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Yesterday, I shared that a large surgical group has decided to stop billing and stop paying for preoperative visits. Here’s the problem: if these visits aren’t reimbursed, they eventually disappear. Most doctors can’t afford to offer them for free. And when these visits go away, patients lose critical time... show more
10 条评论

Cataract surgery patients need to know their options. They need to understand the pre-op, intra-op and post-op expectations. Their questions need to be answered. And... God makes each eye uniquely and special. Patients -- ask questions please. We'll try to answer them.

After changing breast surgeons (due to lack of information provided or options offered) I would've paid my new surgeon the cost of a "specialist". My new surgeon called it a "consultation". She educated me on my condition, test results, options, & expected outcome. Priceless. ✅

I’ll tell you. I pay out of pocket $125 to see a holistic doctor because I don’t trust my doctor covered by insurance. All they do is take my money and farm me out to a specialist. The kicker is I HAVE to see my primary for any referral. Insurance is a scam

As a cataract surgeon the pre op visit is vital. I can spend close to 30 minutes discussing surgical options and making sure the patient understands what to expect post operatively. This a complex conversation and needs to be compensated appropriately

Not a Dr here but several drs in the family - physicians should definitely be paid for their time and the patient should decide if they need the visit. But the insurance cannot be making that decision for all patients. A patient may decide against the treatment after this visit.

Considering that many people are paying upwards of $10,000 out of pocket before insurance kicks in at $80%? They are already paying quite a fee. That’s a problem. That makes the preop visit a pricey $1000. Is that visit worth $1,000 cause that IS their out of pocket expense in the moment.

Completely wrong question. If you are in healthcare with the mindset of maximizing the monetization of your time, then please exit the field. Your mindset is that of an extortionist - “Pay me X or I let you die.” Fair wages do not equal maximum wages.

Reimburse? When you purchase something, who do you “reimburse”? Do you reimburse the gas station? Do you reimburse the grocery store? Do you reimburse the theatre? Healthcare is paid for by patients. Treat them like the valued customer that they are. There is no “reimbursement” of anything.

If said pre-op visit results in a decision for surgery, it should become part of the surgical "package" typically reimbursed via CPT codes. If the visit results in a decision against surgery, it should be reimbursed as a "regular" office visit, i.e., like a consult.

I would comment that it’s not my time, it’s the time. I have a clinic staff, overhead, malpractice, etc. the total cost per hour just to keep my doors open is about $375 per hour.
