tag:blogger.com,1999:blog-18943510.post1408592065832350424..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: Poll: How Will Loss of Medicare Consult Fees Affect Your Practice?DrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-18943510.post-12111578707068601382010-01-08T08:40:38.207-06:002010-01-08T08:40:38.207-06:00that's great for your patients. what about ot...that's great for your patients. what about other patients who are seen by hospitalists? what is the description of the role they play?<br /><br />what percent of patients you request consults on get procedures?<br />in my clinic less than 10% of the patients i see get procedures. many are either #5 or primary doc just doesn't have time to thoroughly discuss prognosis and treatment Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-449856671894992032010-01-07T19:02:34.729-06:002010-01-07T19:02:34.729-06:00This is Anon0417
In the case of my patients, the ...This is Anon0417<br /><br />In the case of my patients, the hospitalists role is nonexistent. But if by hospitalist, you mean the admitting doctor, their role is to admit the patient, do appropriate initial testing and treatment. In most cases no partialist will be needed. In some cases, one of them will be needed. There are several broad areas that this need breaks down into:<br /><br />1)this Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-75608135971763568582010-01-07T05:11:35.823-06:002010-01-07T05:11:35.823-06:00if the partialist is getting paid excessively for ...if the partialist is getting paid excessively for copying the h&p and serving as a technician for an already diagnosed problem, what is your description of the hospitalist's role?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-66970195553354907402010-01-06T16:17:25.307-06:002010-01-06T16:17:25.307-06:00The reality of course is often times that the part...The reality of course is often times that the partialist is being consulted for a procedure that the generalist doesn't do. The partialist then gets paid more to copy the H&P already done(don't have to re-ask tangential grandma about her family history, social history, med list, allergies, etc as it's already on the chart), then gets paid 10xs what the generalist gets paid for theAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-53200236534053113162010-01-06T07:21:53.503-06:002010-01-06T07:21:53.503-06:00dino,
agree or not, but the idea is that when the...dino,<br /><br />agree or not, but the idea is that when the "generalist" physician has a problem that they can't handle by themselves, it is assumed to be a complex congnitive scenario that needs specialist input. This higher level of cognitive service being sought should pay more, as it is presumably a more complex or difficult clinical situation that cannot be handled at the pcbhttps://www.blogger.com/profile/17905501973535014248noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-15267264741230630102010-01-06T00:21:51.888-06:002010-01-06T00:21:51.888-06:00Each field, Hospitalist, Family doc, oncologist et...Each field, Hospitalist, Family doc, oncologist etc have different skills, no one can claim one is superior than the other. Though everyone agrees within each field there are great docs and not so great... how can you reward the truly great docs,very tricky isssue though deserving.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-14797666580033674972010-01-05T14:35:39.325-06:002010-01-05T14:35:39.325-06:00No change; I rarely got to bill consults anyway.
...No change; I rarely got to bill consults anyway.<br /><br />Tell me this, though: why should you get paid more when another doctor asks you to see a patient (definition of a consult) than when the patient comes on his/her own?#1 Dinosaurhttps://www.blogger.com/profile/01357845504444464397noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-74036926961272976442010-01-05T13:35:03.797-06:002010-01-05T13:35:03.797-06:00Wes, you don't mean the same Mayo Clinic that&...Wes, you don't mean the same Mayo Clinic that's Obama's Holy Grail for medical practice? The ultimate goal, of course, is to beat down the private practioners so low, that an employed position (for the Mayo Clinic, perhaps?) would represent a raise. www.MDWhistleblower.blogspot.comMichael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.com