ah ha! you simply don't know how to bill. lol.

by Podiatrist (no login)

 
lol,lol.
Sorry about the laughter, but I really cannot believe that your entire argument against podiatry is based on a false assumption! You just gave me the "official" claims review procedures for patients being treated for "routine" podiatric care (nails,callouses, etc.)
Sure enough, the requirements state the need for a "supervising" MD or DO for payment of these services.BUT ONLY FOR DIABETICS, AND ONLY FOR ROUTINE CARE! These types of patients make up approximately 2-3% of my practice. To tell you the truth, I turn many of them away. The fact is, if a patient is coming in for "routine" care in my office, it is because they also have a concomitant Periph. Vasc. component. Bill the service under the PVD component with yourself (D.P.M.) as the supervising doctor (yes, you should have the confidence to make that diagnosis since your license gives you the right) and you don't need any other practitioner's name. You see what a little effort makes? Instead you fool yourself into believing that all your patients need some doctor's signature or approval. What silliness. Furthermore, if you are relying on "routine" services to make a living, it is no wonder you are in this dismal state.You are simply stuck in the C&C rut. Pay the hundred dollars for a seminar and lift yourself out of the mire my little callous queen.
Secondly, who is arguing that podiatry is not a limited license? What idiot out there believes he/she went into podiatry to treat an anal abscess? Don't be ridiculous. Again, I put the question to you; When has a Psychiatrist ever treated an open fracture of the first metatarsal? When has a Pathologist diagnosed Posterior Tibial Tendon Dysfunction? When has a Radiologist prescribed Unasyn for an ascending anaerobic cellulitis? Sounds to me like they are a bit limited as well? no? Funny, because I have treated all these conditions in the past few months. And don't tell me those practitioners could treat those conditions, I am on my hospital's medical board and know that every department has it's delination of privileges.
Bottom line: ALL doctors are limited in the extent of their scope of practice.
General surgeons don't treat children with a severe overbite.
Orthopedic surgeons don't treat DSM classified personality disorders.
Internists don't treat ectopic pregnancies.
Gynecologists don't treat brain tumors.
And so on and so forth. Get the picture?
I'm afraid that your real problem is the fact that you are unhappy with your choice of profession. And guess what? That's ok too. The average American changes careers three times in a lifetime. Just don't put the blame on the profession for doing what it does. Before committing my time and effort to this field, I realized that I would be working on feet for a living. Not the worst thing in the world. Think of the dentists in people's rotted teeth all day or the hospitalist with all those disimpactions to perform and those guiac tests. How about the oncologist with all those patients he cannot save. All doctor's help people in some way in the end. The fact that you require some special recognition or "respect" to gain inner confidence is only a testament to your frail character and not the limited scope of practice. Keep looking for those MD/DO signatures if you wish, I for one can take them or leave them.
Signed,
changemaker

Posted on Sep 3, 2005, 5:53 PM
from IP address 205.188.116.134

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