G0101 and Q0091. Those are good codes here. Now many of our carriers are not as enlightened as we would like. I see it as "billing and charging equally", it's not my problem or in our control that some carriers are not under NYS law but ERISA instead and so they can get away without paying or covering many of the NYS required healthcare and preventive care. And many of the ones that bundle somehow are doing the old switch-a-roo that I mentioned before. They have some how went from "not covering and not paying" for such things as women's wellcare to "now they claim they are covering it", it's in their plans and on the patients benefits print outs on the websites, but yet they are "still not paying for it". Pretty neat trick really. Only in the business of orwellian insurance company new speak can one do and say such a thing and actually get away with it. Simply AMAZING...
But that is why I went to our state medical society only to be treated like a pain in the butt child and a lowly PM of a worthless female, solo FP. Nancy is not some $500K a year downstate NYC specialist. Even in medicine I feel like PCP's are treated like the small businesses in for capital one ads. What's in your wallet? (don't use capital one though they don't report great credit use of paying your balance in full every month to the credit agencies so you get "no credit" for being really good)
I think PCP's need to form a separate break off organization that only deals with the real day to day issues of primary care because even your own societies don't get it. Some radical fringe group that wants reform for both patients and docs. Internal Med, Peds and FP's all together telling the AMA, all the state Medical Societies and all your individual ones where to shove it. You missed the boat years ago before all this got way too crazy and now it is probably too late, but we're not staying on your leaking, sinking ship...BYE!
But back to GYN visits. We code almost all of them the same because that is what we do on those that we code. It's a danm long visit here for Nancy with a lot to do and a lot to chart. And all those supplies we mentioned. $5 discount to those who bring their own W/A speculums... We have our Depo patients fill an Rx at the pharmacy because so many carriers won't even pay what it costs us to get it on the open market. That is why we are not carrying the new HPV vaccine either. At over $120 (more when it first came out if I remember) a pop times three and to get paid not even cost by many of the carriers is more than I will stand. When that was first released the local blues wanted to pay us like $85! Now I wonder how cheap they would have been if the vaccine kept men's shlongs from turning green and falling off? Sorry this stuff pisses me off so.. As a dad, a son, a husband and the PM of a female provider with a 70% female panel. Just unreal.
Just who are and who creates that average wholesale list that most of the carriers throw in our faces for the cost of vaccines and the like anyway? They are not from this planet obviously because your average office can't find most of the products on their lists anywhere near the prices that they are claiming exsist. Didn't you all know that now you are also in the business of insuring lives??? I thought we were on the other side of the street here. But we are not allowed to charge for the covering of those lives at prevailing market rates like the carriers are...
I've got too much chitt to do here so let me run,
Paul
