That PP knows a little but thinks he knows a lot. |
Did you miss the words "in other body parts"? |
Yeah, pay no mind to the billionaire Sackler family clan at the top. Who remain filthy rich and didn’t spend a minute in jail for a mass slaughter. |
Look again. |
| Somewhere between Central Park and the taxi he ditches the e-bike. |
I have a lot of experience with many hospitals and I promise you majority of their physicians are hospital employed. Now, every few years salaries and contacts are renegotiated and salary is configured according to their previous years productivity per RVU, but intimately, it is the hospital that decides what to pay the physicians. Very few are independent |
+1 it’s the for-profit nature of the industry that’s abhorrent for many. Then you layer on top if the the denial rate and you land where many people are with this situation |
Dr., you identify part of the problem. Your healthcare colleagues are ordering unnecessary tests. Your colleagues are ordering unnecessary controlled substances. You forgot about the upcoding, recoding, and unbundling when it comes to your billing - all done for profit or at patients’ requests so that care that they did not purchase coverage for would be paid. I worked in healthcare before DRGs, precertifications, utilization review and those techniques used to ensure that care is both reasonable and medically necessary and also covered under the applicable policy even existed. I saw the abuse. And it still happens - how often do we read even on DCUM advice to demand your provider recode the diagnosis or treatment so insurance will pay. There are big problems starting with employers offering less than stellar insurance resulting in lack of coverage or unaffordable deductibles and copays for necessary medical treatment. But medical providers should not pretend they are not part of the problem. And historically they may actually by the catalyst for the system we now have. |
The PP you are responding to is an idiot who doesn’t understand what a CPT code even is. You gave him more time than he deserved or can comprehend. I hope your child is okay now. |
They're not independent, but outside of the major medical centers, the specialists are not employed by the hospital. They either work for groups that contract with the hospital, or they have to accept unassigned call at the hospital in order to maintain privileges there. |
So do a CT scan, and then a MRI? You sound like a brain doctor.
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Do you understand that CT scans are *far* cheaper than MRIs? |
And even when doctors are affiliated with the hospital system, their compensation is often driven by the procedures they do. |
Probably a doctor. Mary Clare Haver and other menopause doctors talk about how they were taught in college that women are crazy when describing symptoms that don’t make sense and/or are persistent. I can’t remember the term. There’s a lot of disdain for women in medicine. Just look at the recent-ish study showing that women survive surgery at a higher rate if the surgeon is a woman. |
Some, but not most. Of those “some there needs to be many, for instance a large anesthesia group or GI group. But most specialists aren’t part of large groups; most others are employed by the hospital, especially the highly specialized |