TooScared TO Blow Whistle by TooFrightenedToBlowWhistle
Why Health Care/Insurance In Such a MESS
Aug 02, 2009 | 1278 views | 14 14 recommendations | email to a friend | print


Scared
by Librul
 in response to TooScared TO Blow Whistle
Aug 02, 2009 | 14 14 recommendations | email to a friend | print

“what do you think would happen if someone had Copies (before alterations to the records and after) as well as audio taped conversations regarding this. Recording is legal as long as the person recording IS a party to the conversation? Do you think that would suffice?”

Yes, I think it would. 

Why not try this?  make copies of everything.  Send the copies to the Alabama State Medical Association.  Do it Anonomously.   Give it a couple of weeks or a month.  Then, you can either call (use *67 to hide your identity), or just say you’ve done the best you can and let it go.

Please don’t do anything to get yourself blacklisted by the health care providers in this area. 

Take care,

 

hey librul
by TooFrightenedToBlowWhistle
 in response to TooScared TO Blow Whistle
Aug 02, 2009 | 14 14 recommendations | email to a friend | print

Thank you for the sound , rational advise…. I appreciate it.

I agree the blue light treatment would be a judgement call for the doctor. I guess what really seemed so unfair was the fact the doctor did not even see the patient. The PA (Assistant) saw the patient and advised less extreme treatment. The doctor still had not seen the patient when she scolded the PA and told the PA to make the most fo the blue light because it was a piece of equipment that  the doctor had to pay for and that it was very expensive. Without  seeing the patient, without seeing the AK’s etc. Just use the light… it  means $$$$$$$$$…….

That is just wrong I think.

I think I can prove it all
by TooFrightenedToBlowWhistle
 in response to TooScared TO Blow Whistle
Aug 02, 2009 | 14 14 recommendations | email to a friend | print

what do you think would happen if someone had Copies (before alterations to the records and after) as well as audio taped conversations regarding this. Recording is legal as long as the person recording IS a party to the conversation? Do you think that would suffice?

Just hypothetical questions shall we say!!!    :-)

I doubt other employees will help for fear of losing their jobs.

What I think....
by Librul
 in response to TooScared TO Blow Whistle
Aug 01, 2009 | 14 14 recommendations | email to a friend | print

The doctor’s decision to use the Blue Light over more conventional treatment would be seen as a judgement.  I doubt you could prove that it is not legal. 

However, falsifying records by stating the physician treated the patient, when it was the PA, is against the law. 
But, be careful.  It is your word against a physician’s.  It is hard to win in a situation like this. 

I do wish you the best, but be careful and get other employees to agree, in writing, if you choose to pursue this.

Take care,

 

Too scared
by unpc
 in response to TooScared TO Blow Whistle
Jul 31, 2009 | 14 14 recommendations | email to a friend | print

based on what you say it does appear that there is a problem. But I would still like to hear the other side. There are almost always two sides. I would suggest that if you are sure about this then find out who to contact to have this investigated. See if you can do so anonomously if that is what you want.

I am not automatically defending doctors. If they are guilty then hang them. Then get their license.

 

hey guys: yes these are quotes!!!
by TooFrightenedToBlowWhistle
 in response to TooScared TO Blow Whistle
Jul 30, 2009 | 14 14 recommendations | email to a friend | print

Let me go a bit further on why I am even using this as an example. This particular physician has a Certified Physician Assistant. IN some cases this PA (assistant) recommended alternate methods of treatment particular for an elderly patietn who is in his 90’s, wheelchair bound and totally helpless and non-responsive. The physician questioned the PA on why the “blue light treatment was not utilized”. The PA explained he felt that was best for this patient (so he would not have to arrive early, have the ‘solution’ applied and ‘marinate’ (yes that’s what we in the office called it) and then sit under this light for a lenghthy period of time. The doctor scolded the PA … yes I heard this first hand and stated " (th PA’s name).. we have to use the machine more….. I have to pay for it".

I also have issues with the physician having the PA see patients, the doctor never layed eyes on the patient during the visit.. then afterwards the doctor “signed off” on the chart and the billing lady billed it to the insurance and a physicians visit – thus the higher dollar of reimbursement because insurance pays more for a physician than for the assistant.

No wonder Medicare is broke and the remaining insurance carriers are going down fast!!!

 

Yes
by unpc
 in response to TooScared TO Blow Whistle
Jul 30, 2009 | 15 15 recommendations | email to a friend | print

she did use quotes. But I would like to here the complet quote, from the doctor.

 

The writer may be completely correct but I would not base that on a short quote. There is always two sides to a story.

The use of Quotes
by Librul
 in response to TooScared TO Blow Whistle
Jul 30, 2009 | 15 15 recommendations | email to a friend | print

Did not this whistle blower use quotes that stated the subject doctor said that he/she had to pay for the machine and so the inference was that it was a financial, not a physician based statement?  If the physician did say that, then the whistle blower is correct.

Chiropractor Doctors do it all the time, based upon what I’ve been told.

But then, what do I know?

Well,
by unpc
 in response to TooScared TO Blow Whistle
Jul 29, 2009 | 14 14 recommendations | email to a friend | print

It would be interesting to hear the other side. I did a little googling on the subject and it said that this therapy does a more thorough job in getting rid of pre cancerous cells. I know from personal experience that dermabrasion and cryosurgery does not last. I also looked them up and found that the procedures often have to be repeated in a few years. I have found that to be true in my case.

So is it cheaper to have the treatment that you mention as opposed to treatment that needs to be repeated more often, if that is in fact the case? I don’t know. But I suspect that you do not know either. I suggest that you consult with a another doctor if you know one that you can confide in and see what his opinion is before you go accusing people of questionable acts. Now, you may be right. But then again you may be wrong.

Why HealthCare is Mess..
by TooFrightenedToBlowWhistle
 in response to TooScared TO Blow Whistle
Jul 29, 2009 | 16 16 recommendations | email to a friend | print

I worked up until recently at a local doctors office, but will admit I did go back into home health where I can make a difference. See, the doctor’s office I worked at (trust me this particular one is not the only one guilty of what I am about to explain) treats a lot of skin issues. I would never ration health care or ever think one particular patient should receive higher care than another – neither does she. BUT.. here is where I have my issue. For example – when a skin problem, i.e. treating SO SO many patients with her new “blue light special” – now I would never begin to substitute my judgement for that of a trained licensed medical doctor – BUT when, for example Actinic keratosis which is often treated because of its potential to turn into squamous cell cancer could be and is commonly treated with either cryosurgery or topical treatments (particularly in the elderly) with minimal costs to Medicare/MEdicaid and/or etc: BUT and this is a BIG BUT: now is most often treated with ’THE BLUE LIGHT SPECIAL" AKA Photodynamic, or blue-light, therapy is utilized simply because the doctor has purchased one of the machines for the office and “needs to pay for” the machine. That is JUST wrong. Particularly the attitude “I have to pay for this” so kick up the treatments and bill the heck out of Medicare, secondary insurances and or Blue Cross etc etc…
Choosing treatments to “pay for” equipment is as old as the seas but just wrong. How does Medicare ever keep up????

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