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re: Gotta Love Doctors Offices
Posted on 9/9/22 at 1:01 pm to tigerfoot
Posted on 9/9/22 at 1:01 pm to tigerfoot
quote:
I prepare ahead of time by calling to insure they are ready, and I give them a time window.
I have 2 girls sitting upstairs doing this all day long. The week before the appointment, the day before, the morning of, and if they're late that day. Still get no shows. You might suggest I just "fire" the patient. Disregarding the legalities that go with doing that, if I refuse to schedule them again, I run the risk of cutting off my nose to spite my face.
quote:
they will receive a text informing them of said delays so they are aware. That service costs me just about 400-450 bucks a month.
Have one of those services too. Still get close to 30-35% no show rates on medicaid patients.
3
Posted on 9/9/22 at 1:01 pm to RogerTheShrubber
How bad do you have to be fricking up for Roger and I to be somewhat in agreement on a topic?
Posted on 9/9/22 at 1:04 pm to medtiger
quote:Then pack them into afternoons or on certain days of the week to the furthest extent possible, and advise reliable patients that the other days and times you will be better able to maintain your schedule.
Still get close to 30-35% no show rates on medicaid patients.
Posted on 9/9/22 at 1:04 pm to KLSU
quote:
Because a-hole patients no show at an alarming rate which causes huge holes in the schedule and wasted time.
Happened to my wife the other day. Last patient scheduled at 3:15 and was a no show. She wanted to get home to take care our kid who was sick. She was about to leave at 4:25 when the patient comes waltzing in.
Posted on 9/9/22 at 1:06 pm to TDFreak
Patients get mad if they have to wait
Patients get mad if they can't get an appointment because the doctor isn't overbooked
Patients get mad if you don't spend an hour addressing the 20 additional complaints they decided to bring up in addition to what the appointment was scheduled for
Patients get mad if they can't get an appointment because the doctor isn't overbooked
Patients get mad if you don't spend an hour addressing the 20 additional complaints they decided to bring up in addition to what the appointment was scheduled for
Posted on 9/9/22 at 1:07 pm to HueyLongJr
quote:
Interesting that dentists don't really seem to have this problem even though it seems the underlying dynamics would be the same.
it wasn't this bad a couple decades ago. Its all "turn and burn" today.
In, out, bill your insurance. If you need something for pain..
My oncologist is awesome though. Her and I talk a few times a week, she always is on top of things.
Posted on 9/9/22 at 1:07 pm to MSTiger33
quote:
Happened to my wife the other day. Last patient scheduled at 3:15 and was a no show. She wanted to get home to take care our kid who was sick. She was about to leave at 4:25 when the patient comes waltzing in.
frick that, if they're 20 minutes late (unless it's something very serious) they're not being seen
Posted on 9/9/22 at 1:11 pm to medtiger
quote:If it were me I would look very, very, very seriously at the ROI on this population. If they account for the largest part of no call/no show, I just cant see how you could be pouring that many resources into this segment and not see that there is zero reason to continue to degrade services to others that are compliant, are on time, are engaged in their healthcare.
Have one of those services too. Still get close to 30-35% no show rates on medicaid patients.
It isnt just a numbers game, it is a dollars and cents game. There just cant be a return on the crap payments from medicaid.
Think of the better service delivery to your other patients and what you could do to better their experiences.
Posted on 9/9/22 at 1:13 pm to GEAUXT
quote:Doesnt that change the reimbursement for the visit? From basic to moderate to comoplex or what ever the lingo is?
Patients get mad if you don't spend an hour addressing the 20 additional complaints they decided to bring up in addition to what the appointment was scheduled for
Posted on 9/9/22 at 1:13 pm to medtiger
quote:
Still get close to 30-35% no show rates on medicaid patients.
Medicaid pays transportation and hotel costs for patients that live in villages. The number of no shows is unbelievable.
Many hotels stopped taking their vouchers for this reason.
Posted on 9/9/22 at 1:15 pm to tigerfoot
quote:
Doesnt that change the reimbursement for the visit? From basic to moderate to comoplex or what ever the lingo is?
Absolutely, but it also slows things down significantly. An extra 5 minutes on each patient adds up very quickly.
Posted on 9/9/22 at 1:18 pm to RogerTheShrubber
Medicare/Medicaid also have HORRIBLE reimbursement rates.
If you see predominately Medicare/Medicaid, you have to schedule a shitload of patients or your clinic won’t survive.
And that is if all of them even show up.
If you see predominately Medicare/Medicaid, you have to schedule a shitload of patients or your clinic won’t survive.
And that is if all of them even show up.
Posted on 9/9/22 at 1:19 pm to Korkstand
quote:
I really hate to defend Cox, but if doctors were making house calls then I might give a little leeway when they give me a 4 hour window.
I am sure at least half of those people who complain are doing so because they were told a service person would be at their house between 8AM - Noon and when they are not there by 8:30AM they are throwing a fit.
Posted on 9/9/22 at 1:19 pm to GEAUXT
quote:
Patients get mad if you don't spend an hour addressing the 20 additional complaints they decided to bring up
Mine will tell you "make another appointment."
I usually see her about 3-5 minutes a visit. She doesn't do much except give you antibiotics or refer to a specialist. Most people here to go an urgent care clinic or hospital, the GPs here blow. They have a foolproof system.
This post was edited on 9/9/22 at 1:22 pm
Posted on 9/9/22 at 1:19 pm to dyslexiateechur
quote:
Try going to an ob/gyn. Definition of unpredictable.
inB4: TigerGirl "As a woman, I have had to wait a long time at those appointments."
Posted on 9/9/22 at 1:21 pm to GEAUXT
quote:Hyperbole aside, it's not hard to tell a patient they need to schedule another appointment to address other concerns.
Patients get mad if you don't spend an hour addressing the 20 additional complaints they decided to bring up in addition to what the appointment was scheduled for
quote:Are people not allowed to be mad when in exchange for what is for most a top 5 annual expense they get treated as if their time doesn't matter?
Patients get mad if they have to wait
Patients get mad if they can't get an appointment because the doctor isn't overbooked
Posted on 9/9/22 at 1:27 pm to Privateer 2007
quote:
opthalmologist/optometry
Impossible to not kill at least 2 hours going for an eye check up.
Posted on 9/9/22 at 1:29 pm to Areddishfish
quote:
Impossible to not kill at least 2 hours going for an eye check up.
Mine are usually 45 min tops. Dental is quick too.
Only the GPs.
Posted on 9/9/22 at 1:38 pm to GEAUXT
quote:My counter would be that if this is the rule versus the exception, cant it be scheduled in?
Absolutely, but it also slows things down significantly. An extra 5 minutes on each patient adds up very quickly.
Posted on 9/9/22 at 1:43 pm to GEAUXT
quote:I agree with that rule. But dont understand how one could be that emphatic about it and not really have trouble with the person who got there on time waiting over an hour in many cases.
frick that, if they're 20 minutes late (unless it's something very serious) they're not being seen
To a certain extent, hasnt the GP profession taught people that time isnt valuable.
Again, I am not referring to any MD that rounds at the hospital or has a specialty. Among a couple other things I chose my GP based off of him not rounding. As I get older and have more time and am more likely to be hospitalized, I will prob change providers.
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