Tag Archives: red tape

The Medical Paperwork Reduction Act

Today, in a rare moment of bipartisanship, Congress passed the Medical Paperwork Reduction Act. It states that administrative requirements will be decreased to the minimum required for good medical care and billing. The Department of Labor estimated that this will … Continue reading

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Trump the Bureaucracy

About 6 weeks ago I referred a patient of mine with a knee problem to an orthopedic surgeon in my group. He ended up seeing someone else in the same group about 3 1/2 weeks later, and the doctor prescribed … Continue reading

Posted in Business of Medicine, Government, Medical Politics | Tagged , | 5 Comments

Gluteus Maximus

I ordered atorvastatin (generic Lipitor) for one of my patients with high cholesterol and Medicare Part D coverage. It was denied. We then appealed it (prior authorization). A fax from Maximus Federal Services said their decision was, “UNFAVORABLE.” They said … Continue reading

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Disabled Parking and Needless Paperwork

In Washington State, if you want a disabled parking permit you need your doctor to fill out a form. Effective 7/1/15, a new law also requires a written prescription to help combat forgery. Physicians already have to deal with far … Continue reading

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An ICD-9 Story

Medical billing and epidemiology relies on a classification of diseases maintained by the World Health Organization. On the first of October, 2015, we will transition from ICD-9 to ICD-10, a major change that increases the number of available diagnoses from … Continue reading

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Medicare Audits – Or How I Spent Part of Labor Day Weekend

Some weekends I go to my office to try and catch up on paperwork. This Labor Day weekend I had to ‘labor’ away part of it to satisfy a Medicare requirement. I received a fax from a medical supplier saying … Continue reading

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Asinine Associations

As I previously wrote, when physicians place orders, they have to associate diagnoses. This is becoming even more painful as we move towards ICD-10, of which I’ll have more to say later. I’m sure this was an attempt by the … Continue reading

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FMLA Paperwork

I’m often asked to fill out FMLA paperwork, formally known as Certification of Health Care Provider for Employee’s Serious Health Condition (Family and Medical Leave Act). This is either because my patient is ill and they or a family member … Continue reading

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Medication Small Print

When I give a cortisone injection, I have to document it in our electronic medical records. I’ve always included the dose, how administered (intramuscular), and the lot number. This week my company added the requirement that we include the NDC … Continue reading

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Testing Tribulations

When I was an internal medicine resident, one of my staff attending’s, Dr. Charles Reasner, used to ask, “What is the indication for ordering a TSH?” This is a test of thyroid function (thyroid stimulating hormone), and he was asking … Continue reading

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