Wow...wow...wow...shocking...I hope my surgeon isn't
paid like that...my adhesion removal took 1hr. 45 min.
Scary thought.
--- Helen Dynda <olddad66@runestone.net> wrote:
> []]] SURGEONS PLAY THE MOST IMPORTANT ROLE IN > SURGICAL PROCEDURES > > Surgeons play the most important role in the > surgical procedure -- if their patient is going to > have the best possible result with an adhesion > barrier. It has become more and more clear - > especially as a result of Managed Care -- that > surgeons are NOT taking the time necessary to do a > meticulous clean-up at the end of a surgical > procedure; and there are reasons for this: > > Insurance companies and government health programs, > such as Medicare and Medicaid, are reimbursing > surgeons at the same LOW rate...whether the surgery > takes 2 hours or as many as 10 hours to complete a > surgery. > > Put yourself in the role of a surgeon. If you were > a surgeon, would you spend more than an estimated 2 > hours doing a surgery that may need many more hours > to complete (say 3 -10 hours) -- when you knew that > you were going to be paid for only the estimated 2 > hours? > > When it comes to adhesiolysis procedures, hospitals > are also in the same position as the surgeon is!! > Based on that " simple " adhesiolysis, which is > supposed to be completed in about 2 hours, hospitals > are also reimbursed at one LOW rate for the use of > their operating rooms. An adhesiolysis procedure > that takes much longer than those 2 hours, ties up > the operating room for other procedures!! If you > were in charge of a hospital, would you be satisfied > if one of the surgeons spent from 3 to as many as10 > hours performing an adhesiolysis procedure -- when > you knew that the hospital would be reimbursed for > only 2 hours? > > By the LOW rates at which surgeons and hospitals are > reimbursed for an adhesiolysis, insurance companies > and government health programs (Medicare and > Medicaid) are actually telling surgeons and > hospitals how much time they are being allowed to > complete this surgical procedure. According to the > schedule of reimbursement for an adhesiolysis, > these proceduresare perhaps listed as the " lowest " > reimbursed surgical procedures on their payment > schedule. > > Are insurance companies and government health > programs qualified to practice medicine? Of course > not!! THIS IS WHERE THE PROBLEM LIES! > > Doctors and surgeons do NOT need this kind of > interference in their practice of medicine!!! > > Until there are changes in the way that adhesiolysis > procedures are reimbursed by insurance companies and > government health programs, ARD SUFFERERS WILL > CONTINUE TO SUFFER FROM FAILED SURGICAL PROCEDURES!! >