Awwwww, I loved the jackass pics. By the way, a mule is a cross b/t a horse and donkey right? Whats a jackass?
I'm a surgeon using AC for over a year now, and the problem with reimbursement is not just for the PCPs. It's across the board really. Ask your friendly CV surgeon what the medicare rate is for a CABG and I think you'll be shocked considering that this is global fee for 90days post op. The only specialties being paid well seems to be anesthesia and radiology just because their volume is so high. The rest uf us who have to TALK to and examine patients simply can't cut back any more timewise to increase out volume. All of us are pretty frazzled with trying to give the best care, but see as many patients per day as we can just to pay the bills and justify the malpractice costs.
Patients really do think we are all rich. I had one recently write me a letter and complain to the referring PCP that I actually charged her credit card for a balance owed!! In the letter, she said that my financial status was obviously better thatn hers and I should let her pay out over several months with no interest. I mean, what do I look like? A friggin bank? I have overhead, salaries and expensive supplies to buy. Not to mention malpactice ins, liability ins, disability ins, offece overhead ins, life ins. None of these companies are letting me pay out with no interest.
Sorry for ranting, Bottom Line: All physicians need to get politically active in whatever society you want. Insurance payors have more money and fund the lobbyists and that is how the system works.
