Dr. Edwards:  Anybody feel sorry for our patients in Obamacare? Dr. Dave:        They voted for it. Why should we feel sorry? Dr. Edwards:  But they didn’t know what they were voting for. Dr. Dave:        But they should have known. It was the same garbage that the Tax, Spend, and Regulate (TSR) party has been spewing […]

Dr. Rosen:      What is the status of our coding situation? Dr. Edwards:  The ICD 9 is now computer derived for diagnosis. If one’s diagnosis is accurate, the ICD 9–code should also be accurate. The highest risk now is the CPT codes – current procedure terminology. Dr. Rosen:      The CPT code now is the libel factor. […]

Dr. Rosen:      What are the biggest challenges we face? Dr. Edwards:  Drowning in the minutiae of life. The things we have to do that don’t help us, our patients, society, or the cost of healthcare. Dr. Ruth:        That’s an interesting way to put it. I think of all the ways insurance companies prevent patients getting […]

Dr. Rosen:      The other day my doctor asked me what I did with all the information I received from our patient’s insurance carrier telling us how to care for our patients. How do most of you handle that scenario? Dr. Edwards:  I frequently scan the letter if I have an extra 30 seconds and then […]

Dr. Rosen:      The elections are upon us and we have doctors running for office. Dr. Dave:        But they are all running in the wrong political party. Dr. Yancy:      It’s hard to understand why former colleagues in this room are now running on the Tax & Spend & Regulate party? We have traditionally been in the […]

Dr. Rosen:  The T-S-R folks are searching for new items to levy taxes on. Obama care has latched on to medical equipment as a new revenue source. Dr. Edwards:  That should be one of the first items that the new congress repeals. That’s an unnecessary cost for health care which in turn is used for […]

Dr. Rosen:      Last week we discussed how dangerous “Repeal and Replace” would be. No one has really outlined a simple replacement for the thousands of pages of Obamacare. What changes would you make? Dr. Sam:         I think our system was actually rather good. We had Medicare for the seniors over 65 and those that […]

Dr. Rosen:      The events of Ferguson, riots, continue to have huge medical implications. Dr. Sam:         But the riots didn’t start until Jesse Jackson arrived and stirred up his base. Dr. Dave:        Without Jesse Jackson, there probably would not have been any riots. Dr. Edwards:  That’s probably correct. Racial prejudice today is primarily from the black […]

Dr. Rosen: Now that Obamacare has been implemented, how is that affecting our practice? Dr. Dave: It has increased our complement of Welfare Patients under the illusions that they are now in an HMO. Dr. Sam: But they aren’t like an HMO patient. The new clothes has not made a difference in how he acts. […]

Dr. Rosen:      The latest word is that the International Classification of Diseases, 9th revision, which was supposed to be retired in Oct 2014, had a one year reprieve to Oct 1, 2015. Has anyone heard anything differently? Dr. Ruth:        I understand that insurance companies were unable to make the changes by Oct 2014 and thus […]