Guest guest Posted March 18, 2006 Report Share Posted March 18, 2006 It's called trying to get something for nothing....with all the liability. I know what I am offering and if patients want to step beyond those boundaries, they need to be dismissed. As Pamela mentioned, you need to create and mold your practice the way YOU see it. Every patient is not a good fit for the tpe of practice you are trying to create. n Bobb-McKoy, MDmkcl6@... wrote: OK, see here is my problem, I am the queen of avoiding conflict. I now have this practice model so I can do everything myself (I do have one staff person) and I really like to just answer the phone and take care of things right then. The vast majority of the time these things are really easily taken care of by me in a few minutes. Its just those pain in the rear (probably axis 2 people according to my husband) who know how to push all my buttons and don't want to come in. I still make them come in and I don't call their meds in, but I don't like it, it makes me uncomfortable to have these arguments or near arguments with these people I am really just trying to help. One lady actually said to me"cha ching, cha ching, there goes the copay cash register". All because I wouldn't call in her antibiotic for otitis. I feel like I have told my patients I'm starting this new practice because my relationship with them means something and I want to provide a level of care that is less hassle for them and more fulfilling for us both. Most of my patients hated the whole "leave a message" with the nurse thing. Now I feel like I need a person to run defense for some of these patients. I probably just need to get a grip. Yahoo! Mail Use Photomail to share photos without annoying attachments. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 18, 2006 Report Share Posted March 18, 2006 Ok Annie, I'm writing that down and putting it by the phone. Thanks P.S. Can you help me with my Mother? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2006 Report Share Posted March 28, 2006 I use the ASK A DOCTOR feature of medfusion's website but not their VOV feature because it's too bulky and expensive to use. My goal is to provide unfettered access and assist patients in the most convenient yet safe way. For "your labs were all normal," I leave them a voicemail. I occasionally fax refills after they leave me a voice mail. For some people that have lost insurance or find it very inconvenient to come in, I ask them to have a VOV via Ask A Doctor. That way, it's confidential and I get paid $25 and it's convenient. I wouldn't do it for ear pain because I have to look in their ear for that. I personally hate going to the doctor so I can understand some people's reluctance. Gwen Hanson drbrock@... wrote: I'm confused. What do you mean that most of your 99212/99213 visits are virtual? Who pays for those? Can you legally even use an E/M CPT code for a non-face to face visit?> > > Date: 2006/03/16 Thu PM 07:39:48 EST> To: < >> Subject: RE: Virtual Office Visits> > I do agree we should not give our skills/care away for free. I'm similar to> your situation in many ways - like to do things efficiently, and most of my> 99212 and 99213's are virtual office visits. I would bring in more revenue> not doing the VOV and making every one come in, but that is not my main> goal. I want a comfortable living, enjoy what I am doing, and help people> improve their health.> > > > A. Eads, M.D.> > Pinnacle Family Medicine, PLLC> > phone fax> > P.O. Box 7275> > Woodland Park, CO 80863> > _____ > > From: > [mailto: ] On Behalf Of mkcl6@...> Sent: Thursday, March 16, 2006 5:34 PM> To: > Subject: Re: Virtual Office Visits> > > > OK, see here is my problem, I am the queen of avoiding conflict. I now have> this practice model so I can do everything myself (I do have one staff> person) and I really like to just answer the phone and take care of things> right then. The vast majority of the time these things are really easily> taken care of by me in a few minutes. Its just those pain in the rear> (probably axis 2 people according to my husband) who know how to push all my> buttons and don't want to come in. I still make them come in and I don't> call their meds in, but I don't like it, it makes me uncomfortable to have> these arguments or near arguments with these people I am really just trying> to help. One lady actually said to me"cha ching, cha ching, there goes the> copay cash register". All because I wouldn't call in her antibiotic for> otitis. I feel like I have told my patients I'm starting this new practice> because my relationship with them means something and I want to provide a> level of care that is less hassle for them and more fulfilling for us both.> Most of my patients hated the whole "leave a message" with the nurse thing.> Now I feel like I need a person to run defense for some of these patients. I> probably just need to get a grip. > > > > Quote Link to comment Share on other sites More sharing options...
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