Had my conversation w/ @Cignaquestions @Cigna @Evernorth Market Director Dr. John Keats. New policy applies to -25 modifier when providing a procedural service same day as E/M. In primary care, we do this ALL THE TIME. Add'l admin burden on the most overburdened specialty. (1/) This is in response to specialists overcoding E/M service when the only service provided is the procedure. So, once again, the grand majority punished for the small minority fleecing a broken payment system which NEVER worked for longitudinal specialties. (2/)

I have Covid.

I am typically quite active on @Twitter, and I hope maybe you've noticed I've been quiet this week. I'd like to let you know about my experience w/ this dangerous illness, and BA.5, what I just suffered and am still recovering from so maybe it'll help you. 🧵 1/13 On July 10th, I awoke around 2am with a pounding heart, racing thoughts, and I just didn't feel right. I thought maybe I just had too much caffeine or too much stress. After some struggle, I fell back asleep, and slept an additional 7 hours. 2/13