Fri. May 3rd, 2024

No, you shouldn’t! But I did not make this up. This is really going on out there in the broken healthcare system. Check this out:

When Brittany Tesso’s then-3-year-old son, Roman, needed an evaluation for speech therapy in 2021, his pediatrician referred him to Children’s Hospital Colorado in Aurora. With in-person visits on hold due to the covid-19 pandemic, the Tessos met with a panel of specialists via video chat.

The specialists, some of whom appeared to be calling from their homes, observed Roman speaking, playing with toys, and eating chicken nuggets. They asked about his diet.

Tesso thought the $676.86 bill she received for the one-hour session was pretty steep. When she got a second bill for $847.35, she assumed it was a mistake. Then she learned the second bill was for the costs of being seen in a hospital — the equipment, the medical records, and the support staff.

This is what DPC is competing against. It’s pure evil. Hospitals and Big Medical Corporations do whatever they can to find more money. I just got charged a follow-up fee for a post-op visit. I asked the billing company and they said it is because it was outside the 90-day global visit window. Interesting. I also found it interesting that they scheduled my visit 93 days out.

But what about the facility fee for a telemedicine visit?

“Those payments for outpatient care are how we pay our nurses, our child life specialists, or social workers,” Zach Zaslow, senior director of government affairs for Children’s Hospital said in a February call with reporters. “It’s how we buy and maintain our imaging equipment, our labs, our diagnostic tests, really all of the care that you expect when you come to a hospital for kids.”

I kept hearing the world’s smallest violin as I read that quote.

I am sure these fees are not to pay the salaries of all this hospital system’s administrators.

Do you know what the best part of these facility fees is?  They don’t fall under the definition of the No Surprises Act. 

The healthcare system has become a joke. Kind of like me asking if you should be charging a facility fee for your telehealth visits. OF COURSE NOT!

Now that we got that out of the way, how could you use this article? Well, if you are on social media or you do a newsletter, point out this garbage to your patients or followers. Make them aware that they need to ask about billing when they go to someone outside your office. Then slip in the fact that your practice is TRANSPARENT and they will have no surprise bills. That is how you do educational marketing and it is also a way for patients to brag about you. That is the word of mouth you want.

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By Douglas Farrago, MD

Douglas Farrago MD is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Douglas Farrago, MD received his Bachelor of Science from the University of Virginia in 1987, his Masters of Education degree in the area of Exercise Science from the University of Houston in 1990, and his Medical Degree from the University of Texas at Houston in 1994. His residency training occurred way up north at the Eastern Maine Medical Center in Bangor, Maine. In his final year, he was elected Chief Resident by his peers. Dr. Farrago has practiced family medicine for twenty-three years, first in Auburn, Maine and now in Forest, Virginia. He founded Forest Direct Primary Care in 2014, which quickly filled in 18 months. Dr. Farrago still blogs every day on his website Authenticmedicine.com and lectures worldwide about the present crisis in our healthcare system and the effect it has on the doctor-patient relationship. Dr. Farrago’s has written three books on direct primary care: The Official Guide to Starting Your Own Direct Primary Care Practice, The Direct Primary Care Doctor’s Daily Motivational Journal and Slowing the Churn in Direct Primary Care (While Also Keeping Your Sanity) are all best sellers in this genre. He is a leading expert in direct primary care model and lectures medical students, residents, and doctors on how to start their own DPC practice. He retired from clinical medicine in October, 2020.

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