Guest guest Posted January 14, 2002 Report Share Posted January 14, 2002 Sharron, My experience with the Oregon Health Plans since its inception is that although it claims to reimburse for chiropractic care it really does not. The majority of the neuromusculoligamentous conditions we treat are beyond the cutoff point in their list of diagnoses. The only exception I have found is treatment of migraine headaches. Reimbursement is miniscule (more of a joke) so even if possible, it is more of a service to patients than a way to pay the bills. J. Holzapfel, D.C. Albany, OR. kjholzdc@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2002 Report Share Posted January 14, 2002 Sharon, My experience with OHP is similar. I've talked with adminstrators, written letters re changing the priority ranking of NMS conditions, all to no avail. Reimbursement for me is also a service to patients who otherwise would not receive chiropractic care. Lily Roselyn, DC At 11:49 AM 1/14/2002 -0800, J Holzapfel DC wrote: >Sharron, >My experience with the Oregon Health Plans since its inception is that >although it claims to reimburse for chiropractic care it really does not. > The majority of the neuromusculoligamentous conditions we treat are >beyond the cutoff point in their list of diagnoses. The only exception I >have found is treatment of migraine headaches. Reimbursement is >miniscule (more of a joke) so even if possible, it is more of a service >to patients than a way to pay the bills. > > J. Holzapfel, D.C. >Albany, OR. >kjholzdc@... > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2002 Report Share Posted January 14, 2002 's right. You can bill, wait, follow up with the usual paper chase and in the end never receive the pittance of a payment they claim to reimburse for. A patient of ours who is a family practice physician said it best, " We pay to treat those people. " That about sums it up, we pay higher taxes, we pay with our time to treat, and we pay trying to chase down the pittance of the payment. Not to mention the liability. There was a case in town where an OHP patient sued the doctor for malpractice (it was NOT malpractice and the case was settled out of court). I don't know what the answer is, there is obviously a segment of the population with major medical problems and limited resources. Our society can't turn our backs on these people. But the Oregon Health Plan is a joke. Expanding that wasteful program only perpetuates the injustice. I would rather see a program where we can treat the indigent for a tax right-off. Even if they would only let me right off their normal allowed pittance of a payment, I could be assured of something. Plus we elliminate some of the bureaucracy and administration of OMAP. But, that makes far too much sense, in other words, it'll never happen. In fact, last I heard " Keep the Kicker " Kitzhaber is continuing his never-ending quest to expand OMAP. Don , DC - Corvallis Re: Oregon Health Plan > Sharron, > My experience with the Oregon Health Plans since its inception is that > although it claims to reimburse for chiropractic care it really does not. > The majority of the neuromusculoligamentous conditions we treat are > beyond the cutoff point in their list of diagnoses. The only exception I > have found is treatment of migraine headaches. Reimbursement is > miniscule (more of a joke) so even if possible, it is more of a service > to patients than a way to pay the bills. > > J. Holzapfel, D.C. > Albany, OR. > kjholzdc@... > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2002 Report Share Posted January 14, 2002 My business experience with the OHP can best be described in two words:NO WAY! If a person with OHP calls, I offer the same cash price to them that I give to unemployed, students, and employees of non profits. All these people must sign a form stating this is not my regular fee, and we are doing it because of special conditions. The price I charge to see these folks is another 10% below the sr. citizen price, and it approximates my cost of opening the doors(annual overhead divided byannual number of patients equals cost of opening your doors- this does not include a salary for me, it is just raw overhead.) IN the past, I used to get physician referrals from the Multnomah County Health Clinics for OHP patients, but when I started getting paid less than half the time, I called it quits. ON the other hand, I have a relative Who is mentally disabled, and gets good care from the County Health System in Clackamas County. I guess Chiros are on the bottom of the State food chain. Ron JohansenD.C. Portland ________________________________________________________________ GET INTERNET ACCESS FROM JUNO! Juno offers FREE or PREMIUM Internet access for less! Join Juno today! For your FREE software, visit: http://dl.www.juno.com/get/web/. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2002 Report Share Posted January 14, 2002 Sharon: I only get paid if the patient is on the managed care plan (not an open card), and I have a pre-approved referral from the primary provider. There are a bunch of codes for what we treat, sort of, that are above the current line. They aren't the usual 847 and 739 codes. I'm not at the office now to look them up. I dont' take the open card at all. the OHP claims to pay for diagnostic work-ups, but don't. If you want them, I can probably dig them up. Ann Goldeen, D.C. 1010 Duane Street Astoria OR 97103 503-325-3311 Oregon Health Plan > Dear Doctors, > > I was invited to a focus group discussion last week with an eye towards > resolving the current state deficit of $830 million dollars. I was called > due to being a registered voter and meeting some criteria of age and party > affiliation. I was paid $50 dollars for 2 1/2 hours. My group was 10 women. > After us was a group of 10 men. > > A facilitator led questioning that was predetermined. The session was audio > and video recorded and 'people' of some sort sat behind a two way mirror. I > only agreed to do this because they told me it had to do with' politics'. > > The gist of the session from my perspective was, there is an $830 million > dollar budget shortfall and since people are hurt from 9/11 and since we are > to take care of people how do we raise more money ? > > During the Q & A the Oregon Health Plan was brought up (by me) and I > questioned the continual expansion of it despite the difficultly cost wise > in doing so. Thus my post to you... > > Do any DCs in Oregon receive payment from the OHP ? > If so, what diagnoses are covered ? > And if not, why not ? > > vty, > > Sharron Fuchs DC > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2002 Report Share Posted January 15, 2002 Does anyone else look at OHP and say it is just another variation on the same theme that has been played for decades? I do not believe they care if their care is more cost effective or is even the best care for the patients. I think they just care that they are the only game in town. The more market segments they close, the closer they are to attaining their goal. Comments? DeSiena Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 23, 2012 Report Share Posted February 23, 2012 I always tell the patients that inquire about OHP is tha,t I accept them but they do not accept me!Dr. A Caughlin DC CAC155 NW 1st Ave Day, Or. 97845 office 541-575-1063 fax 541-575-5554CC: To: neroco2@...From: drjdyson1@...Date: Thu, 23 Feb 2012 13:31:59 -0800Subject: Re: Oregon Health Plan I registered about 11 years ago and got my Medicaid (OHP) number. However, I quickly learned that they do not cover chiropractic services... I was told that it falls below the line of services that are considered "essential". Jamey Dyson, DCOn Feb 23, 2012, at 12:17 PM, neroco2@... wrote: Greetings:Anyone out there participating on OHP?If so, what did you do to get on it?I have a few patients asking about it.Thanks.Neil R. Cohen, D.C.Dundee Chiropractic Quote Link to comment Share on other sites More sharing options...
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