Granny Tea visited the podiatrist and was told she had also to be weighed, to have her blood pressure checked, and have her temperature taken.  If the doctor doesn’t input this information into the computer program,  they get docked 4% of the cost from their reimbursements. She doesn’t want her blood pressure or her temperature taken for a visit to the foot doctor.

If they do surgery and don’t administer antibiotics within 20 minutes of surgery they also get docked.  They lost 55,000 last year because they were honest and if it was 21 minutes after wards, that’s what they said.  There’s no particular reason why it needs to be 20 minutes and not 22.  Her doctor said the medical literature he reads says within an hour after surgery.  But ObamaCare has set the limit at 20 minutes, so there it is.

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  1. Ruth
    Posted February 12, 2013 at 4:01 pm | Permalink

    My Chiropractor told me that he was going to have to hire someone to weigh people and take their blood pressure. And he just got through installing $25,000.00 of new computer equipment to comply with the new law about online records.


  2. Mrs B
    Posted February 12, 2013 at 4:16 pm | Permalink

    So, as patients, do we decline these tests knowing that we are taking money out of the docs pocket? Do we let that concern us at all? If we all comply without complaint, then the docs have no reason to try to force a change.

  3. Renee
    Posted February 12, 2013 at 5:31 pm | Permalink

    That’s weird that these providers told patients they were being penalized, because several acts of Congress, including the PPACA, provide only for payment bonuses for Medicare patients through 2014 for physicians who provide data for the Physician Quality Reporting Initiative. After that, there is a penalty, but again only for Medicare patients. Maybe private insurance companies are penalizing providers for using paper rather than electronic records? Or maybe providers who are opposed to Obamacare for a variety of other reasons are being a bit disingenuous with their patients about quality reporting initiatives in an attempt to bolster resistance to the law?

    • Headmistress, zookeeper
      Posted February 12, 2013 at 5:48 pm | Permalink

      Or maybe passing a mega-bill unread really does create headaches that you aren’t aware of.

    • Posted February 12, 2013 at 6:37 pm | Permalink

      Or insurance companies are compelling doctors to comply in advance of the implementation of the regulations. In the case of my family doctor, he was compelled to implement online medical records by the hospital where he has privileges. My chiropractor has many patients who are state employees (like me) and the insurance company that administers the state plan has mandated compliance with the electronic medical records and is demanding implementation of the weighing, blood pressure, etc. The insurance company is citing requirements of the Affordable Care Act.

  4. Sarah
    Posted February 12, 2013 at 6:28 pm | Permalink

    My chiropractor told me just yesterday that he was going to quit filing with insurance completely and simply charge everyone a flat fee per visit. He said he didn’t have an extra 2-3 hours per day just to be paid $1.98. He also said he would be posting a sign in the window explaining the reason he would no longer accept insurance was because he can’t afford to under Obamacare. I wish more providers would consider doing it this way. Everyone could pay a lower price and the providers would be more likely to get paid in full.

    • Headmistress, zookeeper
      Posted February 12, 2013 at 7:51 pm | Permalink

      I like the way your chiropractor thinks.

  5. Gina
    Posted February 13, 2013 at 4:32 pm | Permalink

    This sort of thing was standard practice (at least at the doctors I have visited) before Obama came into office. Is this really due to the health care overhaul?

    • Headmistress, zookeeper
      Posted February 13, 2013 at 4:43 pm | Permalink

      It wasn’t standard practice for podiatrist visits.

    • Headmistress, zookeeper
      Posted February 13, 2013 at 5:22 pm | Permalink

      Nor were penalties applied.

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