Originally Posted by Eg_cruz (Post 2355107)

She is reporting the doctor today to the insurance company and Medicare

Originally Posted by Topspinmo (Post 2355062)

More $$$$$.

Originally Posted by ThirdOfFive (Post 2355207)

Definitely.

Lots of stuff seems to go on in Florida that is a bit on the shady side. At my last physical the NP recited three words and said she'd aske me what they were in a few minutes. I had never had this happen before but repeated the words and didn't think much about it until for some reason I checked the printout I got from my insurance following the visit. The insurance paid something like $60 extra for that visit for a "dementia screening"!

Not bad pay for one question.

Originally Posted by golfing eagles (Post 2355163)

Excellent. In 40 years of practice, I never encountered anything so egregious, much less imagine it. You should check the Medicare EOB for the CPT visit code they billed. If it something other than a telemedicine visit, they are "screwed". In particular, look for new patient code 99202-99205, which have certain physical examination criteria, which are impossible to meet if the "physician" isn't in the room. At the very least this should trigger a Medicare audit in which they will look at 25 to 100 patient visits and documentation to see if it meets coding criteria. If blatantly guilty, they can be banned from participating in Medicare for 2 years. I am appalled at this scenario and embarrassed for my profession.

Originally Posted by ThirdOfFive (Post 2355207)

Definitely.

Lots of stuff seems to go on in Florida that is a bit on the shady side. At my last physical the NP recited three words and said she'd aske me what they were in a few minutes. I had never had this happen before but repeated the words and didn't think much about it until for some reason I checked the printout I got from my insurance following the visit. The insurance paid something like $60 extra for that visit for a "dementia screening"!

Not bad pay for one question.

Originally Posted by Two Bills (Post 2355120)

Most of my discourse with my GP (PCD) these days is by phone.
Saves me a journey, and their time.
I only visit for tests, examination or treatment.
Works for my wife and I.

Originally Posted by golfing eagles (Post 2355163)

Excellent. In 40 years of practice, I never encountered anything so egregious, much less imagine it. You should check the Medicare EOB for the CPT visit code they billed. If it something other than a telemedicine visit, they are "screwed". In particular, look for new patient code 99202-99205, which have certain physical examination criteria, which are impossible to meet if the "physician" isn't in the room. At the very least this should trigger a Medicare audit in which they will look at 25 to 100 patient visits and documentation to see if it meets coding criteria. If blatantly guilty, they can be banned from participating in Medicare for 2 years. I am appalled at this scenario and embarrassed for my profession.

Originally Posted by Eg_cruz (Post 2355326)

Thank you for your feedback, will pass the info to her.
I was very taken back.

Originally Posted by Eg_cruz (Post 2354932)

Yesterday a friend went to Premier Medical at Santa Barbara Blvd. This was her first appointment with the doctor, she traveled from Ocala on a referral. She waiting in the lobby for over an hour. She was brought back into the examination room and put in front of a screen where the doctor pops up.

Yes her appointment at his office was over a computer screen. I have never heard of this it blew my mind.

Are we really at this point that you travel to see a in person doctor wait in his lobby for over an hour to talk to him on a tv screen. The big problem was his accent was very heavy and he spoke very fast so she walked out of there without knowing what was spoken about (part was she was so taken back) She couldn’t tell you what the doctor said it was beyond sad.

I found this way to operate your practice is shameful. Really what the point of traveling to the office to talk to a screen.

Has anyone had this happen to you? Do other doctors do this as well?

Originally Posted by retiredguy123 (Post 2355220)

If a medical doctor has 10 patients in a nursing home, they can visit the facility every day, 7 days per week, and bill Medicare for 70 home visits every week, even though they may just stop in to ask how they are feeling. For 70 visits, they can collect about $5,600 or more even though they may only spend less than a hour in the facility. If they have 5 nursing homes on their route, they can make $28,000 per week. I have seen this happen.

Originally Posted by Eg_cruz (Post 2354932)

Yesterday a friend went to Premier Medical at Santa Barbara Blvd. This was her first appointment with the doctor, she traveled from Ocala on a referral. She waiting in the lobby for over an hour. She was brought back into the examination room and put in front of a screen where the doctor pops up.

Yes her appointment at his office was over a computer screen. I have never heard of this it blew my mind.

Are we really at this point that you travel to see a in person doctor wait in his lobby for over an hour to talk to him on a tv screen. The big problem was his accent was very heavy and he spoke very fast so she walked out of there without knowing what was spoken about (part was she was so taken back) She couldn’t tell you what the doctor said it was beyond sad.

I found this way to operate your practice is shameful. Really what the point of traveling to the office to talk to a screen.

Has anyone had this happen to you? Do other doctors do this as well?