What if you're just a small private medical practice that does not bring in enough to make ends meet? Where do physican's go to obtain money in order to remain in business? To be honest Medicaid, or the entire application that needs to be completed, is rather lengthy. I know when it comes to the government everything goes slow and takes a great deal of time and for some reason there always seems to be an abundance of paperwork. Of course once the application becomes complete and a physician is now allowed to see Medicaid patients then they will get paid. But what about subsidies for small offices that are needed to see patients that other physician's will not see due to the many different insurances? I think this should be an option. I know it sounds confusing but think of it this way. More patients are having to go to the hospital, clinic or urgent care due to insurance reasons. If a physician does not take Medicaid then they cannot see the patient or if they do then they will not get paid. How is a physician expected to pay his or her staff and other bills once this occurs? The government hold-up is Medicaid and the fact that the government should offer physician based subsidies for every patient that has Medicaid, regardless if a physician is enrolled or considered participating in the Medicaid program. For example Dr. Howlonguntilretirement is not participating with Medicaid, so when patients who have Medicaid as a secondary insurance get billed for the visit, Dr. Howlonguntilretirement either must write it off or haggle with the patient regarding how much the patient is able to pay in order to be seen on the next visit. The front office staff becomes exhausted regarding all of the other things they have to do including completion of the Medicaid application and telling patients that the need to pay something in order to be seen by the physician. The Medicaid process can be a lengthy one and, it should be more simplified so that a physician can complete it and so that the front office staff, does not have to go around remembering graduation dates for each physician. During that time the government should be offering reimbursement subsidies for physicians who see Medicaid patients as this prevents hospital or urgent care visits. Dr. Howlonguntilretirement obtains all of the lengthy forms he has to complete and really has to think about his education and other employment, it was that long ago. But with the government Medicaid reimbursement subsidies program; Dr. Howlonguntilretirement can see Medicaid patients and get reimbursed through the Medicaid reimbursement subsidies program. All Dr. Howlonguntilretirement has to do is to go online and complete a Medicaid reimbursement subsidies waiver and be given a temporary identification. The waiver indicates that the physician must be in the process of enrolling in the Medicaid program. Once this is completed online, that temporary identification can be used and the physician can now collect Medicaid health insurance reimbursements until their application is complete and accepted by Medicaid for regular physician participation. In doing so there are less write-off's due to Medicaid insurance and perhaps physicians can remain in practice longer; although that depends on the front office staff who seem to be anxious about retirement-so much work!
Thermal imaging has been around for quite a while. Yes, it's cold out there. Thermal imaging enables someone to determine the health of the body, or whatever you are using it for by the use of thermal infrared scanners that can determine wellness by heat and temperature. When looking at a scan through a thermal camera, it is similar to a bone density. Which is the point here. Thermal imaging is not designed to put medicine out of the office but it should be used to enhance such services. For example, there now exists teledocs that you can contact when you're feeling ill and need to know what to do. Many patients call their physician and depending on the severity of symptom they are either seen, or sent to the ER or urgent care. I am one who likes to try and expedite things although many people disagree with it. But hey, I'm only one person and so be it! Thermal imaging can be of great resource to a physicians office since imaging can be sent to a physician, once technology makes it so. Now when I say expedite, I mean if you're sick and gots no energy whatsoever to get to a physicians office and wait several hours to be seen or to visit an ER to become sicker by people who are worse off than yourself, then this is where technology can help you along the way. In the future, most cellphones will enable thermal infrared imaging. Once this occurs, if you're feeling very ill and you need to see somebody a physician can chat with his or her patient via face/screen app and it will be then that once you select the thermal infrared picture on your phone and begin to scan the parts of your body that are in pain or are affected, the physician can determine what particular problem you are having by the way the thermal infrared images show heat that is reflected from the body during the inflammatory process within tissues in the body. Thermal infrared imaging can also be used in very early detection of heart disease, in patients who may be considered too young to have an echocardiogram. Thermal infrared imaging is also good for determining other types of diseases or illnesses on the cellular level very early on before other types of exams or procedures can determine them. People like to be catered to and thus the reluctance of wanting to use technology, because you have to actually go on and do it yourself. Yes, it may be cold out there but if you could avoid H---, by using thermal infrared imaging long before, would you?
Ever have a patient that needed at least two people? It happens, they have lots of medications, and many tests that need to be done. The problem becomes that the front office staff is not in the exam room with the patient and the physician because they are doing precerts, referrals, answering phones, processing labs, routing medications, ekg's ect.. Requests, requests, requests. Could the work of a physician be expedited if there were an office staff person who could teleconference with the physician so that they could enter test prescriptions, and the next appointment via computer during the patients visit? It's worth a try, because how many times do patients come out from their visit with the physician and then then are still more things to do regarding the patient. Paper, scanning, appointments referrals, precerts, prescriptions all once a patient leaves the exam room. That in itself is an appointment. And of course, it's time to put the next patient into the room. If the front desk could wear a headpiece, no not a nurses cap, but one of those things where they could speak with a physician from room to room, as in medical room/office teleconference equipment; this would enable a physician to prepare with the front office staff what will be needed once the patient leaves the exam room or is finished with his or her visit. The office teleconference equipment would have each physician and office staff person wearing a head piece or headphone with microphone. The physician would speak into the microphone and then what they requested can be heard to the front office staff without anybody else including other patients, knowing what is being done or requested of another patient. If a front office staff person were told during the patient visit what is being requested then prescriptions, pre-certifications, vaccines can all be entered into the computer as the physician continues to examine the patient and then once the visit is complete the patient can have their computerized generated prescriptions and all the physician has to do is a peer to peer if pre-certification requires it. It's difficult to navigate all of the patient needs when you are outside the exam room and of course HIPAA. Now, the physician does not have to contact the front office medical staff for each and every thing, but for things that can be done during a patient visit can certainly create quality patient visits and alleviate the medical staff with having to do the incoming of patient information coinciding with outgoing patient information and tasks.
You may find this difficult to believe. But how can someone be working but yet unemployed? I said the same thing, but now I realize such a category exists. As an adult your responsibility is to take care of yourself and those who you are responsible for as minors, disabled ect. But, life is strange because when you're a kid or a child, parents and elders around you grunt about giving you responsibility and learning what it is to be an adult, so there you have it; as a child you were often treated as an adult. Then of course once you actually become one, then the elders around you want to take all that away and want to return you to your child like life. These ass----- make decisions for you and make your adult life f----- misery. The concept here is school or skill then work and then provide and take care of yourself. The bias of all of this is obvious, if you school or skill and then those in command say no job and thus no money then, you are treating people like children because, you're making them go to the government for assistance. Is that adult like, because you don't want to employ people as you make excuses to keep them as children? Yes, it is abusive because let's see in seven years I will be 60 and have lived in the biased realm of survival for as long as I can remember and oppression by way of treating people like children is the only way those who are of biased constituent feel they can still maintain a superior complex over something. Anyway, this is how people become what is known as "the working unemployed". Someone may have a job, but they are unable to earn money if their place of employment does not have any money to pay them with. Now, if they go to unemployment in attempts to collect, unemployment may deny their claim and state the fact that they have a job. You then ask, how do I afford they pay certain bills of my own if I do not receive a paycheck from this job? What would the Department of Labor-unemployment's response be? What should it be? The argument becomes: are you actively looking for a job? Answer: Yes and I also actively work at one who is unable to pay. Should The Department of Labor allow people in these situations to collect unemployment insurance until they find employment that provides a salary or until the job that they are working at can pay them? An employer may be reluctant to cease business just yet, although it happens and sometimes without notice. So who pays the bills of the adult and why are you taking away adult responsibility from a person by not wanting to employ them, especially when they are capable? And you say you're not biased. Those in control say, "Pull yourself up by your own bootstraps." It's enough to say that I'm wearing them!
Blogs are written by