going on is the pharmacy is penny pinching. They probably aren't getting a favorable break on the cost of Toradol due to insurance and/or Medicaid/Medicare pricing plus it's may not have a generic option at this point. If Toradol isn't on their discounted formulary, they want to you Rx
July 04, 2015
Pharmacology
Message Board
Views: 1900 | Replies: 46
even complain abouta $2 copay and get mad, just like why their insurance doesn't pay for something. I'd give patients the Rx and explain that it's optional to fill it if they want. They should know the risks. Your just a tough guy I guess, however most people are not like you. To think
January 16, 2015
Pharmacology
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