Marc - thanks for the empathy, we would greatly prefer a fully electronic model. As it stands, printing controlled RXs greatly interrupts our workflow. We have to manually feed the RX paper into a slot on the front of the printer, tell everyone not to print anything, and only then can we print, and then sign it. I am usually with another pt. when the MA knocks on the exam room door to have me sign the RX from the previous pt. I refuse to buy another printer just for controlled substances.
Greg - I understand your point of view. It has been my policy for over 30 years to only prescribe narcotics and benzos, well...any controlled meds, in-office. I have to see the patient, evaluate them for abuse, urine test, and only then will I continue therapy. For chronic pain meds, which I really only give to the elderly and pts I have known for a long time, I see them once monthly for their RX since we cannot give refills anymore. Before that, chronic hydrocodone use required a visit every 3 months. I can't remember the last time I wrote an Oxycodone RX and I once wrote a Morphine RX for a pt. who couldn't wait for their oncologist appt. For alprazolam for insomnia and anxiety, I'll give a 1 month RX with 2 refills. For Concerta/Adderall, I see pt's monthly. I have had too many cases of abuse or parents taking/selling meds, so I am careful with this.
Now that Tramadol and other meds require this special paper, I have seen my supply dwindle very quickly.
I want to also volunteer the following:
1. Regardless of insurance, pt's are charged a $25 fee for any paperwork, written letters, or forms to be filled out.
2. Pt's are charged for copies of lab results, x-ray readings, medical records, per the state allowed rates.
3. Most docs in my area charge a no-show fee and will not see the pt. until it is paid, this is very common and it applies to all insurances.
With the above in mind, I have not been contacted by any insurance in regards to the fees. Some patients may gripe about it, but they understand and will pay.
I look forward to reading everyone's opinion, certainly our members in Florida.
-Anthony
