Medical Tuesday Blog

By Del Meyer on 6/27/2011 8:13 PM
April 15th, tax day! (But not this year; this year, it's Emancipation Day, which is worth observing if anything is.) And probably not coincidentally, the movie adaptation of Ayn Rand's widely-loved and loathed novel "Atlas Shrugged" opens at theatres nationwide. So what could be more appropriate and entertainingly polarising than a discussion of Ayn Rand's views on taxation?
By Del Meyer on 3/31/2011 3:17 PM
LegalCare: It is Time to Lower Legal Costs and Ensure Affordable, Accessible Legal Coverage for All by Matthew S. Rice, M. D., Journal of American Physicians and Surgeons, AAPS

According to the American Bar Association, thousands of innocent working Americans are wrongfully convicted of crimes every year, in part due to negligent or poorly trained lawyers, careless judges, and prosecutorial misconduct. Samuel R. Gross, Professor of Law at University of Michigan, estimates that between 3.3 percent and 7 percent of convictions are erroneous, meaning that between 60,000 and 140,000 innocent Americans are incarcerated.

With attorney-legislators scrutinizing and planning the reform of medicine and the health insurance industry, it is only fitting that physicians apply the most current progressive healthcare reform principles to the legal profession. Attorney-legislators and other politicians and appointees are strongly encouraged to use the present healthcare reform momentum to simultaneously reform the legal profession. Doing so would greatly add to their credibility among constituents and other stakeholders, since they know essentially nothing about medicine and everything about law. Legal reform: it is time....
By Del Meyer on 3/8/2011 1:22 PM
All Medicare providers (e.g. physicians, NPs, PAs, etc.) are eligible to earn a 1 percent incentive on their total Medicare Part B allowed charges by electronically prescribing a total of 25 times from Jan. 1 to Dec. 31, 2011 and having at least 10 percent of their total Medicare Part B charges made up of denominator codes.

Additionally, providers who want to avoid a 1 percent penalty in 2012 must report an e-prescribing measure through their claims at least 10 times between Jan. 1 and June 30, 2011. Furthermore, providers who successfully report the e-prescribing measure in 2011 will also be exempt from a 1.5 percent penalty in 2013. CMS requires that this submission be performed through claims; providers are not allowed to use a registry or electronic health record (EHR) to avoid the penalty in 2012.

If you plan to participate in the EHR incentive program in 2011, you will not be eligible to collect the 1 percent e-prescribing bonus. CMS does not allow physicians to collect both bonuses. However,...
By Del Meyer on 1/16/2011 1:21 PM
A frequent occurrence in front line medicine as practice by family physicians, internists and emergency room physicians is the patient’s demands for laboratory proof of almost any diagnosis, whether it’s peptic disease or a fractured rib. Or even a sprained ankle. Articles have been written on the examination of the ankle, taking into account the type of injury and whether an x-ray will prove helpful. ER physicians who are experts in this diagnosis are not allowed to make clinical diagnosis by the patients who demand an x-ray. It the physician spends time explaining the reason for no further tests, the patient will listen politely and still demand an x-ray. A physician can spend the equivalent of two appointment times ($250) explaining why further testing is not necessary, the patient will always win having the unnecessary expense expended by either returning to the ER when the next doctor arrives and state his ankle is still painful. Frequently he may not have even taken the prescribed analgesics. That’s why...
By Del Meyer on 10/2/2010 1:18 PM
Mitt Romney is in The Wrong Political Party; Maybe Even the Wrong Country.

OBAMACARE = ROMNEYCARE: Your signature government-run health care experiment in Massachusetts was a dismal failure. Nonetheless, in May 2009, you cited it as one of your "best ideas," praised it in July 2009, and in May 2009 said that "the best path to healthcare reform is to let the American people make their own decisions, not have those decisions forced on them by government."

[Never mind that RomneyCare forced decisions on individuals residing in Massachusetts.]

Your health care plan formed the basis for Obama's Socialist health care "reform." (The Daily News Record via FR/CATO/The Salt Lake Tribune via FR/The Boston Globe via FR/Fox News via FR/The Boston Globe via FR)