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re: Optometry: LA HB 1065/SB 568: What if your Louisiana Eye Surgeon is NOT an MD?

Posted on 5/30/14 at 4:25 pm to
Posted by Winkface
Member since Jul 2010
34377 posts
Posted on 5/30/14 at 4:25 pm to
quote:

swear up and down that they could train me to do about 50% of their surgical work in 6-8 weeks
and the other 50%?
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/30/14 at 4:58 pm to
Maybe the other 50% could be legislated?
Posted by SmackoverHawg
Member since Oct 2011
31609 posts
Posted on 5/30/14 at 5:36 pm to
And I don't see where access is a problem. The only ones I see with issues are those that don't wanna pay jack shite. I charge $65 for a cash pay office visit. Sometimes less for simple shite. But if you don't pay at the time of the visit it goes up, because now I have to try and collect. It costs me more than that to fill up my truck with gas.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 5/30/14 at 7:54 pm to
Posted by theunknownknight
Baton Rouge
Member since Sep 2005
60938 posts
Posted on 6/1/14 at 5:14 pm to
Jindal signed the bill.

Posted by TigerEggs
NOLA
Member since Nov 2009
622 posts
Posted on 6/1/14 at 5:32 pm to
Link?
Posted by Traffic Circle
Down the Rabbit Hole
Member since Nov 2013
5024 posts
Posted on 6/1/14 at 6:13 pm to
Cool. So soon, we will see the Optometrists big-timing it just like the MDs with lab coats and all that.

Or, maybe the Ophthalmologists will start to drive Fords now and only make you wait 30 mins instead of an hour?
Posted by 90proofprofessional
Member since Mar 2004
24445 posts
Posted on 6/1/14 at 6:18 pm to
any predictions of catastrophic results?
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 6/1/14 at 6:38 pm to
Correct me if I'm wrong but I don't see anyone getting fabulously wealthy off yag capsulotomies and PIs. I think this is just them trying to chip their way into the practice of medicine.

Jindal needs to figure out how he's gonna construe this into a good idea during the presidential race. Or maybe he signed it so we can find out what's in it
Posted by LSUfan4444
Member since Mar 2004
57078 posts
Posted on 6/1/14 at 7:39 pm to
quote:

Correct me if I'm wrong but I don't see anyone getting fabulously wealthy off yag capsulotomies and PIs. I think this is just them trying to chip their way into the practice of medicine.


Thats exactly what it is. They want more procedure codes to legally bill. It isn't that complicated.

Ophthalmologists are worried that the immediate influx of physicians who can now bill codes they had just about exclusive access to will cut their incomes and revenue....which it will.

Unfortunately, alot of physicians (rather than adapting the way they practice medicine) just default to over-utilzation to compensate for income loss. In the end, Johnny Taxpayer loses while the politicians (Heitmeyer) and already rich physicians just get richer.
This post was edited on 6/1/14 at 7:41 pm
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 6/1/14 at 8:10 pm to
I don't think this bill had anything to do with Physicians expanding anything
Posted by LSUfan4444
Member since Mar 2004
57078 posts
Posted on 6/1/14 at 8:20 pm to
Bad word on the first usage...i should have said influx of providers with access to codes previously set aside for Ophthalmologists.
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 6/1/14 at 8:22 pm to
LINK

Promise I don't write for the daily caller
Posted by Traffic Circle
Down the Rabbit Hole
Member since Nov 2013
5024 posts
Posted on 6/1/14 at 8:23 pm to
So it's all about the reaching for, and the protection of, the rice bowl?
Posted by LATigerdoc
Oakdale, Louisiana
Member since May 2014
933 posts
Posted on 6/1/14 at 8:27 pm to
Per the Hippocratic Oath, it's about the patient.
Thousands of hours worth of time about the patient.
Posted by LSUfan4444
Member since Mar 2004
57078 posts
Posted on 6/1/14 at 8:32 pm to
Yes. Absolutely.

Senator David Heitmeir is a major proponent of the bill and is an Optometrist who own a company (Vision Benefits) that provides Optometry benefits for some of the major health plans in the state.

If his Optometrists and his clinics can bill these additional codes, the fear (by the MDs) is that more people will seek a Optometrist for some of these procedures (depending on their benefit coverage). Some people will not have difference in cost between the two and that will result in a loss on revenue for Ophthalmologists,

This is Louisiana politics at its best. The citizens of the state and patient outcomes is an afterthought.
This post was edited on 6/1/14 at 8:34 pm
Posted by Traffic Circle
Down the Rabbit Hole
Member since Nov 2013
5024 posts
Posted on 6/1/14 at 8:32 pm to
Actually, I don't think Jindal has to sign anything. By default, doesn't it become law in something like 10 days?
This post was edited on 6/1/14 at 8:57 pm
Posted by guttata
prairieville
Member since Feb 2006
22654 posts
Posted on 6/1/14 at 9:38 pm to
Bill was signed at 2:42 this afternoon. No more need to debate if it's right or wrong. It's the law.
Posted by WaveForLSU
Member since Oct 2008
5537 posts
Posted on 6/1/14 at 9:38 pm to
Which optom do you speak of- are you saying he owns multiple clinics or actual vision insurances?
Posted by Traffic Circle
Down the Rabbit Hole
Member since Nov 2013
5024 posts
Posted on 6/1/14 at 9:51 pm to
Cool beans. So, now ..
quote:

"Optometrists would also be authorized to perform surgical “primary care” procedures with local anesthetic and diagnose and treat conditions with “ocular manifestations,” which could include diabetes and high blood pressure."

Optometrists can perform some surgery, write prescriptions, treat diabetes and high blood pressure?

Damn, that's basically a real doctor right there!
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