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10/13/2011

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Richard Willner

Very good analysis.

The problem is the cost to provide Medical Services. If the doctor needs one staffer to just call insurance companies for pre-approval of an ever increasing number of services and medications, that cost is additional overhead. If the doctor has to hire additional staff to answer the overwhelming number of telephone calls on a Monday, that costs money.

Reimbursements decrease every year. The number of codes provided decrease also. The hassle factor with ever changing codes and finding the rules that are different for each insurance company costs money. It adds up.

So the doctor in order to stay in business must see an ever increasing number of patients per hour while keeping up the quality of service as well as the quality of the documentation for the regulators.

Going to an all cash business model like other businesses in America is such a logical idea.

The world won't come to an end if the patient has to pay a $100 fee for the extended office visit.

The sick patient wins. She gets quicker appointments and more time with her doctor. More questions are answered. Compliance improves. Health improves.

Isn't that why we became doctors?

Richard Willner
Center for Peer Review Justice

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