Doctors bail out on their practices

Discussion in 'Too Hot for Swamp Gas' started by PSGator66, Jul 16, 2013.

  1. QGator2414
    Offline

    QGator2414 VIP Member

    Joined:
    Aug 24, 2009
    Messages:
    12,603
    Likes Received:
    144
    Trophy Points:
    63
    Location:
    Ocala
    Ratings Received:
    +513
    Do you have to properly code everything (yes there is some fee for service patients) you bill to an insurance company?

    Let's face it. Medical care is primarily insurance based even though much of it should not be.
  2. Row6
    Offline

    Row6 New Member

    Joined:
    Mar 14, 2009
    Messages:
    15,997
    Likes Received:
    26
    Trophy Points:
    0
    Ratings Received:
    +26
    We agree on your last sentence. On the first, do half your people call in sick every Monday?

    Just kidding.
  3. QGator2414
    Offline

    QGator2414 VIP Member

    Joined:
    Aug 24, 2009
    Messages:
    12,603
    Likes Received:
    144
    Trophy Points:
    63
    Location:
    Ocala
    Ratings Received:
    +513
    Not necessarily our people (though I do view our patients as our people). But last month we had a week and a half stretch of cancellations leaving chairs empty producing nothing... :)

    One of those cycles that happen. I think it was last Monday when everyone showed and had something like 5 emergencies on top of it...
  4. austingtr
    Offline

    austingtr VIP Member

    Joined:
    May 30, 2007
    Messages:
    8,851
    Likes Received:
    179
    Trophy Points:
    63
    Location:
    Austin, TX
    Ratings Received:
    +430
    If you are an honest doctor, nothing more would go wrong. Nothing. You take care of your patients regardless of regulations. As a matter of FACT regulations make it harder to take care of patients.
  5. austingtr
    Offline

    austingtr VIP Member

    Joined:
    May 30, 2007
    Messages:
    8,851
    Likes Received:
    179
    Trophy Points:
    63
    Location:
    Austin, TX
    Ratings Received:
    +430
    Regulations don't create honest caring people. Simple fact of life that libbies just refuse to believe. But guvmint creates rainbows and unicorns, and good outcomes lmao.
    • Like Like x 1
  6. Gatorrick22
    Offline

    Gatorrick22 Well-Known Member

    Joined:
    Apr 3, 2007
    Messages:
    32,571
    Likes Received:
    2,455
    Trophy Points:
    113
    Ratings Received:
    +4,279
    Codes are more like city, county, state and Federal building laws... not the same as regulations designed to take money after the fact (after structures are built) which are subject to misuse and abuse by different peoples in-charge of the same agencies, and different agencies too..
  7. demosthenes
    Offline

    demosthenes Well-Known Member

    Joined:
    Apr 3, 2007
    Messages:
    6,824
    Likes Received:
    116
    Trophy Points:
    63
    Location:
    Portland, OR
    Ratings Received:
    +560
    You're right, they don't. My signature (if it shows up on posts from my cell phone) echoes this sentiment. However, regulations do establish a minimum level of care that shouldn't be overlooked.
  8. austingtr
    Offline

    austingtr VIP Member

    Joined:
    May 30, 2007
    Messages:
    8,851
    Likes Received:
    179
    Trophy Points:
    63
    Location:
    Austin, TX
    Ratings Received:
    +430
    There are no guarantees in life. Yes the well disposed are daily made agents of injustice- many times of no fault of their own. Chit happens. People just don't understand that in life sometimes you have bad outcomes. The solution isn't to make everyone's lives miserable to safeguard for 99% of the population. That isn't a free society.
  9. demosthenes
    Offline

    demosthenes Well-Known Member

    Joined:
    Apr 3, 2007
    Messages:
    6,824
    Likes Received:
    116
    Trophy Points:
    63
    Location:
    Portland, OR
    Ratings Received:
    +560
    What society is free? They all come with their attendant laws, rules, regulations, norms, etc. I believe there is a continuum of "freedom" that one's own preferences determine how much is allowed before a society is no longer "free."
  10. NorthCaptivaGator
    Offline

    NorthCaptivaGator Well-Known Member

    Joined:
    Apr 21, 2007
    Messages:
    5,862
    Likes Received:
    81
    Trophy Points:
    48
    Ratings Received:
    +255
    Nothing is stopping you, you don't have to participate in Medicare
  11. leogator
    Offline

    leogator Active Member

    Joined:
    Sep 28, 2008
    Messages:
    2,267
    Likes Received:
    22
    Trophy Points:
    38
    Location:
    Melbourne, FL
    Ratings Received:
    +51
    She would probably lose half her patients.

    My friend the urologist, whose paractice owns several dialysis machine fully and freely admits that 50% of his revenue comes from old people in the last 6mos of their life. That's sad that as a society we are loathe to recognize that someone's time has come and let them die naturally.
  12. candymanfromgc
    Offline

    candymanfromgc Well-Known Member

    Joined:
    Apr 3, 2007
    Messages:
    5,292
    Likes Received:
    103
    Trophy Points:
    63
    Ratings Received:
    +274
    So basically you want them to shut the hell up. Don't point out problems in the system. Smart.
    • Like Like x 1
  13. candymanfromgc
    Offline

    candymanfromgc Well-Known Member

    Joined:
    Apr 3, 2007
    Messages:
    5,292
    Likes Received:
    103
    Trophy Points:
    63
    Ratings Received:
    +274
    It's not that hard junior. Average life span is 75 or so and they spend 1/10th or 8 years of said life just to be able to practice.
  14. RealDeal
    Offline

    RealDeal New Member

    Joined:
    Apr 15, 2007
    Messages:
    7,099
    Likes Received:
    7
    Trophy Points:
    0
    Ratings Received:
    +7
    why do doctors take medicare / medicaid patients and deal with all that bureaucracy / regulations / red tape / paperwork / low reimbursements, etc.? Just refuse these patients and take those with regular insurance or those paying cash.
  15. NorthCaptivaGator
    Offline

    NorthCaptivaGator Well-Known Member

    Joined:
    Apr 21, 2007
    Messages:
    5,862
    Likes Received:
    81
    Trophy Points:
    48
    Ratings Received:
    +255
    Because cardiologists, radiologists, Ortho docs and many other specialties couldn't survive if they had to treat only those without Medicare. You see, a person over 65 or even a young person who has not maintained consistent insurance with a cardiac problem, or cancer or diabetes or Parkinson's or MS or a history of back surgery or any number of other diseases cant get any insurance other than Medicare, they are deemed uninsurable (Which is the reason we have Medicare in the first place) and 99% of them couldn't afford to pay for treatment out-of-pocket.
  16. mastoidbone
    Offline

    mastoidbone VIP Member

    Joined:
    Apr 3, 2007
    Messages:
    7,239
    Likes Received:
    8
    Trophy Points:
    38
    Ratings Received:
    +18
    Not so easy---most doctors need to keep hospital privileges---if you do that you need to take medicare and medicaid.
  17. gatorios24
    Offline

    gatorios24 Member

    Joined:
    Apr 3, 2007
    Messages:
    386
    Likes Received:
    2
    Trophy Points:
    18
    Location:
    Gainesville, FL
    Ratings Received:
    +5
    Mainly out of a sense of loyalty to our patients...my internal medicine group of nine doctors does not accept Medicaid and the majority do not take new Medicare patients. The onerous current requirements of the ACA (including implementation of an electronic medical record) has put our group under extreme financial stress. Although we are trying to weather the storm, we are also looking at alternatives. One option that was otherwise unthinkable 3-4 years ago is that of conversion to a concierge practice. That would mean leaving about 30,000patients without a doctor...something I consider ethically and morally repugnant. We will have to see how all this plays out.
  18. demosthenes
    Offline

    demosthenes Well-Known Member

    Joined:
    Apr 3, 2007
    Messages:
    6,824
    Likes Received:
    116
    Trophy Points:
    63
    Location:
    Portland, OR
    Ratings Received:
    +560
    The claim had nothing to do with years, rather, medical school costs versus lifetime income. What's with the vitriol?
  19. leogator
    Offline

    leogator Active Member

    Joined:
    Sep 28, 2008
    Messages:
    2,267
    Likes Received:
    22
    Trophy Points:
    38
    Location:
    Melbourne, FL
    Ratings Received:
    +51
    OMG, electronic medical records! Something that they should have implemented years and years ago. I have looked, as a courtesy to a friend of mine who has a medical practice, at the state of their computer system. It is frightening how far back they are and how much overhead can be eliminated by upgrading to a state of the art system. I guess they were waiting to be acquired so they have not kept up.
  20. austingtr
    Offline

    austingtr VIP Member

    Joined:
    May 30, 2007
    Messages:
    8,851
    Likes Received:
    179
    Trophy Points:
    63
    Location:
    Austin, TX
    Ratings Received:
    +430

    Hospitals don't provide ANYTHING to patient care. Hubby brings his patients from all over the state, and from out of state and country. He works by referrals. That means that the number of patients who he sees that just showed up to his former hospital is negligible. The care he provides to his patients is because of the staff he hires and trains, and what he makes sure is provided to his patients.

    They sold their practice several years ago, like many are doing now. They just quit being employees of the hospital because the hospital is only interested in profit, not patient care, so it was a contentious and horrid relationship from the get go. So they are going back to the past. The goal of him was to take good care of his patients (ablations and follow up) with low complication rates. The hospital was only interested in what they could profit from my hubby's practice. Administrators are CEO's most without any knowledge in medicine, they are only interested in the bottom line. Yes, they were paying great, but to us, it was like selling your soul to the devil, and not worth it.
    What they are just embarking on (buying your share of your own hospital) is HIGH risk, but then you have the control. Eventually they will stop taking medicare. That is the goal. It will take some time, but since they work by reputation/referrals, they will do it, of that I have no doubt.

Share This Page