BTDT said:
As for the dealer, sounds like he is charging you 100.00 to see if your worthy to buy a tractor from him. Sounds fishy to me.
Maybe, but as you've read so far, even if it is fishy, it isn't uncommon and things worked out in my favor anyway. The delivery two counties away would have cost me more. I might expect a dealer to deliver locally for free but this was a long way off.
And George, as for charging extra fee for your employees to fill out the paperwork, I thought that's what office help was supposed to do and why you hire them in the first place.
I think you need to read what I said. This paperwork has nothing to do with patient care or insurance claims. This is paperwork generated by the patient or his employer to be used for their benefit
financially and they will not accept my dictated office note which contains all the info they are requesting. The dictation costs for my office run about $80,000 a year, but they won't accept that.
And no, I do not hire
any employees to fill out disability forms, FMLA forms etc. Even if I did, wouldn't you expect me to pay them? And if I pay them, that's part of overhead. Higher overhead means higher prices. You pay one way or another, right? And here's the catch, when your disability carrier or your human resources dept generates these forms, they will not pay for them,
they expect
you to pay for them. And make no mistake, you (or anyone else) ask me to spend 20 minutes filling out some redundant form which has nothing to do with the health of my patient, well, someone is going to pay for my time.
Now, your asking your patients to pay for your hired help, so that's more money for who?
Let me follow a question with a question. Just who, on earth, do you think pays for my hired help? Think about it. Patients pay, of course. Its a business just like any other. If I have to hire
extra employees to handle the insane amounts of sensless paperwork, who is going to pay them? The cost is passed on to the consumer, in this case, the patient. Does that surprise you? Why?
If you want to get mad, get made at the insurers who are already bleeding
you dry for health and disability insurance and then expect that either 1) I take this extra duty on for free (and remember, it has nothing to do with healthcare!) or 2) you pay for it.
You want to know why healthcare costs are high? Come by my office. We have THIRTY employees to run an office with 8 doctors. Of that 30, only 14 do clinical (patient care) work. The rest handle the mountains of paperwork that we DON'T charge extra for. Most of it is generated by insurance companies and Uncle Sam. We calculated that we could cut our fees in half if we didn't have this astronomical burden of paperwork, none of which every prevented, cured or eased an illness.
You asked. I told you.