Fees..... Our responsibility

[Guest guest]

BRAVO.

Ann DC

[Guest guest]

Docs,

I have been " lurking " and reading the fees discussion. First of all, I would be

adamantly against any organized fee schedule. Docs have different treatment

parameters and standards that they hold themselves to and overhead/practice

management styles are very variable.

In addition to it being OUR responsibility as both independent providers and a

profession as a whole to uphold our own standards of reimbursement (i.e those

who are accepting too little should be called to task); it is our right and

should be our responsibility to accept nothing less than what we deem to be

acceptable.

This is a hard pill to swallow for many providers. I believe strongly that, if

" chiro-shoppers " bother us.....don't accept them as patients! There's no one

forcing us to accept EVERY patient that call or walks in the door. I am VERY

selective with who I invite into my practice because I NEVER want to dislike my

patient base. There is not one patient in my practice who I don't enjoy

interacting with and I have no unpaid bills.

We need to build the practices we want ans those that fulfill us professionally

and fiscally and uphold our boundaries. If you don't like the reimbursement rate

of an insurance company...drop them. Tell the patients that have that insurance

why and if they value your services....they'll stay; if not, you don't want them

in your practice (my opinion of course).

-Tim Irving

www.Optfunction.com

[Guest guest]

Okay. I’m with Tim.

Oops.

I’m against Tim.

There; no consensus.

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: dr_tim_irving_dc <TIrving@...>

Date: Wed, 17 Feb 2010 17:42:36 -0000

< >

Subject: Fees..... Our responsibility

Docs,

I have been " lurking " and reading the fees discussion. First of all, I would be adamantly against any organized fee schedule. Docs have different treatment parameters and standards that they hold themselves to and overhead/practice management styles are very variable.

In addition to it being OUR responsibility as both independent providers and a profession as a whole to uphold our own standards of reimbursement (i.e those who are accepting too little should be called to task); it is our right and should be our responsibility to accept nothing less than what we deem to be acceptable.

This is a hard pill to swallow for many providers. I believe strongly that, if " chiro-shoppers " bother us.....don't accept them as patients! There's no one forcing us to accept EVERY patient that call or walks in the door. I am VERY selective with who I invite into my practice because I NEVER want to dislike my patient base. There is not one patient in my practice who I don't enjoy interacting with and I have no unpaid bills.

We need to build the practices we want ans those that fulfill us professionally and fiscally and uphold our boundaries. If you don't like the reimbursement rate of an insurance company...drop them. Tell the patients that have that insurance why and if they value your services....they'll stay; if not, you don't want them in your practice (my opinion of course).

-Tim Irving

www.Optfunction.com

[Guest guest]

Okay. I’m with Tim.

Oops.

I’m against Tim.

There; no consensus.

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: dr_tim_irving_dc <TIrving@...>

Date: Wed, 17 Feb 2010 17:42:36 -0000

< >

Subject: Fees..... Our responsibility

Docs,

I have been " lurking " and reading the fees discussion. First of all, I would be adamantly against any organized fee schedule. Docs have different treatment parameters and standards that they hold themselves to and overhead/practice management styles are very variable.

In addition to it being OUR responsibility as both independent providers and a profession as a whole to uphold our own standards of reimbursement (i.e those who are accepting too little should be called to task); it is our right and should be our responsibility to accept nothing less than what we deem to be acceptable.

This is a hard pill to swallow for many providers. I believe strongly that, if " chiro-shoppers " bother us.....don't accept them as patients! There's no one forcing us to accept EVERY patient that call or walks in the door. I am VERY selective with who I invite into my practice because I NEVER want to dislike my patient base. There is not one patient in my practice who I don't enjoy interacting with and I have no unpaid bills.

We need to build the practices we want ans those that fulfill us professionally and fiscally and uphold our boundaries. If you don't like the reimbursement rate of an insurance company...drop them. Tell the patients that have that insurance why and if they value your services....they'll stay; if not, you don't want them in your practice (my opinion of course).

-Tim Irving

www.Optfunction.com

[Guest guest]

Yea, it's hard to say that there should be a mandate on what we all charge for "Time of Service" fees. I think we have to determine that for our neighborhood, our office etc.. My personal opinion is that sliding scale methods and dirt cheap adjustments make what you do look cheap as well, but thats my opinion.

As it relates to a standard fee of re-imbursement via the insurance industry however, i believe we need a gold standard and MINIMUM re-imbursement rate that includes adjunctive care that is under our scope in order to provide "Chiropractic coverage" to your insured. Again, we should look to the Work Comp reimbursement rates as a guide. This way companies like ASHN, CHP, UNITED etc. etc. would be forced to pay up if they'd like to provide our services. Right now, they're getting too good of deal.

ph Medlin D.C.Spine Tree Chiropractic1607 NE Alberta StPDX, OR 97211503-788-6800

Fees..... Our responsibility Docs,I have been "lurking" and reading the fees discussion. First of all, I would be adamantly against any organized fee schedule. Docs have different treatment parameters and standards that they hold themselves to and overhead/practice management styles are very variable.In addition to it being OUR responsibility as both independent providers and a profession as a whole to uphold our own standards of reimbursement (i.e those who are accepting too little should be called to task); it is our right and should be our responsibility to accept nothing less than what we deem to be acceptable.This is a hard pill to swallow for many providers. I believe strongly that, if "chiro-shoppers" bother us.....don't accept them as patients! There's no one forcing us to accept EVERY patient that call or walks in the door. I am VERY selective with who I invite into my practice because I NEVER want to dislike my patient base. There is not one patient in my practice who I don't enjoy interacting with and I have no unpaid bills.We need to build the practices we want ans those that fulfill us professionally and fiscally and uphold our boundaries. If you don't like the reimbursement rate of an insurance company...drop them. Tell the patients that have that insurance why and if they value your services....they'll stay; if not, you don't want them in your practice (my opinion of course).-Tim Irvingwww.Optfunction.com

[Guest guest]

Yea, it's hard to say that there should be a mandate on what we all charge for "Time of Service" fees. I think we have to determine that for our neighborhood, our office etc.. My personal opinion is that sliding scale methods and dirt cheap adjustments make what you do look cheap as well, but thats my opinion.

As it relates to a standard fee of re-imbursement via the insurance industry however, i believe we need a gold standard and MINIMUM re-imbursement rate that includes adjunctive care that is under our scope in order to provide "Chiropractic coverage" to your insured. Again, we should look to the Work Comp reimbursement rates as a guide. This way companies like ASHN, CHP, UNITED etc. etc. would be forced to pay up if they'd like to provide our services. Right now, they're getting too good of deal.

ph Medlin D.C.Spine Tree Chiropractic1607 NE Alberta StPDX, OR 97211503-788-6800

Fees..... Our responsibility Docs,I have been "lurking" and reading the fees discussion. First of all, I would be adamantly against any organized fee schedule. Docs have different treatment parameters and standards that they hold themselves to and overhead/practice management styles are very variable.In addition to it being OUR responsibility as both independent providers and a profession as a whole to uphold our own standards of reimbursement (i.e those who are accepting too little should be called to task); it is our right and should be our responsibility to accept nothing less than what we deem to be acceptable.This is a hard pill to swallow for many providers. I believe strongly that, if "chiro-shoppers" bother us.....don't accept them as patients! There's no one forcing us to accept EVERY patient that call or walks in the door. I am VERY selective with who I invite into my practice because I NEVER want to dislike my patient base. There is not one patient in my practice who I don't enjoy interacting with and I have no unpaid bills.We need to build the practices we want ans those that fulfill us professionally and fiscally and uphold our boundaries. If you don't like the reimbursement rate of an insurance company...drop them. Tell the patients that have that insurance why and if they value your services....they'll stay; if not, you don't want them in your practice (my opinion of course).-Tim Irvingwww.Optfunction.com