Guest guest Posted February 16, 2005 Report Share Posted February 16, 2005 The first sentence is sort of a misnomer. May people are licensed in CA and FL, but practicing in other states. As to. " .I guess that speaks much to a standard different from other states such as PA where practitioners are still in the dark ages when they MUST get the permission slip from an MD in order to administer acupuncture. " The scope in PA is larger than most states and I woul dnot go so far as to call it a permission slip. It is a proof that they have been given a diagnostic evaluation by and MD or DO. It is truly a pain, but it does also have advantages when getting payment by insurnace. It is also a step to independence from having to have a specific physician supervisor, which was our old law. The disadvantage to having less than 300 acupuncturists in a state with so many medical colleges (many being ivy league) is that independence comes slower. The advantage is that Chiropractors and ND's can't do acupuncture with a 50 hour course, either. Every state is different, but not necessarily that much better than another. " Hmmmm... your billing clerk determines what codes you use? Mighty interesting. One would think that the practitioner/boss would determine those kind of issues. " I let people who do the job best in on decisions, and not use dogmatism to do so. I feel that sometimes it is best to let others participate in making decisions. The " boss " makes the final decisions, but listens to others, especially those who may specialize and actually will be doing the work and most affected by it. " As to volume.....I suspect it is the other way around. That the majority who simply bill just 1 CPT code as opposed to the some 50+ codes + what is referred to under CPT as E & M codes already available under Alternative Link's ABC code system. It is your choice to bill a lot less. Maybe in those 'different' states one ALSO has to ASK permission from the MD as to what you are allowed to bill? I wouldn't know since I live and practice in one of the most progressive states in the US. " Progressive. REgressive. It is all a state of mind. What give you the impression that I use one code? Perhaps FL doesn't let you use physiotherapy codes? Thats progressive? I obviously do not bill a lot less, nor do I ask an MD (if you consider the medical director of the insurance company to not be the MD you ask) what I can bill. I suspect you are trying to make a point that doesn't exist. We all work within the constraints state law gives us. If you have a full practice AND do your own billing and make all the phone call and letters necessary, perhaps you have more than 24 hours in a day. and finally... " No doubt there are those who like to reap the benefits of the few who perform all the hard work. I am sure there is a name for those kind of people....but it escapes me at the moment. " Self description is always the most difficult. Martyr? In any case, I pick and choose where to put my limited time by where I can be most effective and the results are most cost effective. Because I choose not to fight your fight at this time dose not make the other things I do less hard work. I am glad you do the work you do, regardless of whether all of it it is fruitful or effective. No one can guess the outcome of our choices. Plus, it is always good to know that I have someone to denigrate my work if I am feeling egotistical. I, however, refuse to do the same for you. DAvid Molony In a message dated 2/15/05 5:35:03 PM, acudoc11 writes: > > > DAVE > > Between Florida and California there exists at least 60% of the > practitioners within the United States and then when one adds in New > Mexico, Arkansas and > a few other states where APs are primary care providers......I guess that > speaks much to a standard different from other states such as PA where > practitioners are still in the dark ages when they MUST get the permission > slip from > an MD in order to administer acupuncture. That must be what is meant by > 'doing things differently'. > > Hmmmm... your billing clerk determines what codes you use? Mighty > interesting. One would think that the practitioner/boss would determine > those kind of > issues. > > As to volume.....I suspect it is the other way around. That the majority > who > simply bill just 1 CPT code as opposed to the some 50+ codes + what is > referred to under CPT as E & M codes already available under Alternative > Link's ABC > code system. It is your choice to bill a lot less. Maybe in those > 'different' > states one ALSO has to ASK permission from the MD as to what you are > allowed > to bill? I wouldn't know since I live and practice in one of the most > progressive states in the US. > > As to DCs.....they apparently are still 'in the ether'. One day, all will > wake-up. Then again ...maybe not. The system has a way of keeping the > populace > and practitioners numbed and dumbed so they can be fleeced and then taken > to > the slaughter-house. > > No doubt there are those who like to reap the benefits of the few who > perform all the hard work. I am sure there is a name for those kind of > people....but it escapes me at the moment. > > Richard > > In a message dated 2/15/2005 12:58:59 PM Central Standard Time, > acuman1 writes: > > > I think we all have to agree that Fl and CA are very different places to > do > business. I suggest that people doing small numbers of insurance patients > use > the ABC codes and fall back on CPT if needed. I use CPT's because my > billing > person is not familiar with ABC codes, plus we do oer 30 cases a week, some > with > multiple visits, and I merely don't wish to pay him for all the time > necessary to change things (learning how to use it, spending time on the > phone > explaining to each examiner 3 or 4 times, waiting and sending out duplicate > billings > while they use the excuse to stall) when I am doing just fine without. He > also > works in a DC office that doesn't use ABC, plus the program he uses is not > set up for ABC (TCMPro). It will be interesting to see what the results are > when > the first software OM company offers ABC as part of its program. > > It is > always easier to sit by the side of the road and then jump on the bandwagon > after all the hard work is accomplished. > > It is, and I plan to in this instance unless it becomes more effective to > do > it differently. > DAVE > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 16, 2005 Report Share Posted February 16, 2005 In a message dated 2/16/2005 8:54:18 AM Central Standard Time, acuman1 writes: The first sentence is sort of a misnomer. May people are licensed in CA and FL, but practicing in other states. BUT the majority of those licensed in CA & FL actually practice in those states! The advantage is that Chiropractors and ND's can't do acupuncture with a 50 hour course, either. It is interesting that you refer to DCs and NDs regarding acupuncture when in fact the larger problem are the MDs, DOs, etc. who in most states aren't even required to do the 100 hours. Secondly....as far as Florida is concerned the NMDs were allowed to do acupuncture along with the DCs, MDs, DOs, etc by LAW back in 1980. Whether or not they are trained is immaterial. Progressive. REgressive. It is all a state of mind. What give you the impression that I use one code? Perhaps FL doesn't let you use physiotherapy codes? Thats progressive? I obviously do not bill a lot less, nor do I ask an MD (if you consider the medical director of the insurance company to not be the MD you ask) what I can bill. I suspect you are trying to make a point that doesn't exist. We all work within the constraints state law gives us. If you have a full practice AND do your own billing and make all the phone call and letters necessary, perhaps you have more than 24 hours in a day. If the shoe fits...then wear it. Nowhere in any e-mails did were you 'a target' or what you bill or codes you use. When one uses a REAL system of coding not generated by one's competitor and soundly based then one need not go through all the hassles that event from using the other system. In any case, I pick and choose where to put my limited time by where I can be most effective and the results are most cost effective. Because I choose not to fight your fight at this time dose not make the other things I do less hard work. I am glad you do the work you do, regardless of whether all of it it is fruitful or effective. No one can guess the outcome of our choices. Seems to many that THE fight is the SAME fight. Plus, it is always good to know that I have someone to denigrate my work if I am feeling egotistical. I, however, refuse to do the same for you. DAvid Molony Appears that there is difficulty for some in discussing real issues in open without taking it personally even though there has not been any reference or denigration. Richard Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.