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Coronavirus Epidemic, Part 2

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  • Dinoble1

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    Dec 19, 2016
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    And Doctors wonder why people don't trust them, and people are flocking to the Internet for answers. Y'all did this shit to yourselves, suck it up fuckers.

    Doctors are educated and paid very well by big pharma. They follow the script ( pun intended).
    There are a few who think for themselves if you are fotunate enough to find one.


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    easy rider

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    Jun 10, 2015
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    The AMA pushes doctors to ask about guns. Sadly Texas had a bill much like Florida's FOPA (no not the 1986 FOPA, the Firearm Owner's Privacy Act), but it died in the state senate. As far as I know, Florida is the only state where it's against the law for doctors to ask patients about gun ownership.
     

    digger

    Curmudgeon
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    May 9, 2009
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    BEING CONDITIONED.jpeg
     

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    oldag

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    Feb 19, 2015
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    The AMA pushes doctors to ask about guns. Sadly Texas had a bill much like Florida's FOPA (no not the 1986 FOPA, the Firearm Owner's Privacy Act), but it died in the state senate. As far as I know, Florida is the only state where it's against the law for doctors to ask patients about gun ownership.
    It ain't against the law for me to tell them it is NOYB.

    My doc doesn't ask. He is old school.
     

    Texas42

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    I know exactly why I have chronic back pain and issues and it has not one thing to do with any mental disorders! And I'm not in the least bit depressed either!

    I'm an adult. I don't want, or need your counseling. Either fix the issue I came in for, or get a real doctor I can see.

    I can see now why so many people die from shoddy medical care! You're too busy asking questions and trying to counsel people!

    You and Dr. HKS sure need to get a practice together. You're both quacks!

    You don’t believe there is a link between depression and chronic pain? Doesn’t mean every chronic pain patient is depressed, just a lot of them.

    Or you don’t believe that a physician should get paid for seeing you?

    Or that doctors shouldn’t ask patient’s they see if they have about tobacco, alcohol, or drug use? Or ask about cancer screening that saves morbidity and mortality? Believe it or not, things like “who all lives with you” “Who can help you at home?” Are really important questions.

    PS, if big pharmaceutical companies are paying me. . . You’d think I’d be the first to know.
     

    toddnjoyce

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    ...Or you don’t believe that a physician should get paid for seeing you?
    I believe a physician should be paid for addressing the issue I’m there for, not tacking on CPT codes for shits and giggles.

    If I come in with a broken arm, I don’t expect tobacco cessation counseling 3m-10m, especially if I’m not a tobacco user. If that charge showed up, I’d have a conversation with my insurer about fraudulent charges and/or services.

    Q: of the things you do today, how much of it would change if you were solely on a direct pay model?
     

    Axxe55

    Retiretgtshit stirrer
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    Dec 15, 2019
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    Lost in East Texas Elhart Texas
    You don’t believe there is a link between depression and chronic pain? Doesn’t mean every chronic pain patient is depressed, just a lot of them.

    Or you don’t believe that a physician should get paid for seeing you?

    Or that doctors shouldn’t ask patient’s they see if they have about tobacco, alcohol, or drug use? Or ask about cancer screening that saves morbidity and mortality? Believe it or not, things like “who all lives with you” “Who can help you at home?” Are really important questions.

    PS, if big pharmaceutical companies are paying me. . . You’d think I’d be the first to know.

    For someone who thinks he's so much smarter than the rest of us, you don't read so well, do you?

    First of all, you're not my doctor.

    Second, if you were, you would no longer be my doctor.

    Third, I don't like arrogant pricks.

    Seriously, you really need to hook up with Dr. HKS. The two of you, are made for each other. Again, both of you are quacks. I wouldn't let either one of you treat one of my dogs. Second thought, my vet is probably a better doctor than either of you two.
     

    benenglish

    Just Another Boomer
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    7   0   0
    Nov 22, 2011
    23,932
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    Spring
    If I come in with a broken arm, I don’t expect tobacco cessation counseling 3m-10m, especially if I’m not a tobacco user. If that charge showed up, I’d have a conversation with my insurer about fraudulent charges and/or services.
    About 20 years ago, I tore the plantar fascia on the bottom of my foot while at work, away from home, in a hotel. There was a doctor in the building next to the hotel. This was a big, long project and several of our people had gotten sick and gone to that doctor. I hobbled over, thinking that he could, at minimum, advise me what to do next since I was in a lot of pain.

    The receptionist - "I don't think we treat stuff like that. He'll probably just refer you elsewhere."
    Me - "Ok, if a referral is all he can do, fine. But I want to hear that from him."

    The receptionist hands me the sign-in forms and I fill them out. I hand them to another person who says "You're the one here for the referral, right?" I reply with a simple "No." Eventually, I'm called to the back.

    The intake nurse - "So you're here to get a referral?"
    Me - "No, my insurance doesn't require referrals. If that's all he can do, I'll take it but I want to see a doctor."
    The doctor - "So, you're here for a referral?"
    Me - "No, I'm here because I hurt my foot."

    The doctor stares back and forth between me and the paperwork for a full minute. He then gives me a 5 minute lecture about the sexual transmission of disease, reading every word off a script. Then he hands me a slip of paper, that had been prepared beforehand and that he brought in the room with him, with the name of a doctor at a nearby hospital. He didn't even ask me to take off my shoes.

    Read that over and let it sink in. I got diagnosed by the receptionist. She wrote down that I needed a referral and everyone else in the work process chain in that office completely ignored everything I said. I was going to get a referral and nothing else. Period. The lecture was just to pad out the time with something they could code.

    Finally, the last insult -
    The cashier - "Your co-pay is $20."
    Me - "Uh, no. This was an accidental injury. My insurance pays 100% on injuries and there's no co-pay."
    Cashier - "That's a nice stunt to try to get out of the $20 but it won't work. There's no injury on this chart. That'll be $20."

    I had just been called a liar to my face. I was on the verge of throwing furniture but my rational brain took over. I gave her a credit card. Getting into a shouting match (not to mention the physical violence I desperately wanted to unleash) while on duty would risk my job and I wasn't willing to do that. I then sat down right in front of her and called the number on the back of the card to report a fraudulent charge. She overheard and looked at me funny but didn't do anything about it.

    tl;dr - Healthcare can be drowned by healthcare processes. Don't trust anyone in the healthcare system because you don't know if you're talking to a real person or just an automaton checking off boxes so that the computerized records system will allow them to move on to the next form.
     

    Texas42

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    For someone who thinks he's so much smarter than the rest of us, you don't read so well, do you?

    First of all, you're not my doctor.

    Second, if you were, you would no longer be my doctor.

    Third, I don't like arrogant pricks.

    Seriously, you really need to hook up with Dr. HKS. The two of you, are made for each other. Again, both of you are quacks. I wouldn't let either one of you treat one of my dogs. Second thought, my vet is probably a better doctor than either of you two.

    I can have an honest discussion without insulting others on the internet.

    Nice chat though.
     

    Axxe55

    Retiretgtshit stirrer
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    0   0   0
    Dec 15, 2019
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    Lost in East Texas Elhart Texas
    Oh that's easy, doctors cram the bill far worse than the old phone and cable companies ever did, but when called out they use the trusty old "clerical error" get out of jail free card.

    That was attempted with me several times. One was a billing for some female related tests. My insurance knowing I was single, called and asked if I had gotten married recently. Ummm...no maam, I haven't. Why? She explained the charges on the billing. She took care of it.

    A large part of the medical field is nothing but a huge scam and fraud.
     

    Texas42

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    Nov 21, 2008
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    I believe a physician should be paid for addressing the issue I’m there for, not tacking on CPT codes for shits and giggles.

    If I come in with a broken arm, I don’t expect tobacco cessation counseling 3m-10m, especially if I’m not a tobacco user. If that charge showed up, I’d have a conversation with my insurer about fraudulent charges and/or services.

    Q: of the things you do today, how much of it would change if you were solely on a direct pay model?

    As I work in a hospital setting, direct pay wouldn’t work. I know roughly how much is billed, but how much is reimbursed is a whole other thing.

    I wouldn’t bill you to quit smoking if you don’t smoke. I only bill you if I spent 3 minutes counseling. 3 minutes is a long time.

    People don’t understand medical billing in general.

    You go to ED for broken arm. 90% of your bill is a facility fee, X-ray, meds. The rest of it goes to the providers who have professional charges. The ED doc sees you, +/- the orthopedists (might see you in the ED or in clinic the next day). If you get admitted, (really shouldn’t for a broken arm, but you can if they need pain control), then you would have the professional charges from the Hospitalist who sees you for every day you are in the hospital. Each specialist will bill you for every day they see you. Surgeries are bundled a bit differently.

    The way I get paid right now, the vast majority of my salary is base, and only about 5% is based on production. Seeing that tobacco cessation counseling is 0.24 wRVU’s, I get paid about $0.75 to do it, paid over 12 months following. Studies do show that frequent recommendations to quit tobacco actually do cause them to quit.

    Also, the things life referrals for cancer screening aren’t billable things, they just are good practice because they help save lives.
     

    studenygreg

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    Lol
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