What if Starbucks billed like ICD-10?

Ah, yes, ICD-10 is coming!  Yes, the new coding system with 10 times more codes than the previous is slated to go live in 2011.  Much of the world now uses ICD-10 because it has more codes, as apparently, we are running out of codes.  You, my beloved provider, will be shouldering the burden of [...]

Billing for Phone Calls: Acceptable Practice or Reptilian Behavior?

My trusty health insurance, for which I pay handsomely, (yes, I am self-insured) sent me an email titled, “Calls could cost you.” It states that calling your physician may cost you. I quote:
“Many times people call their doctor to ask a question, resolve a concern, or ask about a referral. Traditionally, doctors haven’t charged to [...]

Resuscitating Primary Care: Part II

All right, pencils out, notebooks at the ready!  Quiz to follow!  Here is Part II of Resuscitating Primary Care.  At our last session, we noted the primary care was indeed a “code-blue/COR-0″.  As promised, I will apply my laser sharp focus to “fixing” this problem.
Buckle up!
You are a shrink. This is another unavoidable issue.  [...]

Resuscitating Primary Care, Part I

 
As promised, I will turn my laser like focus to the task of “fixing” primary care.  I will examine both micro and macro ways of doing this, coming up with to do lists that physicians can implement in their practices as well as global suggestions that will take shifts in health care policy.  (Which only we [...]

Black Tuesday For Primary Care: Why Physicians Would Rather Do Anything Else

I have been in practice for 15 years, and most of my colleagues hate primary care.  (Remember, I come from a cohort of internists, the ones that should be the defenders primary care!)  In my rovings as the ExtraMD I still do some primary care, to keep me honest, and to remind me how hard [...]

10 Ways to Waste Money in Primary Care

Continuing on the primary care waste theme  (no, primary care is NOT a waste!),  I would like to give you my 10 top ways that primary care physicians waste money. 
10 TOP WAYS TO WASTE MONEY IN PRIMARY CARE:
1) Open the office at 9:00, close at 5:00 and have 90 minute lunch. 
This practice started back in [...]