Re: query from former regular
From: art fougner, md (evsono@pipeline.com)
Sun Oct 31 07:17:50 2004
And when your patients decline to pay?
art
At Sat, 30 Oct 2004, Bryan Jick wrote:
>
>Hello everyone.
>I haven't been on the list much, but I have a question if you don't mind.
>What do the members think of implementing an annual administrative fee for
>each patient (except Medicare, I know this is illegal)?
>I am seriously considering sending a letter to 2,000 patients, that starting
>Jan. 1, 2005, I am going to charge $50 per year per patient for
>administrative overhead (copying records, filling out forms, calling
>pharmacies and insurance companies), basically the stuff we spend a lot of
>time doing but do not get reimbursed separately for. I'd appreciate any
>comments/criticisms.
>
>Thanks very much.
>
>--
>Bryan Jick, M.D., FACOG
>Pasadena, CA
>http://www.drjick.com
>
>>>----- Original Message -----
>From: <ob-gyn-l@obgyn.net>
>To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net>
>Sent: Saturday, October 30, 2004 6:32 PM
>Subject: OB-GYN-L digest 3406
>
>> OB-GYN-L Digest 3406
>>
>> Topics covered in this issue include:
>>
>> 1) Re: Bowel obstruction in pregnancy
>> by DoctorJoe@aol.com
>> 2) Re: Bowel obstruction in pregnancy
>> by evsono@pipeline.com (art fougner, md)
>> 3) RE: Rubber checks
>> by "Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com>
>> 4) Lovely Newborn Babies ...
>> by "" <dean@thehuffpeople.net>
>> 5) Re: Rubber checks
>> by hribot@mindspring.com (Hugo D Ribot Jr)
>>
>> ----------------------------------------------------------------------
>>
>> ----------------------------------------------------------------------
>> ----------------------------------------------------------------------
>> ----------------------------------------------------------------------
>> Date: Fri, 29 Oct 2004 23:52:50 EDT
>> ----------------------------------------------------------------------
>> From: DoctorJoe@aol.com
>> ----------------------------------------------------------------------
>> To: ob-gyn-l@obgyn.net
>> ----------------------------------------------------------------------
>> Subject: Re: Bowel obstruction in pregnancy
>> Message-ID: <147.3783f4c1.2eb46a12@aol.com>
>> MIME-Version: 1.0
>> Content-Type: multipart/alternative;
>> boundary="part1_147.3783f4c1.2eb46a12_boundary"
>>
>> --part1_147.3783f4c1.2eb46a12_boundary
>> Content-Type: text/plain; charset="US-ASCII"
>> Content-Transfer-Encoding: 7bit
>>
>> In a message dated 10/29/04 18:15:11, GIN11153@aol.com writes:
>>
>>> I have always seen tocolytics used after abdominal surgeries during
>>> pregnancy.
>>>
>> I would use them perioperatively "just because" to keep even
>> "inconsequential" uterine contractions to a minimum, if only for the
>> benefit of the coronary
>> arteries of the caregivers involved.
>>
>> The use beyond the first 24 hours or so is, of course, open to discussion
>> . .
>>
>> Joe P.
>>
>> --part1_147.3783f4c1.2eb46a12_boundary
>> Content-Type: text/html; charset="US-ASCII"
>> Content-Transfer-Encoding: quoted-printable
>>
>> <HTML><FONT FACE=arial,helvetica><HTML><FONT COLOR="#000000"
>> FACE="Ge > eva" FAMILY="SANSSERIF" SIZE="2"><BR>
>> In a message dated 10/29/04 18:15:11, GIN11153@aol.com writes:<BR>
>> <BR>
>> <BLOCKQUOTE CITE STYLE="BORDER-LEFT: #0000ff 2px solid; MARGIN-LEFT:
>> 5px; > MARGIN-RIGHT: 0px; PADDING-LEFT: 5px" TYPE="CITE"></FONT><FONT
>> COLOR="# > 00000" FACE="Geneva" FAMILY="SANSSERIF" SIZE="2">I have always seen
>> t > colytics used after abdominal surgeries during pregnancy.<BR>
>> </BLOCKQUOTE></FONT><FONT COLOR="#000000" FACE="Geneva"
>> FAMILY="SANSS > RIF" SIZE="2"><BR>
>> <BR>
>> I would use them perioperatively "just because" to keep even
>> "inconsequenti > l" uterine contractions to a minimum, if only for the benefit of the
>> corona > y arteries of the caregivers involved.<BR>
>> <BR>
>> The use beyond the first 24 hours or so is, of course, open to discussion
>> . > . . .<BR>
>> <BR>
>> Joe P.<BR>
>> <BR>
>> </FONT><FONT COLOR="#000000" FACE="Geneva" FAMILY="SANSSERIF"
>> SIZE= > 2"></FONT></HTML>
>> --part1_147.3783f4c1.2eb46a12_boundary--
>>
>> ------------------------------
>>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> Date: Sat, 30 Oct 2004 07:57:43 -0500 (CDT)
>> ------------------------------
>> From: evsono@pipeline.com (art fougner, md)
>> ------------------------------
>> To: OB-GYN-L@OBGYN.net
>> ------------------------------
>> Subject: Re: Bowel obstruction in pregnancy
>> Message-ID: <200410301258.i9UCwD514681@dns.obgyn.net>
>>
>> and steroids?
>>
>> art
>>
>> At Fri, 29 Oct 2004, DoctorJoe@aol.com wrote:
>>>
>>>In a message dated 10/29/04 18:15:11, GIN11153@aol.com writes:
>>>
>>>> I have always seen tocolytics used after abdominal surgeries during
>>>> pregnancy.
>>>>
>>>I would use them perioperatively "just because" to keep even
>>>"inconsequential" uterine contractions to a minimum, if only for the
>>>benefit of the coronary
>>>arteries of the caregivers involved.
>>>
>>>The use beyond the first 24 hours or so is, of course, open to discussion
>>>. .
>>>
>>>Joe P.
>>
>> --
>> art fougner, md
>> ich bin ein New Yorker
>>
>> ------------------------------
>>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> Date: Sat, 30 Oct 2004 11:03:48 -0500
>> ------------------------------
>> From: "Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com>
>> ------------------------------
>> To: <ob-gyn-l@obgyn.net>
>> ------------------------------
>> Subject: RE: Rubber checks
>> Message-ID: <200410301603.i9UG3uP25147@web.mylinuxisp.com>
>> MIME-Version: 1.0
>> Content-Type: text/plain;
>> charset="US-ASCII"
>> Content-Transfer-Encoding: 7bit
>>
>> Good question. I was only commenting on the office stuff. I've never found
>> a
>> person who is going to pay with a bad check to actually send it in. The
>> bad
>> checks are written at the office. The villain, who is going to write a bad
>> check in the office, tends to ignore the statements.
>>
>> Richard Chudacoff, MD
>>
>> -----Original Message-----
>> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Lynn D.
>> Montgomery, M.D.
>> Sent: Friday, October 29, 2004 4:29 PM
>> To: Multiple recipients of list OB-GYN-L
>> Subject: RE: Rubber checks
>>
>> Richard,
>> The problem with that is if you send them a bill, they pay with a check.
>> Obviously one way around this is for the billing person to figure what
>> each
>> patient's responsibility is and require payment up front - do you do that?
>> Lynn
>>
>> Lynn D. Montgomery, M.D.
>> Maternal-Fetal Medicine, OB/GYN
>> Rocky Mountain Women's Health
>> 2835 Fort Missoula Rd., Suite 304
>> Missoula, Montana, 59804
>> 406-549-0978
>> fax 406-549-0987
>> e-mail: apgar10@montanadsl.net
>>
>> -----Original Message-----
>> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>> rchudacoff
>> Sent: Friday, October 29, 2004 7:23 AM
>> To: Multiple recipients of list OB-GYN-L
>> Subject: RE: Rubber checks
>>
>> However nothing bad occurs if these patients are reported to a collection
>> agency nor if you get a judgement against them...unless you place a lien
>> against their home. Then you have to wait until they want to sell. A
>> negative credit report from a hospital or physician's office does not
>> negatively effect a credit rating.
>>
>> We do not accept checks. Period. Cash, credit cards or money orders.
>>
>> Richard Chudacoff, MD
>>
>>>> ---------- Original Message -----------
>> From: "Allen, Christina R." <callen2@wellspan.org>
>> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>> Sent: Fri, 29 Oct 2004 07:56:46 -0500
>> Subject: RE: Rubber checks
>>
>>> Service charge of $25.
>>>
>>> If no pay after 90 days or you are getting returned mail (statements)
>>> , turn over to collection agency.
>>>
>>> Chris x15746
>>> -----Original Message-----
>>> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>>> RModugno@aol.com
>>> Sent: Friday, October 29, 2004 8:49 AM
>>> To: Multiple recipients of list OB-GYN-L
>>> Subject: Rubber checks
>>>
>>> What do you do regarding patients who write bad checks?
>>>
>>> Robert Modugno MD MBA FACOG
>>> Marietta, GA
>>> http://www.novaobgyn.yourmd.com
>>>
>>> CONFIDENTIALITY NOTICE:
>>>
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>> ------- End of Original Message -------
>>
>> ------------------------------
>>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> Date: Sat, 30 Oct 2004 12:51:27 -0700
>> ------------------------------
>> From: "" <dean@thehuffpeople.net>
>> ------------------------------
>> To: "" <ob-gyn-l@obgyn.net>
>> ------------------------------
>> Subject: Lovely Newborn Babies ...
>> Message-ID: <1099165887.4183f0bfe39cb@webmail.thehuffpeople.net>
>> MIME-Version: 1.0
>> Content-Type: text/plain; charset=ISO-8859-1
>> Content-Transfer-Encoding: 8bit
>>
>> .
>>
>> I have what is (at least to me) an interesting story.
>>
>> Both of our daughters are adopted. They are both NICU graduates (and since
>> we
>> did not have a court order for custody for either until they were out of
>> the
>> NICU, we had to pay a dollar on the dollar for their hospital bills).
>>
>> Anyway, Joanne was not willing to even look at Becky until we had the
>> court
>> order. She did not think she could handle it if she saw the baby and then
>> we
>> did not get her. A male adoption had fallen through the morning Becky was
>> born.
>>
>> When Becky was discharged to the lawyer, who delivered her to us at home,
>> they
>> took the usual pictures, which we purchased.
>>
>> Joanne thought Becky was the prettiest baby in the workd when she first
>> saw her
>> in the hospital that Friday morning, and this was confirmed when Becky was
>> delivered to us at home on Saturday morning. She thought people would stop
>> her
>> in the mall and tell her how beautiful that baby was.
>>
>> About a year later, we looked at the hosptial picture of Becky. Actually
>> she was
>> kind of ugly -- she looked like a plucked chicken. But we did not see it
>> at the
>> time. (In all truth, once Becky gained her body fat, which was missing at
>> her
>> pre-term delivery, she DID look like a lovely new baby, and she is now a
>> lovely
>> -- most of the time -- teenager.) But our love for the newborn baby that
>> we had
>> just adopted overwhelmed our objectivety at the time.
>>
>> Dean Huffman
>>
>> ------------------------------
>>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> Date: Sat, 30 Oct 2004 15:16:23 -0500 (CDT)
>> ------------------------------
>> From: hribot@mindspring.com (Hugo D Ribot Jr)
>> ------------------------------
>> To: OB-GYN-L@OBGYN.net
>> ------------------------------
>> Subject: Re: Rubber checks
>> Message-ID: <200410302016.i9UKGNq12580@dns.obgyn.net>
>>
>> At Fri, 29 Oct 2004, RModugno@aol.com wrote:
>>>
>>>What do you do regarding patients who write bad checks?
>>>
>>>Robert Modugno MD MBA FACOG
>>>Marietta, GA
>>>http://www.novaobgyn.yourmd.com
>>
>> Robert:
>>
>> We recently acquired the technological means to verify whether there
>> were sufficient funds in the account on which the check was written
>> BEFORE the patient is seen for care that office visit (ideally) but
>> certainly before she leaves the office.
>>
>> There is a special checking account verification modem analogous to the
>> card swiper we use to instantly verify whether a Georgia Medicaid card
>> we are presented is valid. I believe many retail businesses who accept
>> checks have a similar device.
>>
>> Have your office manager call my office manager, Janet Rosser, at
>> 770-383-8111 to get the details.
>>
>> --
>> Hugo D. Ribot Jr., M.D., FACOG
>> Cartersville, Georgia
>> Private practice since 1990
>> 2 MDs/3 CNMs
>>
>> ------------------------------
>>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> End of OB-GYN-L Digest 3406
>> ------------------------------
>> ***************************
>> ------------------------------
>
>> ------------------------------
>> ***************************
>
--
art fougner, md
ich bin ein New Yorker
