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	<title>Comments on: In which Evan Falchuk explores health care reform</title>
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	<description>Contemplating medicine and the health care system</description>
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		<title>By: solo dr</title>
		<link>http://www.medrants.com/archives/4588/comment-page-1#comment-528503</link>
		<dc:creator>solo dr</dc:creator>
		<pubDate>Tue, 30 Jun 2009 01:48:46 +0000</pubDate>
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		<description>Speaking of checks, the state of Illinois just bounced some insurance checks.  Apparently the Illinois budget is in negative numbers.  The state of Illinois health plan for privately insured patients, not Medicaid, but people who pay into inusrnace benefits  from their salaries and state emplyoyer, has asked us to hold any state of Illinois checks from June 15 through July 1. The problem is that no message was given to the doctors until the checks started bouncing.  Now I have to go through dozens of EOBs, copy them and the returned checks, send them to the private health insurance plan, and hope for another check in 30-60 days.  More time taken away from my patients and more wasted administrative time to redo clean claims.</description>
		<content:encoded><![CDATA[<p>Speaking of checks, the state of Illinois just bounced some insurance checks.  Apparently the Illinois budget is in negative numbers.  The state of Illinois health plan for privately insured patients, not Medicaid, but people who pay into inusrnace benefits  from their salaries and state emplyoyer, has asked us to hold any state of Illinois checks from June 15 through July 1. The problem is that no message was given to the doctors until the checks started bouncing.  Now I have to go through dozens of EOBs, copy them and the returned checks, send them to the private health insurance plan, and hope for another check in 30-60 days.  More time taken away from my patients and more wasted administrative time to redo clean claims.</p>
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		<title>By: solo dr</title>
		<link>http://www.medrants.com/archives/4588/comment-page-1#comment-528502</link>
		<dc:creator>solo dr</dc:creator>
		<pubDate>Tue, 30 Jun 2009 01:45:20 +0000</pubDate>
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		<description>Less paperwork and simplified coding without tons of documentation for simple office visits would be great.  A flowing medical records, with dated addendum notes would be great.  Why do I have to document the same SOAP note with same medicaiont review/physical exam etc on my long term diabetics/hypertensive patients, etc, when the information is almost the same.  I could save a lot of time by simply writing 2-3 sentences about changes in meds or new questions from the patient.  It is a combination of CPT coding craziness and liability risks that force us to become scribes.  With EMRs I see 2-3 page simple office notes that read like a magazine article for simple back pain or T2DM.  Less paperwork would allow me to spend more time with my patients.  Currently patients and insurance companies expect a lot for a $25 copayment and a $27 check from the insurance company.</description>
		<content:encoded><![CDATA[<p>Less paperwork and simplified coding without tons of documentation for simple office visits would be great.  A flowing medical records, with dated addendum notes would be great.  Why do I have to document the same SOAP note with same medicaiont review/physical exam etc on my long term diabetics/hypertensive patients, etc, when the information is almost the same.  I could save a lot of time by simply writing 2-3 sentences about changes in meds or new questions from the patient.  It is a combination of CPT coding craziness and liability risks that force us to become scribes.  With EMRs I see 2-3 page simple office notes that read like a magazine article for simple back pain or T2DM.  Less paperwork would allow me to spend more time with my patients.  Currently patients and insurance companies expect a lot for a $25 copayment and a $27 check from the insurance company.</p>
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		<title>By: Testing Blog</title>
		<link>http://www.medrants.com/archives/4588/comment-page-1#comment-528498</link>
		<dc:creator>Testing Blog</dc:creator>
		<pubDate>Mon, 29 Jun 2009 18:08:20 +0000</pubDate>
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		<description>[...] Read the rest here: In which Evan Falchuk explores bhealth care/b reform &#124; DB#39;s Medical Rants [...]</description>
		<content:encoded><![CDATA[<p>[...] Read the rest here: In which Evan Falchuk explores bhealth care/b reform | DB#39;s Medical Rants [...]</p>
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	<item>
		<title>By: Web Media Daily &#8211; Monday June 29, 2009 &#124; Reinventing Yourself...</title>
		<link>http://www.medrants.com/archives/4588/comment-page-1#comment-528497</link>
		<dc:creator>Web Media Daily &#8211; Monday June 29, 2009 &#124; Reinventing Yourself...</dc:creator>
		<pubDate>Mon, 29 Jun 2009 15:29:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.medrants.com/?p=4588#comment-528497</guid>
		<description>[...] In which Evan Falchuk explores health care reform &#8230;DB&#8217;s Medical Rants [...]</description>
		<content:encoded><![CDATA[<p>[...] In which Evan Falchuk explores health care reform &#8230;DB&#8217;s Medical Rants [...]</p>
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		<title>By: JPB</title>
		<link>http://www.medrants.com/archives/4588/comment-page-1#comment-528496</link>
		<dc:creator>JPB</dc:creator>
		<pubDate>Mon, 29 Jun 2009 14:04:16 +0000</pubDate>
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		<description>Bravo, db!  It helps to know that there are physicians out there like you!!  Maybe there is hope for the medical profession....</description>
		<content:encoded><![CDATA[<p>Bravo, db!  It helps to know that there are physicians out there like you!!  Maybe there is hope for the medical profession&#8230;.</p>
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		<title>By: Twitted by medrants</title>
		<link>http://www.medrants.com/archives/4588/comment-page-1#comment-528494</link>
		<dc:creator>Twitted by medrants</dc:creator>
		<pubDate>Mon, 29 Jun 2009 13:18:11 +0000</pubDate>
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		<description>[...] This post was Twitted by medrants [...]</description>
		<content:encoded><![CDATA[<p>[...] This post was Twitted by medrants [...]</p>
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