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re: General PSA to patients from healthcare providers: What we want you to know
Posted on 1/18/17 at 10:06 pm to Bleeding purple
Posted on 1/18/17 at 10:06 pm to Bleeding purple
i would have though patient compliance would be among the things that annoy you.
0
Posted on 1/18/17 at 10:07 pm to TheCurmudgeon
quote:
That being said, if I made one of my doc clients wait 45 minutes after their scheduled appointment to see me, I'd be out of business.
The difference is that you don't make your money exclusively by meeting with your client. You can afford to schedule appointments an hour apart because you can bill by the hour for work done outside of the client meeting. Physicians that see patients in a clinic setting are only paid for the actual office visit and procedures performed with the patient in front of them. So, we have to maximize patient volume in order to maximize revenue. While higher volume can lead to higher revenue in a lot of other professions (i.e., the big money lawsuit or big corporate insurance account can dramatically increase another professional's revenue).
Another issue not brought up in this thread yet, at least this time, is no shows. I'd love to spread my patients out and be able to spend more time with each of them. But if I have 20 patients scheduled in a half day, I'm very likely to have 4-6 no call/no shows, sometimes more. So, I'm going to continue to overbook until my patient base can prove they won't no show consistently. Unfortunately, this means longer wait times because I can't predict (at least not always) which patients won't show up. If it's the last 4 patients of the morning, then the early patients will be stacked up because of this overbooking. Fortunately, they usually are scattered throughout the day, so we've somewhat figured out the best way to deal with this problem. It's not an exact science though.
This post was edited on 1/18/17 at 10:13 pm
Posted on 1/18/17 at 10:10 pm to yellowfin
quote:
Most GPs and internist aren't coming close to 180k
Really?
Posted on 1/18/17 at 10:10 pm to Bleeding purple
So what do you suggest a patient do if they need to see a doc For multiple issues? Let the scheduler know in advance? Does that mean you'll schedule the next patients appointment 15 minutes later to account for the multiple ailments?
frick no it doesn't. You'll keep the same number of patients on the schedule.
Do you think people should schedule separate appointments for separate issues so they have to wait an hour each time? Nah
frick no it doesn't. You'll keep the same number of patients on the schedule.
Do you think people should schedule separate appointments for separate issues so they have to wait an hour each time? Nah
Posted on 1/18/17 at 10:18 pm to PTBob
quote:
So what do you suggest a patient do if they need to see a doc For multiple issues? Let the scheduler know in advance?
Most docs have built in short slots and long slots. In my practice, if you call and say you need to come in because you woke up with an eye infection, you go into a short slot because I expect that to take less time than someone coming in for a complete eye exam. If you tell me when you get there that your eye was slightly bothering you when you woke up, but you really need a new prescription for glasses and were hoping to be able to get your yearly exam done, then I'm going to make sure you don't have an acute problem and tell you to reschedule your yearly exam. This issue happens multiple times a week in my practice.
Posted on 1/18/17 at 10:22 pm to 6R12
Wish I could fricking takeoff my bill $50 every 15 minutes I'm stranded waiting after appointment time
Posted on 1/18/17 at 10:29 pm to 6R12
quote:
Not all doctor visits are like that but there are a few that take 2 hours to get called to go in the bac
Do you know why? Do you think the doctor is in the back screwing around? It's more likely they have encountered a patient with an urgent issue that requires more time than was allotted. Now, if you say that they should schedule fewer patients. then you are recommending reduced access for patients.
Posted on 1/18/17 at 10:31 pm to Jake88
quote:
Do you think the doctor is in the back screwing around?
No. I think they're bad at time management. It's obvious that this is a recurring issue.
Posted on 1/18/17 at 10:35 pm to Bleeding purple
Stop thinking and behaving like you're above us. Stop getting people at the front desk to ask us for our insurance card so they can make a copy when you already have a copy. And don't bitch when your plumber shows up an hour late. And definitely don't ask him to call you doctor . Thanks
Oh and don't bill me or my insurance for a 15 minute visit when you only spend five minutes with me.
Oh and don't bill me or my insurance for a 15 minute visit when you only spend five minutes with me.
This post was edited on 1/18/17 at 10:39 pm
Posted on 1/18/17 at 10:40 pm to Bleeding purple
If you don't like it quit
Posted on 1/18/17 at 10:45 pm to Mo Jeaux
It seems to happen more with surgeons or those who perform procedures during the morning. It can be frustrating, obviously. IMO, and I figure it's not much value to others, waits for healthcare are far more acceptable than all the other crap we wait for in our lives. People will wait an hour for a mediocre restaurant or for a ride at an amusement park and think very little of it, but then complain about a wait for a medical issue.
Posted on 1/18/17 at 10:53 pm to Bleeding purple
"Health Providers, please feel free to chime in"
Posted on 1/18/17 at 11:23 pm to Isabelle81
Ah, that makes sense. What did you do in healthcare?
This post was edited on 1/19/17 at 12:35 am
Posted on 1/19/17 at 12:09 am to medtiger
Spot on! Huge problem that I failed to mention. And my practice is a concierge practice. It makes no difference. Wait times are still dictated by patients with a laundry list of ailments after being seen for the problem they made the appointment for. Trust me when I say that Drs , nurses , MEs , etc don't want folks to be waiting longer than necessaary. As I said before , we can't just tell the "problem" patients to get lost. If we did that , we would never acquire new patients as those scumbag patients would rant and race all over the net saying how rude we were, how we have no bedside manners (laughable when your talking about a private practice) and that the Dr doesn't care. People suck! Everyone in this thread knows that. It doesn't change at a Drs office.
Posted on 1/19/17 at 12:12 am to Bleeding purple
quote:
paying your bill would be appreciated.
Talk to Uncle Sam bub.
Posted on 1/19/17 at 12:12 am to PTBob
No. Do just what you said previously. Let them know that you're coming and you'll need an extended appointment. I don't know about the OP but at my office , we would accommodate that and give you a bigger "window" for your appointment. Most likely try to make you the last patient of the day.
Posted on 1/19/17 at 12:14 am to Jake88
quote:
recommending reduced access for patients.
It would probably be better for the docs and the real patients.
Posted on 1/19/17 at 12:22 am to LSUTANGERINE
I dont think nor claim to be. However, I have never done any of those things in the OP.
Insurances change, premiums dont get paid, patients forget and lie, so we have to verify every pt every visit.
Depends on the reasoning for him being late.
We dont bill office visits by time but by complexity. I dont introduce myself to others or ask that they call me doctor outside of a medical encounter.
Insurances change, premiums dont get paid, patients forget and lie, so we have to verify every pt every visit.
Depends on the reasoning for him being late.
We dont bill office visits by time but by complexity. I dont introduce myself to others or ask that they call me doctor outside of a medical encounter.
Posted on 1/19/17 at 12:49 am to Bleeding purple
Sound a little burned out. How long have you been in practice
Posted on 1/19/17 at 12:57 am to Bleeding purple
Hang that in your waiting room.
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