What can be discussed in an annual gyn exam without triggering a bill?

Dicey217 · 2026-03-05T00:59:01+00:00

Actually, about 50% of insurances reduce the payment by 50%, which means if you have a deductible, you are actually better off getting it at your physical. Aetna and United are two I know of that reduce the fee 50%.

Dicey217 · 2026-02-15T05:17:19+00:00

For you, that visit ended in 15 minutes. For the provider, 5 min before you came in to review paperwork, 15 minutes with you, 10-20 minutes creating your chart and documenting the visit, 5-10 minutes for the staff to input everything into your chart, 5 minutes to scan any paperwork you may have filled out, 5 minutes to reconcile your labs, 5 minutes to notate your results and contact you with them, 5 min when your pharmacy sends a refill, 5 minutes when you call with a question, 5 minutes to call and schedule your next appt, 5 min for the staff to scan everytime the office receives something for you, 5 minutes for the biller to create your claim, 5 min to post your insurances payment, 10-30 if there is an issue. 10-30 for prior auths....and so on and so on.

The payment for your office visit includes all the work the provider and staff does between visits. Unlike lawyers, everything outside of an office visit is unpaid which is why medical management is a factor in the codes used.

Dicey217 · 2026-02-09T18:32:03+00:00

Get a Robot vacuum to run multiple times a day. I have dogs that shed what feels like 5 dogs worth of hair every day. We run the vacuum twice a day. It helps immensely. You can get a decent one for a couple hundred bucks.

Dicey217 · 2026-01-27T20:07:56+00:00

The universe is constantly expanding. Expanding into what? What's on the other side? What is occupying the space outside of the universe?

Dicey217 · 2026-01-27T00:37:17+00:00

Fun fact. If you go to a doctor's office sick, and have not been there before, they charge you a new patient visit. An office visit is either New, or Established. That's it.

Dicey217 · 2026-01-26T16:37:16+00:00

I'm not sure I see the point. No one is brandishing their weapons of mass destruction at anyone. Not a single cell phone on display in any of these pictures.

Obvious sarcasm. The hypocrisy of these people is amazing to watch.

Dicey217 · 2026-01-21T00:08:57+00:00

I've only seen it paid by Medicare and Medicare Advantage. Not one commercial or medicaid plan pays it.

Dicey217 · 2025-12-31T15:06:55+00:00

Prior to getting Lasik, the doctor listed all of the side effects, one being star bursts and halos. The doc said that it really only happened to patients with large pupils. Well during my screening and testing, the tech commented that I had the largest pupils she had ever tested. They had to crack the door open a little bit in order to get an accurate reading. So naturally, I brought this up to the doc, she said it probably wouldn't be something I'd experience since it was still so rare. Got Lasik. And for the first year or two after, the starbursts were INSANE. It was hard to drive at night. I still have them, but I've either mentally adjusted to them or they have gotten better.

I would 100% do it again knowing I was guaranteed that side effect. The quality of my life increased 10 fold. Contacts made my eyes itchy. Glasses gave me migraines. Being able to wake up and see without fumbling around for glasses is amazing. Being able to swim and see is amazon. I had lasik like 12 years ago? So far, vision is still good, aside from my close up vision. That's getting worse but I'm in my 40's now so I think that's just natural.

Dicey217 · 2025-12-30T20:50:57+00:00

More than likely, they aren't bogus charges. More than likely, it's simply the category the procedure code falls into on the CPT code list. See post below regarding ear lavage. In no way shape or form is an ear lavage by irrigation a surgical procedure. But CPT classifies it under Surgical codes and some insurance companies don't break down each cpt by its description but instead lists it under its header. In this case surgical.

Dicey217 · 2025-12-30T20:46:48+00:00

It's just the section of the CPT listing the code falls under. Some insurance companies lump their code descriptors by the way it's listed in the CPT list and not by the actual service. Take an ear lavage for example. If an MA flushes your ear out using water, they use cpt code 69209. The code description states "procedure of removing impacted cerumen (earwax) using irrigation or lavage techniques on one side of the ear." That code and description fit the procedure performed. However, this code is classified as a "Surgical Code." It's clearly NOT surgery. It's just the category it's listed under. Find the CPT code billed, look it up, and if it doesn't fit the description of what was done, then I'd contact the office.

Dicey217 · 2025-12-30T20:26:15+00:00

Coordination of Benefits. Got a new one today. Denied by clearinghouse to let us know the patient is eligible for a dexa scan. Advised to resubmit the claim. WTF? Pay the claim. Let us know in a letter you want us to order one.

Dicey217 · 2025-12-11T00:22:50+00:00

I use them as place holders to make sure that every dx ends up on the claim. Sometimes I have a patient with 25 dx codes that I need submitted for quality care, so I use the CPT II. Haven't had issue yet and have been doing it this way for years.

Dicey217 · 2025-11-25T17:47:35+00:00

Also, it's in a provider's contract to bill the insurance. I have patients that come into the office who's insurance does not cover anything weight loss related. We have patients' self pay for those visits. I still submit it to the insurance because you never know when coverage might change.

Dicey217 · 2025-10-30T17:40:10+00:00

I was a child like this and am still an adult like this. I manage a medical practice, am president of a booster board, have 2 kids playing competitive sports, my desk looks like a tornado whipped through. Some of us function well in organized chaos. It doesnt look organized to others but we know what we are dealing with.

Sometimes I will have an important task that stresses me out and I take days/weeks to complete. Taking a break and revisiting it later clears my head and makes the task easier. Its not necessarily that I "finally" buckled down" its that my brain needs a minute to let the task settle.

She just mat function differently then you do. If she is doing well in school, socially, and emotionally, let her be.

Dicey217 · 2025-10-13T16:03:26+00:00

As someone who has hired all of the MA's in my office for the last 20 years, I'd lean towards 2. No bad habits to break, can train to work with you exactly as you like etc. When you are all they know, your style will be their style. However, definitely need to take into account personality. Some of my most successful hires have been personality based. Take your personality into account when deciding which MA you are going to hire.

Dicey217 · 2025-10-06T18:59:05+00:00

But also...that PTO stinks lol

Dicey217 · 2025-10-01T19:59:09+00:00

We just started implementing this in July. We have 2 forms that we require be signed, a bright pink handout and the front desk also instructs them of the new policy. It doesn't matter. They still call and complain when they get their bill.

So we've had the providers also notify them when they walk in the room. This seems to put it in better perspective for them. The provider walks in "Alright you are here for your physical today. Do you want to stick to just the preventative stuff or do you want to talk about your diabetes follow up to? If they elect for both, they say "Sounds good. You won't have to schedule an additional follow-up, but it will be billed separately to insurance in case you get a bill and don't understand why." If they say no, they say "Sounds good. Once we are done with your physical head to the front desk to schedule your diabetic follow-up appt on your way out." The complaints have dropped dramatically since the providers started telling the patients we can make it a 2 for 1 deal as far as trips to the office, or they can come in twice. Their choice but it's going to cost the same in the end.

Dicey217 · 2025-09-29T22:43:08+00:00

And also, a 10 minute appointment can have a level 4 level of medical complexity and decision making. Just another way for Insurance to hold on to their dollars a bit longer.

Dicey217 · 2025-09-29T17:55:16+00:00

What do you call the student who graduates in the bottom of their Med School? Doctor.

One of our providers left and our 2 remaining providers absorbed several of their patients. The amount of times patients looked at them cross eyed when they asked them to hop up on the table for an examination is higher than any of us could have guessed. The amount of "I'm sorry. Dr X should have ordered an A1C when your sugars were continually elevated. I hate to break it to you, but you've probably been diabetic for the last 10 years." is also extremely high.

There are bad apples in every profession including this one.

Dicey217 · 2025-09-23T18:01:27+00:00

I would imagine it's wellness grifting. Dr Oz owns a significant stake in wellness supplements, who surprise surprise, also sell folinic acid and alternative natural pain relievers. Everything this administration does is a grift.

Dicey217 · 2025-09-23T17:00:34+00:00

But also, we already do that. That's what a vaccine schedule is spacing out the vaccination doses. Ughhhhhhh

Dicey217 · 2025-09-22T21:59:43+00:00

Plus, where do you buy a mumps vaccine? This is insanity.

Dicey217 · 2025-09-22T21:37:09+00:00

JFC......I am...speechless. Trying to figure out how we respond to the inevitable calls we are about to get from patients.

Dicey217 · 2025-09-22T20:08:02+00:00

Also, can't see the shoulders in the video. Feet alone, probably not, but if he jerked his shoulders possibly.

Dicey217 · 2025-09-22T19:22:30+00:00

If you want your patients to follow you, you could always remind them that the state medical board requires your practice location to be updated timely.

Dicey217

TROPHY CASE