Ryan Madanick, MD

Billing an established patient visit as a consultation

by | in Physician | 3 comments

Until recently, there was a financial difference between performing a "consultation" and a "new patient visit" for office visits (Medicare stopped paying for consultations at a higher rate than new patient visits in 2010).In specialists’ offices, patients often got billed for the more expensive “consults” when in fact the visit was not a consultation at all.  Let’s just use this understanding as the brief background for what I’m about to say.I ...

Experiencing the professionalism of nurses and medical residents

by | in Physician | 2 comments

Today I became a patient.  If you follow me on Twitter, then by now you know what happened.  Yes, I am embarrassed by what happened, but I’ll relinquish my HIPAA right to privacy for this moment.This afternoon I swam nose-first into the sidewall in the pool.  (I haven't been swimming in awhile and I forgot to bring goggles, so I wasn't really looking.  Laugh all you want ...)  It ...

Health related anxiety in patients with complex problems

by | in Conditions | 7 comments

As an academic gastroenterologist at a tertiary care university medical center, I often see patients who have failed traditional therapies that many of my colleagues in the community have tried.Over the past several years my practice has evolved, from dealing with predominantly the medical aspects of my patients’ diseases to embracing the biopsychosocial model of illness.  One of my colleagues has been the world leader in patient care and research in the ...