Re: letter to discharge pt

May 7, 2009

Why wait for three billing cycles? I send one bill and the second one goes with a threat to send to collection in 15 days. Also charge a $10 rebilling fee. Then I sent it to collect at 15 days.

From: [ ] On Behalf Of Wayne Coghill [cwayne59@...]

Sent: Tuesday, May 05, 2009 4:13 PM

To:

Subject: Re: letter to discharge pt

She needs to be billed directly 3 times and sent to a collection agency. I HATE these deadbeats.

Wayne Coghill

Practice Manager

Midtown Primary Care

www.doctorcoghill.com

From: <elaine2mdgmail>

To:

Sent: Tuesday, May 5, 2009 12:38:08 PM

Subject: Re: letter to discharge pt

Daughter Ice skates twice a week. There was no bruising. A very nice 14 yo girl. Does well at school, in leadership class.

I just got of phone w insurance. Unless mom fill out these forms, i will not get paid. They suggest I bill mom directly. I might or just leave it. I am not good with aggressive people. Something uncomfortable in a doc-pt relationship when the doc feels

threatened. I will send out the bill to her at end of month and then close the books. C'est la vie. Thanks for the support as usual guys

On Tue, May 5, 2009 at 8:05 AM, dannielle harwood

<dharwood100sbcglobal (DOT) net> wrote:

I am wondering what the cause of the injury was? Was the story reasonable? Is this mom acting funny because she thinks her daughters injury is being investigated? Perhaps she has a history of a CPS investigation? Just a thought....

Dannielle Harwood, M.D.

letter to discharge pt

I am thinking I need to discharge a pt. Strange story- 14 girl seen urgently as mom called in a panic, sever arm pain for several weeks, not sleeping...so they come in...ends up been rotator cuff, girl back to normal on nsaids. This was in feb 09. Girls

insurance co sends mom ( I get a courtesy copy) a single page form asking if this was do to injury. I wait but nothing so I call mom up...well she freaks out saying I don't know why you are charging for the visit, you only spent 5 mins with her (not true),

you are not the kind of doctor we are looking for (after our visit in feb, they were very happy). so I am thinking mom thinks I am billing her, so I reassured her she only needs to fill out this form so insurance will pay me, I am not billing her, she could

come to office and I would help her fill out...its only one line " if not due to trauma " . To make a long stiry short, she was very rude and hung up on me. She must have some pysche problem. What I don't like is the false hood accusations. So I better get out

now. It is not worth the headaches. What should I say in the letter and how do I know she received it. She might be a little transient too so address might not be good.

--

M.D.

www.elainemd.com

Office:

Go in the directions of your dreams and live the life you've imagined.

This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above.

If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately

and confidentially destroy the information that email in error.

--

M.D.

www.elainemd.com

Office:

Go in the directions of your dreams and live the life you've imagined.

This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above.

If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately

and confidentially destroy the information that email in error.

May 7, 2009

I'm not sure where I stand with single versus multiple payers, but there's a flaw in the logic that equates single payer with rationing.Single payer may be well funded or not. It might have rationing or not. We've heard from those on the list who have lived with nasty and less nasty single payers and we're all living in a nightmare now of multiple payers.Again, I'm really not sure where I stand with this, but the underfunded gatekeeper experience was a near-death experience for primary care and I am wholeheartedly on the side that wants to avoid a repeat of that experience.I'm also wholeheartedly on the side of exiting what we have now.GordonSure hope you are wrong about the one payer thing. I went through the rationing of the 8o's under HMO's and patients hated it. IF we have one payer it will be unaffordable unless there is severe rationing like the other countries who have it now.From: [ ] On Behalf Of [elaine2mdgmail]Sent: Wednesday, May 06, 2009 8:27 AMTo: Subject: Re: Re: letter to discharge ptThings will get better. Single payer will slowly come but over many years. First they will cover kids. I heard those who make less than $70000 will qualify...that will be my kids . (Since my husband lost his job, I think we even qualify for food stamps!) Then they will be lower the age of medicare first to 60 then to 55. Those proposal could pass the legislature, then as this becomes a norm, and people take it for granted....they can start offering it to other groups. Slowly over time, everyone will be covered. Not possible to do it all at once because of the big buck behind keeping the status quo. I never dreamed that becoming a doctor, all that invested time and money has left me near poverty level??? Why did I ever move to the US? I am going to hang in there for 5 years (so as not to pay the malpractice tail end..how much is that anyway?) adn see how all this pans out. What keeps me sane in all this I know I can move back to Canada and make a decent living. I thank God for that. On Wed, May 6, 2009 at 7:04 AM, Bleiweiss <hockeyref1> wrote:We try to stay on top of who has deductables and especially at the begining of the year or if they have not had any or few visits (regular little deductable like $250 per vs. HSA of $2000 or more) and collect what we call an "est towards payment" since the carrier isn't going to pay for that visit... So if I know BC is paying around $65 bucks I collect at least $60 and let the billing company go after that last $5-$10 bucks... but at least we know we go the majority of what we should expect for that kind of a visit... Co-Pays we are collecting up front execpt of CPE's because each plan is so different as to whether or not they have a copay with a well care visit... But if we know for sure then we capture those too... It's not perfect but it certainly has cut down the growth of our A/R... We usually are collecting somewhere in the area of $200-$400 bucks a week at the front desk now especially with a PIFATOS or two because they have no coverage or we don't PAR with their carrier.... Speaking of which it is almost time for us to send our UHC letter to UHC and start getting away from them... So what they never call us or even tell us when our provider rep changes... So what we have almost half a dozen of their patients who want to do Suboxone therapy with them and they won't even give us the time of day.... So what that they can't even be bothered to raise her fees to something above instead of seriously below present day Medicare fee schedule.... We need to consider the poor patients first.... You should see our rusted out winter rat Jeep, our falling down fence and our going to collapse with the weight of the snow roof over our family room/garage.... This is what we sacraficed so much for to get thru med school and residency for??? If we were simply est teachers in our own school district we would have full bennies including a better health plan than we can afford right now, ,all hodlidays and summers off with our kids... Be home by 4 o'clock to hang out with them and make them dinner and play with them more often and we would certainly be bringing home more than we are right now.... Oh and our bank is about to screw us on redoing our loans even as the govt lends them tons of money to make credit available and keeps 's fee artificially low and controlled for their friends in the for profit health insurance industry.... I did think of one interesting economic impact if single payor was ever adopted.... Think of the millions of people across the country on both the provider's and the carriers' side who are involved in some form of dealing with the present non-system... referal and auth's too not just billing and collections... no less private collection agencies that then take a piece of our profits just for perhaps getting us paid two thirds of what we were owed.... Shutting down the present non system would have a negative ripple effect for years to come on all these folks who are now obsolete and all their supposed skills are no longer in demand what so ever... Much like the transcriptionist that still come by our place looking to pick up some work.... AC and other EMR's have made them obsolete... Sounds like the Twight Zone when Burguss Merrideth played the librarian who was deemed obsolete.... It's true though. The economic dislocation of all these millions of paper pushers, claims adjusters, prior auth nurses and referal people, no less middle and upper managment in all these carriers would all be out of a job.... Because all docs could be almost IMP's if they wanted to be. Back to the days of hubby and wife running the practice like we are trying to do but going crazy from all the BS thurst upon us by the non system to feed all the piggies at the tough... Sometimes I wonder if that is half the reason none of the politico's really want to attempt single payor, because unemployment would rise like so many fold each and every time another carrier closed major sections of it business... No less all the shareholders in these mega carriers too. Remember behind every CEO and CFO is a large group of shareholders including major pension funds too. We the people actually own more of Corporate America than we even admit too... If we would only be able to vote our shares in line with our beliefs, we could change this country almost immediately... But how many people besides doctors who stand to gain by dismattling the present non system wouldl be willing to loose their shirts and possibly their retirement and pensions to finally rid ourselves of these carpet baggers and robber barons???? Really....From: Aruna <arunanathanmsn>To: practiceimprovement1 Sent: Tuesday, May 5, 2009 7:00:15 PMSubject: RE: Re: letter to discharge ptDo any of you collect deductibles upfront? Is there a way? Most of our unpaid invoices are because of the money the patients owe towards their deductibles. Sometimes the patients don't understand that they have a deductible to meet.-ArunaTo: Practiceimprovement 1yahoogroups (DOT) comFrom: roxywiblecomcast (DOT) netDate: Tue, 5 May 2009 22:25:40 +0000Subject: [Practiceimprovemen t1] Re: letter to discharge ptSo , how do you prevent a recurrence? Make thosewith deductibles pay upfront?~ Pamela> > > > > I am wondering what the cause of the injury was? Was the story reasonable? Is this mom acting funny because she thinks her daughters injury is being investigated? Perhaps she has a history of a CPS investigation? Just a thought....> Dannielle Harwood, M.D.> [Practiceimprovemen t1] letter to discharge pt> > I am thinking I need to discharge a pt. Strange story- 14 girl seen urgently as mom called in a panic, sever arm pain for several weeks, not sleeping...so they come in...ends up been rotator cuff, girl back to normal on nsaids. This was in feb 09. Girls insurance co sends mom ( I get a courtesy copy) a single page form asking if this was do to injury. I wait but nothing so I call mom up...well she freaks out saying I don't know why you are charging for the visit, you only spent 5 mins with her (not true), you are not the kind of doctor we are looking for (after our visit in feb, they were very happy). so I am thinking mom thinks I am billing her, so I reassured her she only needs to fill out this form so insurance will pay me, I am not billing her, she could come to office and I would help her fill out...its only one line "if not due to trauma". To make a long stiry short, she was very rude and hung up on me. She must have some pysche problem. What I> don't like is the false hood accusations. So I better get out now. It is not worth the headaches. What should I say in the letter and how do I know she received it. She might be a little transient too so address might not be good.> > -- > M.D.> www.elainemd. com> Office: > Go in the directions of your dreams and live the life you've imagined.> This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. > > > > If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. > > > > -- > M.D.> www.elainemd. com> Office: > Go in the directions of your dreams and live the life you've imagined.> This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. > > > > If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.>-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

May 7, 2009

I like that rebilling fee...I'll keep it in mind.

I have (as well as do) transferred records to a new PCP. So far, NO ONE has paid my 75 cents fee. NO ONE. I'm threatening all with collections. Legally can't hold records. ARG...

To: " " < >Sent: Wednesday, May 6, 2009 7:08:08 PMSubject: RE: letter to discharge pt

Why wait for three billing cycles? I send one bill and the second one goes with a threat to send to collection in 15 days. Also charge a $10 rebilling fee. Then I sent it to collect at 15 days.

From: Practiceimprovement 1yahoogroups (DOT) com [Practiceimprovemen t1yahoogroups (DOT) com] On Behalf Of Wayne Coghill [cwayne59verizon (DOT) net]Sent: Tuesday, May 05, 2009 4:13 PMTo: Practiceimprovement 1yahoogroups (DOT) comSubject: Re: [Practiceimprovemen t1] letter to discharge pt

She needs to be billed directly 3 times and sent to a collection agency. I HATE these deadbeats. Wayne CoghillPractice ManagerMidtown Primary Carewww.doctorcoghill. com

From: <elaine2mdgmail (DOT) com>To: Practiceimprovement 1yahoogroups (DOT) comSent: Tuesday, May 5, 2009 12:38:08 PMSubject: Re: [Practiceimprovemen t1] letter to discharge pt

Daughter Ice skates twice a week. There was no bruising. A very nice 14 yo girl. Does well at school, in leadership class.

I just got of phone w insurance. Unless mom fill out these forms, i will not get paid. They suggest I bill mom directly. I might or just leave it. I am not good with aggressive people. Something uncomfortable in a doc-pt relationship when the doc feels threatened. I will send out the bill to her at end of month and then close the books. C'est la vie. Thanks for the support as usual guys

On Tue, May 5, 2009 at 8:05 AM, dannielle harwood <dharwood100@ sbcglobal. net> wrote:

I am wondering what the cause of the injury was? Was the story reasonable? Is this mom acting funny because she thinks her daughters injury is being investigated? Perhaps she has a history of a CPS investigation? Just a thought....

Dannielle Harwood, M.D.

[Practiceimprovemen t1] letter to discharge pt

I am thinking I need to discharge a pt. Strange story- 14 girl seen urgently as mom called in a panic, sever arm pain for several weeks, not sleeping...so they come in...ends up been rotator cuff, girl back to normal on nsaids. This was in feb 09. Girls insurance co sends mom ( I get a courtesy copy) a single page form asking if this was do to injury. I wait but nothing so I call mom up...well she freaks out saying I don't know why you are charging for the visit, you only spent 5 mins with her (not true), you are not the kind of doctor we are looking for (after our visit in feb, they were very happy). so I am thinking mom thinks I am billing her, so I reassured her she only needs to fill out this form so insurance will pay me, I am not billing her, she could come to office and I would help her fill out...its only one line "if not due to trauma". To make a long stiry short, she was very rude and hung up on me. She must have some pysche

problem. What I don't like is the false hood accusations. So I better get out now. It is not worth the headaches. What should I say in the letter and how do I know she received it. She might be a little transient too so address might not be good.

-- M.D.www.elainemd. comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

May 7, 2009

That was part of the multipayer option, remember.

JB

From:

[mailto: ] On Behalf Of Kennedy, Jim

Sent: Wednesday, May 06, 2009 7:01 PM

To:

Subject: RE: Re: letter to discharge pt

Sure hope you are wrong about the one payer thing. I went through

the rationing of the 8o's under HMO's and patients hated it. IF we have one

payer it will be unaffordable unless there is severe rationing like the other

countries who have it now.

From: [ ]

On Behalf Of [elaine2md@...]

Sent: Wednesday, May 06, 2009 8:27 AM

To:

Subject: Re: Re: letter to discharge pt

Things will get better. Single payer will slowly come but

over many years. First they will cover kids. I heard those who make less than

$70000 will qualify...that will be my kids . (Since my husband lost his job, I

think we even qualify for food stamps!) Then they will be lower the age of

medicare first to 60 then to 55. Those proposal could pass the legislature,

then as this becomes a norm, and people take it for granted....they can start

offering it to other groups. Slowly over time, everyone will be covered. Not

possible to do it all at once because of the big buck behind keeping the status

quo. I never dreamed that becoming a doctor, all that invested time and money

has left me near poverty level??? Why did I ever move to the US? I am

going to hang in there for 5 years (so as not to pay the malpractice tail

end..how much is that anyway?) adn see how all this pans out.

What keeps me sane in all this I know I can move back to Canada and make a

decent living. I thank God for that.

We

try to stay on top of who has deductables and especially at the begining of the

year or if they have not had any or few visits (regular little deductable like

$250 per vs. HSA of $2000 or more) and collect what we call an " est

towards payment " since the carrier isn't going to pay for that visit... So

if I know BC is paying around $65 bucks I collect at least $60 and let the

billing company go after that last $5-$10 bucks... but at least we know we go

the majority of what we should expect for that kind of a visit... Co-Pays we

are collecting up front execpt of CPE's because each plan is so different

as to whether or not they have a copay with a well care visit... But if we know

for sure then we capture those too... It's not perfect but it certainly has cut

down the growth of our A/R... We usually are collecting somewhere in the area

of $200-$400 bucks a week at the front desk now especially with a PIFATOS or

two because they have no coverage or we don't PAR with their carrier....

Speaking

of which it is almost time for us to send our UHC letter to UHC and start

getting away from them... So what they never call us or even tell us when our

provider rep changes... So what we have almost half a dozen of their patients

who want to do Suboxone therapy with them and they won't even give us the

time of day.... So what that they can't even be bothered to raise her fees to

something above instead of seriously below present day Medicare fee

schedule.... We need to consider the poor patients first.... You should see our

rusted out winter rat Jeep, our falling down fence and our going to collapse

with the weight of the snow roof over our family room/garage.... This is what

we sacraficed so much for to get thru med school and residency for??? If

we were simply est teachers in our own school district we would have full

bennies including a better health plan than we can afford right now, ,all

hodlidays and summers off with our kids... Be home by 4 o'clock to hang out

with them and make them dinner and play with them more often and we would

certainly be bringing home more than we are right now.... Oh and our bank is

about to screw us on redoing our loans even as the govt lends them tons of

money to make credit available and keeps 's fee artificially low and

controlled for their friends in the for profit health insurance industry....

I

did think of one interesting economic impact if single payor was ever adopted....

Think of the millions of people across the country on both the provider's and

the carriers' side who are involved in some form of dealing with the present

non-system... referal and auth's too not just billing and collections... no

less private collection agencies that then take a piece of our profits just for

perhaps getting us paid two thirds of what we were owed.... Shutting down the

present non system would have a negative ripple effect for years to come on all

these folks who are now obsolete and all their supposed skills are no longer in

demand what so ever... Much like the transcriptionist that still come by our

place looking to pick up some work.... AC and other EMR's have made them

obsolete... Sounds like the Twight Zone when Burguss Merrideth played the

librarian who was deemed obsolete.... It's true though. The economic

dislocation of all these millions of paper pushers, claims adjusters, prior

auth nurses and referal people, no less middle and upper managment in all these

carriers would all be out of a job.... Because all docs could be almost IMP's

if they wanted to be. Back to the days of hubby and wife running the practice

like we are trying to do but going crazy from all the BS thurst upon us by the

non system to feed all the piggies at the tough...

Sometimes

I wonder if that is half the reason none of the politico's really want to

attempt single payor, because unemployment would rise like so many fold each

and every time another carrier closed major sections of it business... No less

all the shareholders in these mega carriers too. Remember behind every CEO and

CFO is a large group of shareholders including major pension funds too. We the

people actually own more of Corporate America than we even admit too... If we

would only be able to vote our shares in line with our beliefs, we could change

this country almost immediately... But how many people besides doctors who

stand to gain by dismattling the present non system wouldl be willing to loose

their shirts and possibly their retirement and pensions to finally rid

ourselves of these carpet baggers and robber barons???? Really....

To: practiceimprovement1

Sent: Tuesday, May 5, 2009 7:00:15 PM

Subject: RE: Re: letter to discharge pt

Do any of you

collect deductibles upfront? Is there a way? Most of our unpaid invoices

are because of the money the patients owe towards their deductibles.

Sometimes the patients don't understand that they have a deductible to meet.

-Aruna

To: Practiceimprovement

1yahoogroups (DOT) com

From: roxywiblecomcast (DOT) net

Date: Tue, 5 May 2009 22:25:40 +0000

Subject:

[Practiceimprovemen t1] Re: letter to discharge pt

So , how do you prevent a recurrence? Make those

with deductibles pay upfront?

~ Pamela

>

> I am wondering what the cause of the injury was? Was the story reasonable?

Is this mom acting funny because she thinks her daughters injury is being

investigated? Perhaps she has a history of a CPS investigation? Just a

thought....

> Dannielle Harwood, M.D.

> [Practiceimprovemen t1] letter to discharge pt

>

> I am thinking I need to discharge a pt. Strange story- 14 girl seen

urgently as mom called in a panic, sever arm pain for several weeks, not sleeping...so

they come in...ends up been rotator cuff, girl back to normal on nsaids. This

was in feb 09. Girls insurance co sends mom ( I get a courtesy copy) a

single page form asking if this was do to injury. I wait but nothing so I call

mom up...well she freaks out saying I don't know why you are charging for the

visit, you only spent 5 mins with her (not true), you are not the kind of

doctor we are looking for (after our visit in feb, they were very happy). so I

am thinking mom thinks I am billing her, so I reassured her she only needs to

fill out this form so insurance will pay me, I am not billing her, she could

come to office and I would help her fill out...its only one line " if not

due to trauma " . To make a long stiry short, she was very rude

and hung up on me. She must have some pysche problem. What I

> don't like is the false hood accusations. So I better get out now. It is

not worth the headaches. What should I say in the letter and how do I know she

received it. She might be a little transient too so address might not be good.

>

> --

> M.D.

> www.elainemd. com

> Office:

> Go in the directions of your dreams and live the life you've imagined.

> This email transmission may contain protected and privileged, highly

confidential medical, Personal and Health Information (PHI) and/or legal

information. The information is intended only for the use of the individual or

entity named above.

>

> If you are not the intended recipient of this material, you may not use,

publish, discuss, disseminate or otherwise distribute it. If you are not the

intended recipient, or if you have received this transmission in error, please

notify the sender immediately and confidentially destroy the information that

email in error.

>

> --

> M.D.

> www.elainemd. com

> Office:

> Go in the directions of your dreams and live the life you've imagined.

> This email transmission may contain protected and privileged, highly

confidential medical, Personal and Health Information (PHI) and/or legal

information. The information is intended only for the use of the individual or

entity named above.

>

> If you are not the intended recipient of this material, you may not use,

publish, discuss, disseminate or otherwise distribute it. If you are not the

intended recipient, or if you have received this transmission in error, please

notify the sender immediately and confidentially destroy the information that

email in error.

>

--

M.D.

www.elainemd.com

Office:

Go in the directions of your dreams and live the life you've imagined.

This email transmission may contain protected and privileged, highly

confidential medical, Personal and Health Information (PHI) and/or legal

information. The information is intended only for the use of the individual or

entity named above.

If you are not the intended recipient of this material, you may not use,

publish, discuss, disseminate or otherwise distribute it. If you are not the

intended recipient, or if you have received this transmission in error, please

notify the sender immediately and confidentially destroy the information that

email in error.

May 7, 2009

75 cents? Blake! Honey ten bucks please. MAke it worth the stamp!LoveJean

I like that rebilling fee...I'll keep it in mind.

I have (as well as do) transferred records to a new PCP. So far, NO ONE has paid my 75 cents fee. NO ONE. I'm threatening all with collections. Legally can't hold records. ARG...

To: " " < >

Sent: Wednesday, May 6, 2009 7:08:08 PMSubject: RE: letter to discharge pt

Why wait for three billing cycles? I send one bill and the second one goes with a threat to send to collection in 15 days. Also charge a $10 rebilling fee. Then I sent it to collect at 15 days.

From: Practiceimprovement 1yahoogroups (DOT) com [Practiceimprovemen t1yahoogroups (DOT) com] On Behalf Of Wayne Coghill [cwayne59verizon (DOT) net]Sent: Tuesday, May 05, 2009 4:13 PM

To: Practiceimprovement 1yahoogroups (DOT) comSubject: Re: [Practiceimprovemen t1] letter to discharge pt

She needs to be billed directly 3 times and sent to a collection agency. I HATE these deadbeats. Wayne CoghillPractice ManagerMidtown Primary Carewww.doctorcoghill. com

From: <elaine2mdgmail (DOT) com>To: Practiceimprovement 1yahoogroups (DOT) comSent: Tuesday, May 5, 2009 12:38:08 PM

Subject: Re: [Practiceimprovemen t1] letter to discharge pt

Daughter Ice skates twice a week. There was no bruising. A very nice 14 yo girl. Does well at school, in leadership class.

I just got of phone w insurance. Unless mom fill out these forms, i will not get paid. They suggest I bill mom directly. I might or just leave it. I am not good with aggressive people. Something uncomfortable in a doc-pt relationship when the doc feels threatened. I will send out the bill to her at end of month and then close the books. C'est la vie. Thanks for the support as usual guys

On Tue, May 5, 2009 at 8:05 AM, dannielle harwood <dharwood100@ sbcglobal. net> wrote:

I am wondering what the cause of the injury was? Was the story reasonable? Is this mom acting funny because she thinks her daughters injury is being investigated? Perhaps she has a history of a CPS investigation? Just a thought....

Dannielle Harwood, M.D.

[Practiceimprovemen t1] letter to discharge pt

I am thinking I need to discharge a pt. Strange story- 14 girl seen urgently as mom called in a panic, sever arm pain for several weeks, not sleeping...so they come in...ends up been rotator cuff, girl back to normal on nsaids. This was in feb 09. Girls insurance co sends mom ( I get a courtesy copy) a single page form asking if this was do to injury. I wait but nothing so I call mom up...well she freaks out saying I don't know why you are charging for the visit, you only spent 5 mins with her (not true), you are not the kind of doctor we are looking for (after our visit in feb, they were very happy). so I am thinking mom thinks I am billing her, so I reassured her she only needs to fill out this form so insurance will pay me, I am not billing her, she could come to office and I would help her fill out...its only one line " if not due to trauma " . To make a long stiry short, she was very rude and hung up on me. She must have some pysche

problem. What I don't like is the false hood accusations. So I better get out now. It is not worth the headaches. What should I say in the letter and how do I know she received it. She might be a little transient too so address might not be good.

-- M.D.www.elainemd. comOffice: Go in the directions of your dreams and live the life you've imagined.

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ph fax impcenter.org

May 7, 2009

oops, sorry that's 75 cents PER PAGE, maximum $25.00.

To: Sent: Thursday, May 7, 2009 8:51:18 AMSubject: Re: letter to discharge pt

75 cents? Blake! Honey ten bucks please. MAke it worth the stamp!LoveJean

On Thu, May 7, 2009 at 8:32 AM, nancy blake <nancycblake@ yahoo.com> wrote:

I like that rebilling fee...I'll keep it in mind.

I have (as well as do) transferred records to a new PCP. So far, NO ONE has paid my 75 cents fee. NO ONE. I'm threatening all with collections. Legally can't hold records. ARG...

From: "Kennedy, Jim" <jim.kennedy@ ucdenver. edu>To: "Practiceimprovement 1yahoogroups (DOT) com" <Practiceimprovement 1yahoogroups (DOT) com>Sent: Wednesday, May 6, 2009 7:08:08 PMSubject: RE: [Practiceimprovemen t1] letter to discharge pt