[justamom]

Actually, a lot of the problems everyone is describing can be traced back to several factors. The patient's insurance is one, rising costs for malpractice ins, OSHA, tons and tons of fees that the patient isn't even aware of. All of these costs lead/force many in the medical field to overbook and quite frankly, compromise the level of care. We decided several years ago NOT to become part of any HMOs because one, the reimbursement for certain services is a JOKE and two when a patient reads "This fee is above the "usual and customary" fee...a patient thinks the Dr is overcharging. It doesn't matter that the UCF they are using is an average of practices in "Hicksville" USA, perhaps it's a 5 year old average-or that they want to substitute a procedure that is cheap for one that is newer and more sound with better results. That is why so many offices overbook-to produce enough volume to cover the broken apts...the no pay/slow pay...and of course, the ever increasing costs to just open the door everyday.

A busy office isn't necessarily a sign of success. It can signal a struggle for the Dr. to keep the business afloat. I guess I feel we pretty well have it the way we want it. Three of us working (I'm half day)-1 patient at a time with a max of 6 patients but usually 4- 2 in the a.m and 2 in the afternoon. We are far from the cheapest and no one dictates what procedures Hubby does. We do NOT advertise-no need, so no cost-and our building is rather old and could use new carpet. We are as loyal to our patients as they are to us.

Next time you are looking for a Dr in any field, ask around-not just your own age group, but lots of people. Heavy advertising and brand new office buildings LOOK good, but have absolutely NOTHING to do with the quality of care, but they sure do contribute to the COST. Yes-if you have to wait more than 15 min. (with the exception of an emergency) you are waiting too long. When WE run late-I call the next patient and let them know so they can either run an errand or stay in the comfort of their home. Most time, they come on in and we chat-because we are friends. It's mutual respect and all the "image" in the world can't buy that. There ARE good people out there, you just have to look a little harder. AND-tell your ins. company you want to see the Dr YOU prefer!