Search found 379 matches

by SevenBridgesRoad
Sat Jun 15, 2019 11:54 pm
Forum: Personal Consumer Issues
Topic: Mosquitos
Replies: 40
Views: 2895

Re: Mosquitos

We frequently sit outside with friends/family and eat dinner on the deck in the evening this time of year...a lot. We are blessed with a low dew point in the high desert, but still a few pesky mosquitos. A fan on the deck really helps. But we spray a little Deep Woods Off Dry on bare skin and clothe...
by SevenBridgesRoad
Fri Jun 07, 2019 8:22 pm
Forum: Personal Finance (Not Investing)
Topic: Suggestions on fraudulent medical bill
Replies: 88
Views: 5967

Re: Suggestions on fraudulent medical bill

I am not condoning what happened, but I will shed some light into it. Over the last few decades different organizations starting with CMS have told us how and what we need to document. Much of the things documented in the chart these days add nothing to patient care but take significant time to do....
by SevenBridgesRoad
Fri Jun 07, 2019 12:13 am
Forum: Investing - Theory, News & General
Topic: Thank you, Taylor Larimore!
Replies: 49
Views: 5953

Re: Thank you, Taylor Larimore!

Let me add my heartfelt thanks, Taylor, for your role in WW2 in some of the most terrible and frightening conditions in the Ardennes, and for your role in shepherding this incredible website. If there's anyone who hasn't watched the opening minutes of Saving Private Ryan, tonight would be a good time.
by SevenBridgesRoad
Fri Jun 07, 2019 12:04 am
Forum: Personal Finance (Not Investing)
Topic: Suggestions on fraudulent medical bill
Replies: 88
Views: 5967

Re: Suggestions on fraudulent medical bill

Understood. That’s different than “I waited on the bill, and sure enough he charged me for a Level 2 H&P“ Here's the problem, quote "And left with taking any verbal history or doing ANY exam; the guy stood with his arms crossed the whole time and didn't get within 5 feet of me." It's true the coder...
by SevenBridgesRoad
Thu Jun 06, 2019 10:41 pm
Forum: Personal Finance (Not Investing)
Topic: Suggestions on fraudulent medical bill
Replies: 88
Views: 5967

Re: Suggestions on fraudulent medical bill

If you were truly not seen/examined by anyone other than an ED physician before the hospitalist strolled in, then yes, the hospitalist should not be mooching off the ED doc’s work and billing an inpatient admit code. You’ve done what you could. If you’re not paying out of pocket, let it go. You’ve ...
by SevenBridgesRoad
Thu Jun 06, 2019 10:02 pm
Forum: Personal Finance (Not Investing)
Topic: Suggestions on fraudulent medical bill
Replies: 88
Views: 5967

Re: Suggestions on fraudulent medical bill

Really! He has already appealed once and they rejected his appeal. This is for $72 . Pay it and move on. You are wrong. A physical exam cannot be done from across the room. A few elements, yes. But not the entire exam. As to the appeal, this could mean the appeal did not get to the truth. I've seen...
by SevenBridgesRoad
Thu Jun 06, 2019 7:10 pm
Forum: Personal Finance (Not Investing)
Topic: Suggestions on fraudulent medical bill
Replies: 88
Views: 5967

Re: Suggestions on fraudulent medical bill

https://emuniversity.com/Page3.html Level 2 hospital H&P requires comprehensive exam. That can’t be done from across the room. I would challenge this. Really! He has already appealed once and they rejected his appeal. This is for $72 . Pay it and move on. You are wrong. A physical exam cannot be do...
by SevenBridgesRoad
Thu Jun 06, 2019 1:35 pm
Forum: Personal Finance (Not Investing)
Topic: Suggestions on fraudulent medical bill
Replies: 88
Views: 5967

Re: Suggestions on fraudulent medical bill

I'll add one more thing: I've tried to stay away from using the term fraud. Fraud goes way beyond noncompliance. I've used the term "compliance". Fraud requires intentional misrepresentation in order to trick someone. Noncompliance means someone is not following the rules...a non-trivial difference....
by SevenBridgesRoad
Thu Jun 06, 2019 1:14 pm
Forum: Personal Finance (Not Investing)
Topic: Suggestions on fraudulent medical bill
Replies: 88
Views: 5967

Re: Suggestions on fraudulent medical bill

https://emuniversity.com/Page3.html Level 2 hospital H&P requires comprehensive exam. That can’t be done from across the room. I would challenge this. Really! He has already appealed once and they rejected his appeal. This is for $72 . Pay it and move on. You are wrong. A physical exam cannot be do...
by SevenBridgesRoad
Thu Jun 06, 2019 1:16 am
Forum: Personal Finance (Not Investing)
Topic: Suggestions on fraudulent medical bill
Replies: 88
Views: 5967

Re: Suggestions on fraudulent medical bill

Don’t let it go. This may be a one time sloppy one-off. Or you might not be the only patient experiencing this. If the docs and/or hospital is submitting false claims (even if unintentionally) to Medicare, this is a big deal. You might actually help the hospital and docs discover a serious problem b...
by SevenBridgesRoad
Wed Jun 05, 2019 11:32 pm
Forum: Personal Finance (Not Investing)
Topic: Suggestions on fraudulent medical bill
Replies: 88
Views: 5967

Re: Suggestions on fraudulent medical bill

There are very strict rules for E&M coding. Can’t just be winged.
by SevenBridgesRoad
Wed Jun 05, 2019 6:13 pm
Forum: Personal Finance (Not Investing)
Topic: Suggestions on fraudulent medical bill
Replies: 88
Views: 5967

Re: Suggestions on fraudulent medical bill

https://emuniversity.com/Page3.html

Level 2 hospital H&P requires comprehensive exam. That can’t be done from across the room. I would challenge this.
by SevenBridgesRoad
Wed Jun 05, 2019 4:47 pm
Forum: Personal Investments
Topic: Problem at Vanguard?
Replies: 42
Views: 5234

Re: Problem at Vanguard?

arcticpineapplecorp. wrote:
Wed Jun 05, 2019 4:37 pm

Time to put that story to rest. But like a zombie...it keeps coming back to life every so often.
Zombies. Also disproven?
by SevenBridgesRoad
Wed Jun 05, 2019 6:46 am
Forum: Personal Consumer Issues
Topic: Are we downsizing too much?
Replies: 63
Views: 4682

Re: Are we downsizing too much?

...We’ve considered homes in the 1700 to 1800 sq foot range, most with 3 bedrooms, which would be ideal.. The last one we saw had 3 small bedrooms and a decent open concept living room and dining room. It had a nice fireplace ( a priority) and the bathrooms were well maintained and neutral ( a clea...
by SevenBridgesRoad
Tue Jun 04, 2019 10:37 pm
Forum: Personal Finance (Not Investing)
Topic: Paying half of my paycheck on health insurance?
Replies: 63
Views: 4447

Re: Paying half of my paycheck on health insurance?

what your next step is. Tell us your ideas, your plan. For now I'll probably just have to suck it up and take this job as there is no other choices that is open to me at this moment. I am totally done with education so I'll keep looking for a job that carriers superior benefits and doesn't require ...
by SevenBridgesRoad
Tue Jun 04, 2019 3:46 pm
Forum: Personal Finance (Not Investing)
Topic: Paying half of my paycheck on health insurance?
Replies: 63
Views: 4447

Re: Paying half of my paycheck on health insurance?

The high health care insurance premium is only half of your equation, and not the half you can do much about. Concentrate on the better job side of the equation. Call center jobs for most young people should be short term employment. What is your next step in order to increase your income and quali...
by SevenBridgesRoad
Tue Jun 04, 2019 3:25 pm
Forum: Personal Finance (Not Investing)
Topic: Paying half of my paycheck on health insurance?
Replies: 63
Views: 4447

Re: Paying half of my paycheck on health insurance?

The high health care insurance premium is only half of your equation, and not the half you can do much about. Concentrate on the better job side of the equation. Call center jobs for most young people should be short term employment. What is your next step in order to increase your income and qualif...
by SevenBridgesRoad
Sat Jun 01, 2019 2:10 am
Forum: Investing - Theory, News & General
Topic: HEDGEFUNDIE's excellent adventure [risk parity strategy using 3x leveraged ETFs]
Replies: 2024
Views: 148969

Re: HEDGEFUNDIE's excellent adventure [risk parity strategy using 3x leveraged ETFs]

This is basically the same as if I borrowed money on my credit card, and invested that money into those assets, if my credit card had an interest rate of ~3% + 1% annual fee. This is not the same thing as Taylor saying, “buy and hold three funds.” Let’s quit arguing, my friend. Continue your advent...
by SevenBridgesRoad
Fri May 31, 2019 11:15 pm
Forum: Investing - Theory, News & General
Topic: HEDGEFUNDIE's excellent adventure [risk parity strategy using 3x leveraged ETFs]
Replies: 2024
Views: 148969

Re: HEDGEFUNDIE's excellent adventure [risk parity strategy using 3x leveraged ETFs]

Clearly we disagree and I'm not asking for your ideas to be banned. And I'm truly not pulling for your failure. I merely added a fifth group to the previous post, which claimed four groups. Fifth group, which may just be me: I just find it super strange and fascinating that you are posting here and ...
by SevenBridgesRoad
Fri May 31, 2019 10:21 pm
Forum: Investing - Theory, News & General
Topic: HEDGEFUNDIE's excellent adventure [risk parity strategy using 3x leveraged ETFs]
Replies: 2024
Views: 148969

Re: HEDGEFUNDIE's excellent adventure [risk parity strategy using 3x leveraged ETFs]

Don't be ridiculous. There's off the ranch, and there's on an entirely different planet. Complex leveraging of one's portfolio (or whatever it is you are promoting) is pretty far off the posted Wiki Boglehead fundamentals of three funds and simplicity and set-it-and-forget-it. Maybe it's what the cr...
by SevenBridgesRoad
Fri May 31, 2019 9:53 pm
Forum: Investing - Theory, News & General
Topic: HEDGEFUNDIE's excellent adventure [risk parity strategy using 3x leveraged ETFs]
Replies: 2024
Views: 148969

Re: HEDGEFUNDIE's excellent adventure [risk parity strategy using 3x leveraged ETFs]

Fifth group: those whose actually follow Boglehead fundamentals and wonder why such a thread is even here (and has almost 2000 posts).
by SevenBridgesRoad
Fri May 31, 2019 11:36 am
Forum: Personal Finance (Not Investing)
Topic: For those who earn $500k+ per year. How'd you do that?
Replies: 350
Views: 33661

Re: For those who earn $500k+ per year. How'd you do that?

Effective physician executives who are willing to relocate are still uncommon enough to be in demand, and command base salaries of $400K and total comp over $500K. C-suite physician execs in large organizations can do even better. This was my path. The 4 key words in the first sentence above are: ef...
by SevenBridgesRoad
Thu May 30, 2019 10:07 am
Forum: Investing - Theory, News & General
Topic: 2% withdrawal rate
Replies: 182
Views: 12718

Re: 2% withdrawal rate

I believe the OP has left the building folks. It won’t be the first BH thread where OP just serves to start the conversation. True, but I suspect that this thread will devolve the same way that many others have: "4% withdrawals have never failed in the U.S.," "But they did in Japan and other places...
by SevenBridgesRoad
Thu May 30, 2019 12:24 am
Forum: Personal Consumer Issues
Topic: Port Townsend-Pacific Northwest
Replies: 33
Views: 2549

Re: Port Townsend-Pacific Northwest

Thanks for all the responses. We would only live in Port Townsend in the summer to escape the Texas heat. I know it is a small town, and no Costco! The more we research it the more we like it, any additional comments or opinions would be appreciated. Allan No sweat. Literally. (Check the dew point ...
by SevenBridgesRoad
Wed May 29, 2019 10:37 pm
Forum: Investing - Theory, News & General
Topic: 2% withdrawal rate
Replies: 182
Views: 12718

Re: 2% withdrawal rate

MnD wrote:
Wed May 29, 2019 9:19 pm
I'm loving the SWR limbo! How low can we go????
Solid contender for response of the year. :sharebeer
by SevenBridgesRoad
Wed May 29, 2019 8:22 pm
Forum: Personal Consumer Issues
Topic: Paying Kids For Good Grades -- do you do it?
Replies: 131
Views: 11037

Re: Paying Kids For Good Grades -- do you do it?

Whether the post four years old or not, the Theory X verses Theory Y debate goes on and probably will never be resolved.
by SevenBridgesRoad
Wed May 29, 2019 7:54 pm
Forum: Investing - Theory, News & General
Topic: 2% withdrawal rate
Replies: 182
Views: 12718

Re: 2% withdrawal rate

Since this comes down to the OP use of the word "prudent", here's a dictionary definition: "acting with or showing care and thought for the future".

A bit subjective, but I think OP is well beyond prudent and into strange territory for most of the folks here.
by SevenBridgesRoad
Wed May 29, 2019 7:20 pm
Forum: Investing - Theory, News & General
Topic: 2% withdrawal rate
Replies: 182
Views: 12718

Re: 2% withdrawal rate

I disagree. I would consider using our wiki's Variable percentage withdrawal (VPW) method which allows the retiree to spend most of his portfolio using return-adjusted withdrawals. By adapting withdrawals to market returns, VPW will never prematurely deplete the portfolio. Our wiki explains how to ...
by SevenBridgesRoad
Wed May 29, 2019 6:13 pm
Forum: Investing - Theory, News & General
Topic: 2% withdrawal rate
Replies: 182
Views: 12718

Re: 2% withdrawal rate

I'm of the opinion that a 2% withdrawal rate or less is the only prudent way to draw on one's portfolio for retirement before the age of 50. Does anyone disagree with this opinion? If so, why? I disagree. I would consider using our wiki's Variable percentage withdrawal (VPW) method which allows the...
by SevenBridgesRoad
Wed May 29, 2019 5:03 pm
Forum: Investing - Theory, News & General
Topic: 2% withdrawal rate
Replies: 182
Views: 12718

Re: 2% withdrawal rate

I'm of the opinion that a 2% withdrawal rate or less is the only prudent way to draw on one's portfolio for retirement before the age of 50. Does anyone disagree with this opinion? If so, why? I disagree. I would consider using our wiki's Variable percentage withdrawal (VPW) method which allows the...
by SevenBridgesRoad
Mon May 27, 2019 12:18 am
Forum: Personal Consumer Issues
Topic: Port Townsend-Pacific Northwest
Replies: 33
Views: 2549

Re: Port Townsend-Pacific Northwest

We owned a second home just south of PT for 15 years. House right on the Puget Sound. Loved it. Considered retiring there. Sold it only because we had the opportunity to move to our dream small town also in the Pacific NW, where we are now happily retired. My wife and I both grew up in Texas and liv...
by SevenBridgesRoad
Sun May 26, 2019 11:05 am
Forum: Investing - Theory, News & General
Topic: How to retire early by targeting a low/zero balance at the end of life?
Replies: 48
Views: 5278

Re: How to retire early by targeting a low/zero balance at the end of life?

If you definitely want to be broke at the end of your life, there is only method that doesn't involve suicide which I'm aware of: place all of your assets into a lifetime annuity. However, no one I've heard of actually recommends that anyone actually do that, for several reasons. First, you might h...
by SevenBridgesRoad
Sat May 25, 2019 10:15 pm
Forum: Investing - Theory, News & General
Topic: How to retire early by targeting a low/zero balance at the end of life?
Replies: 48
Views: 5278

Re: How to retire early by targeting a low/zero balance at the end of life?

Let’s be clear on the difference between the words “die broke” and the same words with initial caps, “ Die Broke”, alluded to by RJ342, which is the title of a book and a philosophy promoted by the authors Levine and Pollan. There are lots of ways to die broke, none of them pleasant for Bogleheads o...
by SevenBridgesRoad
Thu May 23, 2019 6:48 pm
Forum: Personal Finance (Not Investing)
Topic: Opening a Pediatric practice as a Pediatric Nurse Practitioner
Replies: 66
Views: 4683

Re: Opening a Pediatric practice as a Pediatric Nurse Practitioner

Holy cow. This is way off track. We need a moderator to lock it. Run it’s course.
by SevenBridgesRoad
Wed May 22, 2019 9:28 pm
Forum: Personal Investments
Topic: Next step for old folks
Replies: 10
Views: 1864

Re: Next step for old folks

Rather than go with the often cited 4% safe withdrawal approach, you should also consider the Variable Percentage Withdrawal method created by some Bogleheads, found here https://www.bogleheads.org/wiki/Variable_percentage_withdrawal You will likely be able to safely withdraw a higher percentage tha...
by SevenBridgesRoad
Tue May 21, 2019 12:42 pm
Forum: Personal Finance (Not Investing)
Topic: Opening a Pediatric practice as a Pediatric Nurse Practitioner
Replies: 66
Views: 4683

Re: Opening a Pediatric practice as a Pediatric Nurse Practitioner

In my model, I can never be fired. I don't have some clipboard administrator standing over me telling me how many patients I need to see per hour. I get my share of the 15% of the associates' production. Yes, someone will buy my share when I retire in 9 years. And the real estate will continue to a...
by SevenBridgesRoad
Tue May 21, 2019 12:19 am
Forum: Personal Finance (Not Investing)
Topic: Opening a Pediatric practice as a Pediatric Nurse Practitioner
Replies: 66
Views: 4683

Re: Opening a Pediatric practice as a Pediatric Nurse Practitioner

My buy-in price was about $660,000 for which I took out a 10-year loan and pay about $6300 a month for. You have to do the math and determine if your cash flow can support the debt. For me, I first worked 2 years as an employed associate in the same practice. I received 35% of my collections. The p...
by SevenBridgesRoad
Mon May 20, 2019 1:59 pm
Forum: Investing - Theory, News & General
Topic: How to setup Own Fund or Private Equity
Replies: 12
Views: 982

Re: How to setup Own Fund or Private Equity

I think there are people who post made-up outrageous posts like this and get a kick out of seeing the responses.
by SevenBridgesRoad
Mon May 20, 2019 1:16 pm
Forum: Personal Finance (Not Investing)
Topic: Opening a Pediatric practice as a Pediatric Nurse Practitioner
Replies: 66
Views: 4683

Re: Opening a Pediatric practice as a Pediatric Nurse Practitioner

Retired MD here. My prior organization hired NPs in many specialties, peds included. No physician oversight needed or expected. Oregon is a very good environment for NPs; widely accepted by patients and physicians. A residency buddy and I set up our own private family practice back when we completed...
by SevenBridgesRoad
Fri May 17, 2019 3:38 pm
Forum: Personal Consumer Issues
Topic: Why do plumbers get paid so well?
Replies: 84
Views: 6216

Re: Why do plumbers get paid so well?

Dad always said, only three things determine how much you get paid: What you do, how well you do it, and how easy you are to replace.
by SevenBridgesRoad
Fri May 17, 2019 12:27 am
Forum: Personal Consumer Issues
Topic: Instant Coffee?
Replies: 67
Views: 3966

Re: Instant Coffee?

Miller Lite isn't beer.

White zinfandel isn't wine.

Instant coffee isn't coffee.
by SevenBridgesRoad
Fri May 17, 2019 12:21 am
Forum: Investing - Theory, News & General
Topic: We’ve won the game...but how do we stop playing?
Replies: 76
Views: 8098

Re: We’ve won the game...but how do we stop playing?

It's a nice pithy quote, but I don't think it really has any useful meaning. What "game" are you supposed to stop playing? Life still happens. A lot of people interpret this to mean "lower your exposure to equity risks", but then you are just taking on different kinds of risk, inflation being a sig...
by SevenBridgesRoad
Thu May 16, 2019 10:40 pm
Forum: Investing - Theory, News & General
Topic: We’ve won the game...but how do we stop playing?
Replies: 76
Views: 8098

Re: We’ve won the game...but how do we stop playing?

It's a nice pithy quote, but I don't think it really has any useful meaning. What "game" are you supposed to stop playing? Life still happens. A lot of people interpret this to mean "lower your exposure to equity risks", but then you are just taking on different kinds of risk, inflation being a sig...
by SevenBridgesRoad
Thu May 16, 2019 9:20 pm
Forum: Investing - Theory, News & General
Topic: We’ve won the game...but how do we stop playing?
Replies: 76
Views: 8098

Re: We’ve won the game...but how do we stop playing?

GoldenFinch wrote:
Thu May 16, 2019 9:14 pm
Your grandma sounds like a smart lady who has done really well. She may be a good example of someone who had a plan and “stayed the course” and it worked out for the best.
"Stayed the course"...another metaphor!!
by SevenBridgesRoad
Thu May 16, 2019 9:00 pm
Forum: Investing - Theory, News & General
Topic: We’ve won the game...but how do we stop playing?
Replies: 76
Views: 8098

Re: We’ve won the game...but how do we stop playing?

It's a nice pithy quote, but I don't think it really has any useful meaning. What "game" are you supposed to stop playing? Life still happens. A lot of people interpret this to mean "lower your exposure to equity risks", but then you are just taking on different kinds of risk, inflation being a sig...
by SevenBridgesRoad
Thu May 16, 2019 8:43 pm
Forum: Investing - Theory, News & General
Topic: We’ve won the game...but how do we stop playing?
Replies: 76
Views: 8098

Re: We’ve won the game...but how do we stop playing?

It's a nice pithy quote, but I don't think it really has any useful meaning. What "game" are you supposed to stop playing? Life still happens. A lot of people interpret this to mean "lower your exposure to equity risks", but then you are just taking on different kinds of risk, inflation being a sig...