An Obamacare Outcome

Dr Peter Weiss, a practicing physician, describes one.

I have now posted a notice in my office and each exam room stating exactly what Obamacare will cover for those yearly visits.  Remember Obama promised this as a free exam—no co-pay, no deductible, no charge.  That’s fine and dandy if you are healthy and have no complaints.  However, we are obligated by law to code specifically for the reason of the visit.  An annual exam is one specific code; you can not mix this with another code, say, for rectal bleeding.  This annual visit covers the exam and “discussion about the status of previously diagnosed stable conditions.” That’s the exact wording under that code—insurance will not cover any new ailment under that code.

What this means:

If you are here for that annual exam, you will not be covered if you want to discuss any new ailment or unstable condition.  I cannot bait and switch to another code—that’s illegal.  We, the physicians, are audited all the time and can lose our license for insurance fraud.

Yeah.  A separate appointment, separately scheduled for your new ailment.  Further, during your scheduled annual, note that bit above: “discussion about the status of previously diagnosed stable conditions.” That’s the exact wording under that code….  Your doctor’s discussion concerning your annual’s results are largely scripted by Uncle Sugar.  Talk about snake oil.

Oh, and good luck scheduling that separate appointment.  Keep in mind that your doctor, if you get to keep him at all, is part of a shrinking collection of doctors, and their work loads are exploding from all the new patients Obamacare is foisting off on them.  There are only so many hours in a day.

 

RTWT

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