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!!!