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re: Going to a Nurse Practitioner is Like Going to a Paralegal for Legal Advice
Posted on 3/23/16 at 2:13 pm to MSMHater
Posted on 3/23/16 at 2:13 pm to MSMHater
I don't know all the details! haha. I just think tech is the only thing that makes sense as a savior to us and our health/costs. I couldn't have imagined drones or VR would be where they are today. I cannot imagine what we will have in 20 years.
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Posted on 3/23/16 at 2:15 pm to roguetiger15
quote:
how is he scamming?
IN THEORY, to make that much in reimbursed mental health payments would require him to see a patient load that is completely impossible to accomplish. But billing for, and getting paid for, the service is still really easy. Especially if there are created/documented encounters for each billed service/visit. So a good mental healthcare scammer will have "associates" (nursing homes, private prisons, ambulance services, etc...) that could feasibly refer that volume of patient to the practice, create encounter documentations for all of them, bill them all out, all the while seeing a normal/reduced patient load in reality.
Mental health facilities, and ambulance companies, are some of the most ripe entities for healthcare fraud.
Posted on 3/23/16 at 2:16 pm to PolyPusher86
The urgent care place that I go to, I see a doctor.
Posted on 3/23/16 at 2:21 pm to Womski
quote:
I've never had a high opinion of general practice physicians, I think it's obvious they didn't exactly set medical school on fire, and typically have no idea how to diagnose your issue and just nod while scribbling a Rx for whatever drug they are being paid to push.
Yeah you try medical school and get back to me on your opinion of "not setting medical school on fire".
If you pass medical school, you've accomplished something few have the determination to even attempt to get into.
Posted on 3/23/16 at 2:22 pm to Goldrush25
quote:
PAs have licenses.
Sorry, I though my edit went through.
Was sating both are mid-levels with the NP having ability to be true Independent Licensed Practitioner.
Posted on 3/23/16 at 2:24 pm to yat70458
quote:
IN THEORY, to make that much in reimbursed mental health payments would require him to see a patient load that is completely impossible to accomplish. But billing for, and getting paid for, the service is still really easy. Especially if there are created/documented encounters for each billed service/visit. So a good mental healthcare scammer will have "associates" (nursing homes, private prisons, ambulance services, etc...) that could feasibly refer that volume of patient to the practice, create encounter documentations for all of them, bill them all out, all the while seeing a normal/reduced patient load in reality.
his revenue from medicare/Medicaid payment is the smallest amount compared to his overall pay. he only bills medicare/Medicaid for the patients he sees in his own clinic. he does not bill for the rounds at the nursing home/inpatient hospital/day program. like is said earlier his main form of payment is from monthly stipends to round at those facilities. Stipends to medical professionals to make rounds is routine and in general the most common way of payment.
This post was edited on 3/23/16 at 2:26 pm
Posted on 3/23/16 at 2:27 pm to taylork37
Sounds like everyone in this thread are low life's who are riding the coat tails of their np wives
Posted on 3/23/16 at 2:29 pm to Kcoyote
quote:
Yeah you try medical school and get back to me on your opinion of "not setting medical school on fire".
The trolling is getting worse.
Posted on 3/23/16 at 2:30 pm to roguetiger15
quote:
he does not bill for the rounds at the nursing home/inpatient hospital/day program. like is said earlier his main form of payment is from monthly stipends to round at those facilities.
And me, thinking as if I was the administrator for any of these facilities, would ask "Why is it cost effective to pay the contracted psych services a stipend so high that I would be unable to make my money back when I have to bill MCR/MCD?"
The total "worth" (yes, it's crass) of mental health services for those patients is only the medicare allowable for mental services in a given day. And the frequency with which they can get those services is limited. So the facility would have to bill enough of those services to still profit after paying your bro his crazy fat stipend.
Everyone questioning you already realizes the "value" of those patient services doesn't match up with what bro is bringing home. So they assume he's lying to you, or scamming medicare. I'm sure you're just repeating info, so not trying to shite on you.
Posted on 3/23/16 at 2:35 pm to Womski
Disagree 100%. I would much rather have a np than a doc. NPs listen and ask questions, docs do not...they make up their mind and thats that. Much rather have a NP for the office visits. ER is a different matter.
Posted on 3/23/16 at 2:39 pm to tigerfootball123
quote:
Sounds like everyone in this thread are low life's who are riding the coat tails of their np wives
That's not a characterization that I would argue with.
Posted on 3/23/16 at 2:40 pm to tigerfootball123
quote:
Sounds like everyone in this thread are low life's who are riding the coat tails of their np wives
Bitch, you wish you had a sugar momma like me!
Posted on 3/23/16 at 2:43 pm to MSMHater
Someone explain to me how patients are destroying health care. That makes no sense.
Doctors self-governing themselves is the problem, if you ask me.
Doctors self-governing themselves is the problem, if you ask me.
Posted on 3/23/16 at 2:43 pm to yat70458
Until people in this country direct their primary care and well being through the office of their trusted PCP rather than ERs, urgent cares and large systems who only use PCPs
as funnels for their specialists and other services (PT, radiology, sleep study, etc etc etc) healthcare in this country will not get to the level it should be.
If Americans don't give a shite about taking taking care of themselves, at least let a
PCP or their staff take care of it for you
as funnels for their specialists and other services (PT, radiology, sleep study, etc etc etc) healthcare in this country will not get to the level it should be.
If Americans don't give a shite about taking taking care of themselves, at least let a
PCP or their staff take care of it for you
This post was edited on 3/23/16 at 2:44 pm
Posted on 3/23/16 at 2:44 pm to MSMHater
these facilities make the majority of their money on day rates charged to medicare/Medicaid. Also, by having a contracted doctor/NP make rounds there is wayyyyy less than what they would have to pay a staff of specialized doctors/NP's to round there along with the liability. By contracting doctors/NP's out they save on all of that. You will not find a nursing home with a psych doctor that is employed there. It's not worth the risk to them of a huge settlement for malpractice lawsuits. Impatient hospitals is for the most part the same way in terms of not wanting to have on their shoulders the possibility of malpractice so it is in fact cheaper to contract that work out. Inpatient facilities are different in the fact that a doctor has to see the patient within so many hours of being admitted, which is why he is on call a lot.
Posted on 3/23/16 at 2:55 pm to Womski
quote:
Someone explain to me how patients are destroying health care. That makes no sense.
Multiple reasons. They have been conditioned by people like you to believe that any negative medical outcome should have financial liability attributed to it.
They have been conditioned to believe that heroic medicine is the necessary course in all terminal situations.
They have been conditioned to believe that "insurance" = healthcare without expense, and are completely incredulous to the concept of any payment outside of their monthly premium or MCR/MCD card.
They have been conditioned to believe that a physician's office is the equivalent to a 30 minutes or less Jiffy Lube, and that any delay is obviously a result of the incompetent doc/staff and not the patients that came before them.
And they have been conditioned to believe that a bunch of retards in Washington will be capable of creating a system that correctly balances cost/quality/access while remaining beholden to political ideologies that DO NOT WORK in the American Healtcare System (I'm looking at you "free market" healthcare and/or single payer idiots).
quote:
Doctors self-governing themselves is the problem, if you ask me.
If this were even remotely true, I wouldn't have a job. Government regulation, in healthcare, is the bitch mother in law that has moved in. Everything I do is with compliance in mind to some degree or the other. Self-governing? Meaningful use, PQRS, Value based payment, prior authorization, Medicare revalidation, etc...
Does that sound like shite physicians would willfully implement in their own practices?
This post was edited on 3/23/16 at 2:59 pm
Posted on 3/23/16 at 2:57 pm to Womski
quote:
Someone explain to me how patients are destroying health care. That makes no sense.
Because modern medicine is driven by Press-Ganey and patient Sats scores.
Posted on 3/23/16 at 2:58 pm to tigerfootball123
quote:
Sounds like everyone in this thread are low life's who are riding the coat tails of their np wives
I'm sure some people have good careers, and also have wives with good careers
Just because your wife is an NP, doesn't mean that you have a shite job and are riding her coat tails.
Posted on 3/23/16 at 2:59 pm to Womski
Obama Doctors
Posted on 3/23/16 at 3:01 pm to Womski
quote:
Doctors self-governing themselves is the problem, if you ask me.
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