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To: Chode
:Medicaid says, We don't care what it costs, because we give you so much business we'll give you $250 or you can't treat Medicaid patients anymore."

Being sarcastic of course, say the good doctor can do two procedures in one hour of actual work time, At the Medicaid rate of $250 per procedure as in the example, that good doctor would be paid $500 per hour by the program with the lowest reimbursement rate. Just something to think about.

10 posted on 12/01/2012 9:39:23 AM PST by buckalfa (Nabob of Negativity)
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To: buckalfa
first it would really be hard do two of those in an hour even if the actual time spent looking into the patient was 30 because of time spent making sure the patient is fully prepped and sedated(even though there are preparers and an anesthesiologist) and then comes out of the anesthesia in good condition, and even if he could it would mean two separate operating rooms ready to go at the same time cause you simply can't wheel one patient out and another in like a conveyer belt

second, do you think that all goes into his pocket? try figuring Malpractice Insurance, insurance, computers, rent and utilities for his office, salaries and insurance for those that work in said office, etc into that equation... not to mention if he is still paying off doctor school loans

even at $500 an hour it goes pretty quickly since they don't operate all day every day

and yeah, that same model works on office visits too so for a $65 office visit they pay ~$15

14 posted on 12/01/2012 10:15:18 AM PST by Chode (American Hedonist - *DTOM* -ww- NO Pity for the LAZY)
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To: buckalfa

You clearly have never run a business. Do you understand the concept of overhead?


21 posted on 12/01/2012 10:58:18 AM PST by dinodino
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To: buckalfa

This is a global fee. It includes preoperative workup, the procedure and postoperative care for 90 days. Can easily entail five hours of physician work. Now you’re down to $100 an hour, out of which must come overhead, typically at least 50%. Now you’re down to 50/hr or less. Try getting that rate from a lawyer or even a mechanic. Try to convince a bright young student to take on a few hundred k in debt and at least 11 years of training for that.


23 posted on 12/01/2012 11:38:25 AM PST by armydoc
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To: buckalfa
..................that good doctor would be paid $500 per hour by the program with the lowest reimbursement rate..............

And who pays for the instrumentation, the medical facility,the drugs and anesthesia, the nurse practitioner, the scheduler, the billing clerk, the malpractice insurance, and on and on??

26 posted on 12/01/2012 1:30:01 PM PST by Noob1999 (Loose Lips, Sink Ships)
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