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re: Why is scheduling an appointment with a doctor so damn difficult?

Posted on 5/17/16 at 2:52 pm to
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 5/17/16 at 2:52 pm to
quote:

I spend more time with computer records than I do in patient care.


LINK
Posted by mikrit54
Robeline
Member since Oct 2013
8664 posts
Posted on 5/17/16 at 2:53 pm to
Goose, is dead.
Posted by Isabelle81
NEW ORLEANS, LA
Member since Sep 2015
2718 posts
Posted on 5/17/16 at 3:08 pm to
I just called an Ortho in Metairie and have an appointment in two days. I had the same problem you are having while in Baton Rouge. It would take weeks to get an appointment. I was is a lot of pain and it turned out I had a cervical nerve root compression and needed surgery. Total time from onset of pain to surgery 5 months!!! Number of doctors I saw, 4.
Posted by Mavtiger
Fort Worth, TX
Member since Mar 2008
547 posts
Posted on 5/17/16 at 3:36 pm to
I'll give you an honest response as the clinical director of a sub specialty practice that books months and months out, but you probably won't like it.

We purposefully don't let patients book online appointments. The main reason is from an appropriate utilization of services standpoint. I don't want someone booking a follow up appointment or new patient appointment for one of my providers if they aren't an appropriate patient for them. For example: they end up showing up to see a psychiatrist when what they really needed was to see on the psychologists. Or they book themselves into a follow up slot when they haven't been seen in years and are a new patient to the provider they are seeing.

I've got nothing for you on the billing vs. client side. Even the really robust electronic medical record systems still suck at the end of the day and do goofy crap like that all of the time.
Posted by TigersSEC2010
Warren, Michigan
Member since Jan 2010
38535 posts
Posted on 5/17/16 at 4:05 pm to
This is something I can actually answer.

The physicians do not want you booking your own appointment. Most of you would frick it up royally if we let you have the reigns. It's the honest truth. There is so much that goes on behind the scenes of a doctor's office that the general public has no idea about. It is so much more than just sliding into a timeslot and he pops in and out for a few minutes. We train our appointment desk staff at all practices to purposely schedule a certain way to accommodate various situations that may arise and surgeries that are most often done in the morning before the docs begin seeing patients in the clinic. Hell, I have trouble just getting the appointment desk staff to do it correctly, but that's what you get when you only pay someone $10-15/hr. There is no good reason to pay them more because they have no actual skills, but that's all you can get for that price range.

The billing aspect is even screwier. I have yet to come across a billing management software that didn't have major flaws that you just learn to deal with. shite happens. Software glitches. The vast majority of claims and charges are being done by either some high school grad from Walker or an Indian several thousand miles away. There are many visits our practices don't even get paid for due to whatever bullshite the insurance companies want to throw at us. It also takes them almost two months just to tell us they aren't paying, and then another six months of us fighting it.

Medical care is a crazy, convoluted, complex system that I'm amazed every day runs as efficiently as it does. Any more government intervention though (ObamaCare) and you can kiss a lot more doctors goodbye. Their reimbursements are horrible now.
Posted by OweO
Plaquemine, La
Member since Sep 2009
122525 posts
Posted on 5/17/16 at 4:26 pm to
Stuck with EHR!!! LOL
Posted by Jorts R Us
Member since Aug 2013
18002 posts
Posted on 5/17/16 at 4:38 pm to
Zoc doc
Posted by Mavtiger
Fort Worth, TX
Member since Mar 2008
547 posts
Posted on 5/17/16 at 4:38 pm to
Second everything you just said. I'd also add that primary care is much different than specialty care. It's much more reasonable to let patients schedule primary care visits themselves online than specialty care visits.

And I promise you, we don't like that it takes so long to get in anymore than you do.
Posted by Jorts R Us
Member since Aug 2013
18002 posts
Posted on 5/17/16 at 4:41 pm to
Marry a doctor. It's like having an urgent care clinic that makes you sammiches.
Posted by texashorn
Member since May 2008
13122 posts
Posted on 5/17/16 at 4:44 pm to
That weight problem is finally taking a toll on those knees, eh?
Posted by TU Rob
Birmingham
Member since Nov 2008
13573 posts
Posted on 5/17/16 at 4:55 pm to
I just scheduled a dermatologist appt. First time slot available was July 12th. The lady answering the phone even said that her first appointment for a full body check was then. I'm sure if I was a lady paying cash for Botox or Juvederm they would get me in yesterday. But since I'm just some random dude who needs to make sure he doesn't have any more skin cancer, what's 2 months?
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 5/17/16 at 5:07 pm to
quote:

Stuck with EHR!!! LOL


You should look at his other videos. Guy is an actual doctor but has made several other music videos addressing issues in healthcare.


Posted by SmackoverHawg
Member since Oct 2011
31770 posts
Posted on 5/17/16 at 5:16 pm to
quote:

I'm willing to give that a pass just because this guy is a specialist and he is supposedly the best hip doctor in Baton Rouge. I'm still pissed off, but I can understand.

This. People can see A DOCTOR anytime. But select doctors stay full. Don't expect fastfood wait times if you want 5 star service.
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 5/17/16 at 5:21 pm to
quote:

SmackoverHawg


You watch ZDoggMD videos?

LINK
Posted by SmackoverHawg
Member since Oct 2011
31770 posts
Posted on 5/17/16 at 5:24 pm to
quote:

You watch ZDoggMD videos?

Haven't before, but it's dead on.
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 5/17/16 at 5:25 pm to
He has a ton of them. Check em out. All on point and funny.

EX:


"I love it when ya call me big pharma"

LINK
This post was edited on 5/17/16 at 5:30 pm
Posted by Shaun176
Baton Rouge
Member since Aug 2008
3175 posts
Posted on 5/17/16 at 6:49 pm to
quote:

This. People can see A DOCTOR anytime. But select doctors stay full. Don't expect fastfood wait times if you want 5 star service.


I always ask for the first available doctor when I call BR Ortho and get an appointment same day.
Posted by MrSmith
Member since Sep 2009
8319 posts
Posted on 5/17/16 at 7:49 pm to
quote:

Marry a doctor. It's like having an urgent care clinic that makes you sammiches
I married a PA and this is definitely a perk
Posted by Thib-a-doe Tiger
Member since Nov 2012
36799 posts
Posted on 5/17/16 at 7:53 pm to
So you can't bend your schedule to fit theirs, but you want them to drop everything and take you? Are you one of my clients?
Posted by Red Stick Tigress
Tiger Stadium
Member since Nov 2005
21679 posts
Posted on 5/17/16 at 7:57 pm to
quote:

MyOschner is the greatest invention since sliced bread. shite works pretty great, able to see what docs are available when.



ONLY true if you're an existing patient of that M.D. Otherwise, you have to call to make an appointment.
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