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Posted: 9/27/2016 4:01:57 PM EDT
[#1]
Quote HistoryQuoted:
The one thing that really pisses me off is that more and more doctors are refusing to prescribe codeine syrup when you are clearly not a junkie and clearly have a dry, rasping cough that's keeping you up all night. I fucking hate having a cough and there is absolutely nothing OTC that works. Good luck finding it anywhere for sale, but codeine cough syrup is schedule 5 and technically over the counter if you sign a log book. I went looking back when I was in medical school and couldn't afford a doctor's appointment. I was unable to find any pharmacy who would sell it OTC even though it was legal. |
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Posted: 9/27/2016 4:05:31 PM EDT
[#2]
I called for an appt with a new doc, i got an email stating i have to take a uds prior to seeing him. I also got the paperwork for my history, it asked if i had any guns in the house. I booked the appt and didnt show, fuk them. We have a company ARNP that works for us, no drug test,no bs. I would fail the test but i know what works best for me for my extreme RLS.
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Posted: 9/27/2016 4:06:27 PM EDT
[#3]
Quote HistoryQuoted:
You are a dick. Yes, invite the man into someone else's legitimate livelihood because you don't like the policy. Screw you. Quote HistoryQuoted:
Quoted:
If you are paying via insurance, or if this doctor accepts insurance and bills this out, then it is lacking medical necessity and is potentially deniable. Ask the office if they accept medicare or medicaid and if they do this to those patients. If they say yes...then inform them you will report them to RAC and see if RAC wants to come perform an audit for non-medically necessary tests being charged to Medicare/Medicaid. ETA: Here's the link, report the doctor here on the cell phone right in front of him and watch the hilarity ensue. When RAC comes in, they comb through the past 7y of medical records looking for improper payments and perform a takeback (literally taking money out of the doctor office's bank account) for anything they find. https://www.cms.gov/research-statistics-data-and-systems/monitoring-programs/medicare-ffs-compliance-programs/recovery-audit-program/ Yes, invite the man into someone else's legitimate livelihood because you don't like the policy. Screw you. He's not the dick,here. |
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Posted: 9/27/2016 4:07:08 PM EDT
[#4]
Quote HistoryQuoted:
Its becoming more common. Just one more thing that the druggies have fucked up for the decent folks. WINNER!!! |
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Posted: 9/27/2016 4:08:35 PM EDT
[#5]
might be for uti or blood or sugar i dont they are testing for drugs and might not even send it out they just use those dip strips right in the office. the taged me for a uti and put me on sulfur type drug feel much better now
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Posted: 9/27/2016 4:08:50 PM EDT
[#6]
Quote HistoryQuoted:
If you are paying via insurance, or if this doctor accepts insurance and bills this out, then it is lacking medical necessity and is potentially deniable. Ask the office if they accept medicare or medicaid and if they do this to those patients. If they say yes...then inform them you will report them to RAC and see if RAC wants to come perform an audit for non-medically necessary tests being charged to Medicare/Medicaid. ETA: Here's the link, report the doctor here on the cell phone right in front of him and watch the hilarity ensue. When RAC comes in, they comb through the past 7y of medical records looking for improper payments and perform a takeback (literally taking money out of the doctor office's bank account) for anything they find. https://www.cms.gov/research-statistics-data-and-systems/monitoring-programs/medicare-ffs-compliance-programs/recovery-audit-program/ Unless the doc is just eating the costs to try and save him some hassle with th DEA or malpractice insurance. (Not that I think this is a smart idea) |
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Posted: 9/27/2016 4:09:50 PM EDT
[#7]
Dr ordered a pt because of medications prescribed.
So I went to the lab and handed over the pee test order paperwork. Asian guy hands me a cup. I said hey did the Dr call and tell you the special order. He said what special order. I said, he wanted for me to test my coordination, and urine pressure and flow. And this test would require the lab guy to hold the cup and move it slowly side to side at 3 ft from myself peeing. The look on his face was priceless. |
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Posted: 9/27/2016 4:10:19 PM EDT
[#8]
My doc won't prescribe any pain meds ( policy of his employer), so there's no sense of him asking. I'm pissing right on the floor and walking out if they do. |
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Posted: 9/27/2016 4:11:02 PM EDT
[#9]
Quote HistoryQuoted:
Are you drunk? Quote HistoryQuoted:
Quoted:
First specialist I went to after a wreck in 13 demanded a piss test to even see the doc..Ito.d them fine, take your test, pissed, then went into see the doc..asked him if I passed, he said yep..I got up and walked out...went town other place, the ended up getting to do 3 surgeries on me and make a shot load of money..l.other place sent me a piss test bill because insurance wouldn't cover it..I called their finance dept. told them no way I would pay for a test they required just to see th Doctor..... Are you drunk? No, sorry, damn auto correct on I-pad..drives me nuts.. 
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Posted: 9/27/2016 4:12:42 PM EDT
[#10]
Quote HistoryQuoted:
might be for uti or blood or sugar i dont they are testing for drugs and might not even send it out they just use those dip strips right in the office. the taged me for a uti and put me on sulfur type drug feel much better now Drunk already ? |
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Posted: 9/27/2016 4:13:33 PM EDT
[#11]
Havent had a piss test since last Nov even the va has never asked for one.
Sounds strange |
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Posted: 9/27/2016 4:14:51 PM EDT
[#12]
Quote HistoryQuoted:
You're either overreacting or have something to hide. Quote HistoryQuoted:
Quoted:
Went to doc today, they have new policy to piss test EVERY patient who is on or might get on ANY medication. And they want it in advance before they even seat you in a patient room, even if you don't know whether the doc will prescribe you anything. This doc is in an upscale area, not the hood. I put up with this shit for 12 years in the Army, being treated as a criminal. Not doing it. It is humiliating and degrading, especially at a private doc. Am I overreacting? You're either overreacting or have something to hide. Oh bull shit. This nanny state mentality makes me want to puke. Back when I was on the clock the boss decided he wanted to start drug testing. I told him he better start looking for employees cause about half the shop would tell him to fuck off. None of us took drugs. We don't take shit, either. |
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Posted: 9/27/2016 4:15:31 PM EDT
[#13]
Quote HistoryQuoted:
Its becoming more common. Just one more thing that the druggies war on drugs have fucked up for the decent folks. Fixed, the fault lies with the .gov on this. |
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Posted: 9/27/2016 4:17:30 PM EDT
[#14]
Quote HistoryQuoted:
Drug screen. Big new sign at front desk, new consent paperwork to sign, got asked to provide sample after height weight and before blood pressure. Quote HistoryQuoted:
Quoted:
Quoted:
Went to doc today, they have new policy to piss test EVERY patient who is on or might get on ANY medication. And they want it in advance before they even seat you in a patient room, even if you don't know whether the doc will prescribe you anything. This doc is in an upscale area, not the hood. I put up with this shit for 12 years in the Army, being treated as a criminal. Not doing it. It is humiliating and degrading, especially at a private doc. Am I overreacting? Just to check, is this a piss test to screen for drugs or to check body functions? I know some of the meds I'm on I have a blood/urine test every 4 to 6 months. If it's a drug test, I'd say fuck that noise and go find another doc. Drug screen. Big new sign at front desk, new consent paperwork to sign, got asked to provide sample after height weight and before blood pressure. Tell them you will if the doc will and you get the results. |
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Posted: 9/27/2016 4:17:44 PM EDT
[#15]
I only had that happen at a urologist's office, which I completely understood. But, it checked for health issues and not for drug abuse.
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Posted: 9/27/2016 4:18:02 PM EDT
[#16]
Quote HistoryQuoted:
You are a dick. Yes, invite the man into someone else's legitimate livelihood because you don't like the policy. Screw you. Quote HistoryQuoted:
Quoted:
If you are paying via insurance, or if this doctor accepts insurance and bills this out, then it is lacking medical necessity and is potentially deniable. Ask the office if they accept medicare or medicaid and if they do this to those patients. If they say yes...then inform them you will report them to RAC and see if RAC wants to come perform an audit for non-medically necessary tests being charged to Medicare/Medicaid. ETA: Here's the link, report the doctor here on the cell phone right in front of him and watch the hilarity ensue. When RAC comes in, they comb through the past 7y of medical records looking for improper payments and perform a takeback (literally taking money out of the doctor office's bank account) for anything they find. https://www.cms.gov/research-statistics-data-and-systems/monitoring-programs/medicare-ffs-compliance-programs/recovery-audit-program/ Yes, invite the man into someone else's legitimate livelihood because you don't like the policy. Screw you. Lol. |
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Posted: 9/27/2016 4:18:59 PM EDT
[#17]
My friend is on an ungodly amount of opiate pain meds. His Dr. Was recently required to do a piss test. He came up negative. Wtf? He went to her office everyday for two weeks at 8am and 4pm so she could watch him take the meds. Piss test on day 14 was also negative. What the holy hell? Now insurance was threatening. He finally had blood work done specifically looking for those meds. He was right in range for his dosages but that piss test is unreliable...
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Posted: 9/27/2016 4:24:42 PM EDT
[#18]
Quote HistoryQuoted:
Are you drunk? Quote HistoryQuoted:
Quoted:
First specialist I went to after a wreck in 13 demanded a piss test to even see the doc..Ito.d them fine, take your test, pissed, then went into see the doc..asked him if I passed, he said yep..I got up and walked out...went town other place, the ended up getting to do 3 surgeries on me and make a shot load of money..l.other place sent me a piss test bill because insurance wouldn't cover it..I called their finance dept. told them no way I would pay for a test they required just to see th Doctor..... Are you drunk? He's HAF dude. |
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Posted: 9/27/2016 4:29:15 PM EDT
[#19]
Because of the illegal market in opioids and the abuse potential, if you prescribe that stuff you are essentially part of federal and state monitoring programs, if it gets back to you that somehow the drugs that you prescribed, even if you meant to do it in good faith, have gotten abused or on the illegal market, you could get fined or lose your license.
It's why many people refuse to prescribe them anymore and just punt them to pain specialists who routinely deal in this nonsense. You can thank the war on drugs for that. |
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Posted: 9/27/2016 4:31:22 PM EDT
[#20]
Quote HistoryQuoted: You're either overreacting or have something to hide. Quote HistoryQuoted: Quoted: Went to doc today, they have new policy to piss test EVERY patient who is on or might get on ANY medication. And they want it in advance before they even seat you in a patient room, even if you don't know whether the doc will prescribe you anything. This doc is in an upscale area, not the hood. I put up with this shit for 12 years in the Army, being treated as a criminal. Not doing it. It is humiliating and degrading, especially at a private doc. Am I overreacting? You're either overreacting or have something to hide. Ever have these tests done? If you have, you might have received an unexpected bill from the Doc or Lab for anywhere between $20 and $150. No explanation, just pay or go to collections. Surprise! |
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Posted: 9/27/2016 4:33:55 PM EDT
[#21]
It hasn't happened to me...well except for the regular lab work at my yearly physical. And I had an appointment with a Urologist recently. They gave me a cup and asked for a sample. I wasn't expecting this so I took a piss before leaving home and I was empty. I gave the cup to the nurse and said sorry, I got nothing for you and she just smiled and said no problem. |
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Posted: 9/27/2016 4:36:08 PM EDT
[#22]
My doc always demands a urine sample, but he is a urologist.
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Posted: 9/27/2016 4:41:37 PM EDT
[#23]
My wife has routine random tests, but shes on a whole bunch of meds....time release morphine, morphine patches, muscle relaxers etc etc.
I'm not sure how well a drug screen would sit with me however, but I go to the doctor about once a year. |
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Posted: 9/27/2016 4:43:17 PM EDT
[#24]
Quote HistoryQuoted:
Not just for pain or narcotics. Any meds whatsoever. Quote HistoryQuoted:
Quoted:
My wife has to take urine tests for her pain management doctor to ensure she has drugs in her system and she's not selling them. Not just for pain or narcotics. Any meds whatsoever. I've never had that with any of my meds, including pain meds. |
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Posted: 9/27/2016 4:47:41 PM EDT
[#25]
They can't just "test for any meds."
Every additional type of med they test for is an additional cost. I'd definitely refuse unless they are covering the cost 100%. |
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Posted: 9/27/2016 4:48:45 PM EDT
[#26]
Quote HistoryQuoted:
They claim it is to make sure I am not abusing prescription drugs. I said, so the piss test tells you if I am actually taking the drugs you prescribed? "Yes." So what if I am, you prescribed them?? "  " was the only response I got.Patients sell their pills. Posted Via AR15.Com Mobile |
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Posted: 9/27/2016 4:49:30 PM EDT
[#27]
Quoted:
Went to doc today, they have new policy to piss test EVERY patient who is on or might get on ANY medication. And they want it in advance before they even seat you in a patient room, even if you don't know whether the doc will prescribe you anything. This doc is in an upscale area, not the hood. I put up with this shit for 12 years in the Army, being treated as a criminal. Not doing it. It is humiliating and degrading, especially at a private doc. Am I overreacting? No, fuck that Dr. |
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Posted: 9/27/2016 4:49:49 PM EDT
[#28]
Quote HistoryQuoted:
I went to a neurologist. Not for pain, but for numbness. I am on no pain killers. She said it was law to drug test patients randomly and that illegal drugs affect her diagnosis. I'd like to know what law that is. I suspect she's just saying, "it's the law!" to circumvent any protests but... I suspect that it's really company (or insurance) policy instead of "the law". |
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Posted: 9/27/2016 4:50:29 PM EDT
[#29]
Fuck those assholes
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Posted: 9/27/2016 4:50:37 PM EDT
[#30]
Quote HistoryQuoted:
Patients sell their pills. Posted Via AR15.Com Mobile Quote HistoryQuoted:
Quoted:
They claim it is to make sure I am not abusing prescription drugs. I said, so the piss test tells you if I am actually taking the drugs you prescribed? "Yes." So what if I am, you prescribed them?? " " was the only response I got.Patients sell their pills. Posted Via AR15.Com Mobile They don't want to prescribe it to you if you have it in your system but can't provide a prescription from another doctor, and they don't want to keep prescribing it to you if it doesn't show up in your system when you do get a prescription. It's also because the DEA, like the IRS, likes to show up and shakedown small business owners and fine the shit out of them. It's easy money and you don't get shot at by cartels or have to walk around the desert. Nobody wants to lose their ability to prescribe drugs or practice medicine. |
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Posted: 9/27/2016 4:52:22 PM EDT
[#31]
Check out Florida statute 456.44 Controlled Substance Prescribing, I don't think it mandates a drug test explicitly but the reality is Florida was the pain pill dispensing capital of the US for a while and Big Brother got involved and put the hammer down on Docs and Pharmacies, so the druggies still get their drugs somehow and the rest of us get tested. Not sure why testing welfare peeps is unconstitutional but testing people with insurance isn't.
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Posted: 9/27/2016 4:53:21 PM EDT
[#32]
Sounds like your doctor has found a way to bilk money out of your insurance company.
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Posted: 9/27/2016 4:56:03 PM EDT
[#33]
My doctor is cool as fuck. I'd laugh in his face if he asked to piss test me for no reason.
ETA: I'd love to know how the insurer feels about all that unnecessary lab work? |
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Posted: 9/27/2016 4:56:24 PM EDT
[#34]
No it isn't a new thing, OP.
No one that I know in a regular practice does such a thing. Docs that prescribe narcotics may do it to make sure you are taking the medications as prescribed (lots of people have a side business of selling their narcotics and they will have a negative result on the urine test). Maybe the doc you saw got into some trouble for prescribing meds and is covering their ass? |
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Posted: 9/27/2016 4:58:08 PM EDT
[#35]
Quote HistoryQuoted:
No it isn't a new thing, OP. No one that I know in a regular practice does such a thing. Docs that prescribe narcotics may do it to make sure you are taking the medications as prescribed (lots of people have a side business of selling their narcotics and they will have a negative result on the urine test). Maybe the doc you saw got into some trouble for prescribing meds and is covering their ass? They either got in trouble, are following state regulations, or both. I'm predicting in the future most doctors will stop prescribing pain medications altogether because it's not worth the risk and hassle. |
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Posted: 9/27/2016 4:58:19 PM EDT
[#36]
Quote HistoryQuoted:
My wife has to take urine tests for her pain management doctor to ensure she has drugs in her system and she's not selling them. I could understand that if it was a very large dose of certain pain meds and thus she is singled out based on a risk profile. But to just go Full-Oprah "You get a piss test, you get a piss test, everybody gets a piss test" is rude, humiliating, and degrading. Plus I would probably have to pay out of pocket for the Hot Nurse Meatgazer Option. 
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Posted: 9/27/2016 4:59:05 PM EDT
[#37]
Probably only taking samples from gun owners.
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Posted: 9/27/2016 5:01:04 PM EDT
[#38]
Quote HistoryQuoted:
Just looking for a new source of revenue. I mean......the insurance is getting the bill.......Rrrrright? Aloha, Mark Supposedly. But I am on the hook if insurance won't cover. They are now demanding debit or credit card info and billing consent to be kept on file so they can bill you without notice if insurance refuses to cover. 
I think I need a new doc with a less-sketchy clientele. |
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Posted: 9/27/2016 5:02:15 PM EDT
[#39]
Quote HistoryQuoted:
They either got in trouble, are following state regulations, or both. I'm predicting in the future most doctors will stop prescribing pain medications altogether because it's not worth the risk and hassle. Quote HistoryQuoted:
Quoted:
No it isn't a new thing, OP. No one that I know in a regular practice does such a thing. Docs that prescribe narcotics may do it to make sure you are taking the medications as prescribed (lots of people have a side business of selling their narcotics and they will have a negative result on the urine test). Maybe the doc you saw got into some trouble for prescribing meds and is covering their ass? They either got in trouble, are following state regulations, or both. I'm predicting in the future most doctors will stop prescribing pain medications altogether because it's not worth the risk and hassle. Florida actually has been in the news for being a pill-mill haven. People would fly into Florida from out of state, see a pain management physician for 5 minutes, and fly back home with a few hundred oxy's. It could literally be a couple hour trip in and out of the state to pick up narcotics. I'm not sure what their state regulations are, but maybe some physicians their have been on edge since all of that went down. |
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Posted: 9/27/2016 5:03:24 PM EDT
[#40]
That shit is illegal here both at the doc and in thw workplace. Tell
The agent of the state to get stuffed |
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Posted: 9/27/2016 5:04:00 PM EDT
[#41]
Quote HistoryQuoted:
Dr ordered a pt because of medications prescribed. So I went to the lab and handed over the pee test order paperwork. Asian guy hands me a cup. I said hey did the Dr call and tell you the special order. He said what special order. I said, he wanted for me to test my coordination, and urine pressure and flow. And this test would require the lab guy to hold the cup and move it slowly side to side at 3 ft from myself peeing. The look on his face was priceless. There was a Sean Connery Bond film in which Bond goes to the doctor. Nurse holds up piss cup, asks him from across the room, "can you fill this for me?" Bond merely replies, "from here?" |
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Posted: 9/27/2016 5:05:15 PM EDT
[#42]
Shit in the cup
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Posted: 9/27/2016 5:05:42 PM EDT
[#43]
Quote HistoryQuoted:
Check out Florida statute 456.44 Controlled Substance Prescribing, I don't think it mandates a drug test explicitly but the reality is Florida was the pain pill dispensing capital of the US for a while and Big Brother got involved and put the hammer down on Docs and Pharmacies, so the druggies still get their drugs somehow and the rest of us get tested. Not sure why testing welfare peeps is unconstitutional but testing people with insurance isn't. Thanks |
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Posted: 9/27/2016 5:08:50 PM EDT
[#44]
Quote HistoryQuoted:
You're either overreacting or have something to hide. Quote HistoryQuoted:
Quoted:
Went to doc today, they have new policy to piss test EVERY patient who is on or might get on ANY medication. And they want it in advance before they even seat you in a patient room, even if you don't know whether the doc will prescribe you anything. This doc is in an upscale area, not the hood. I put up with this shit for 12 years in the Army, being treated as a criminal. Not doing it. It is humiliating and degrading, especially at a private doc. Am I overreacting? You're either overreacting or have something to hide. Ding ding ding. Do you get extra income for being a statist apologist? Or is it just a hobby? |
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Posted: 9/27/2016 5:10:02 PM EDT
[#45]
Quote HistoryQuoted:
Shit in the cup 
"You said you wanted a sample" |
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Posted: 9/27/2016 5:13:09 PM EDT
[#46]
Quote HistoryQuoted: Its becoming more common. Just one more thing that the druggies have fucked up for the decent folks. |
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Posted: 9/27/2016 5:20:37 PM EDT
[#47]
Quote HistoryQuoted:
Ask why it's being done. Any test requires medical necessity. If you're on scheduled meds or those requiring clearance testing, it's one thing. If not, Tox screening is BIG business - ask if he's making anything on the test - if he is, other than what is billed to your insurance, find a new doctor. There are a lot of pay for play (Clinton style) scams with tox screening. Quote HistoryQuoted:
Quoted:
Its becoming more common. Just one more thing that the druggies have fucked up for the decent folks. Girl at front desk could only repeat "it is our new policy so we can screen for drug abuse" I actually said out loud "you are gonna piss-test EVERYONE?" and she acted completely unsurprised at my choice of words. They must see plenty of veterans. She didn't understand the policy well enough to explain, and was kinda apologetic, so I didn't go full HAM on her. |
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Posted: 9/27/2016 5:20:48 PM EDT
[#48]
Quote HistoryQuoted:
You are a dick. Yes, invite the man into someone else's legitimate livelihood because you don't like the policy. Screw you. Quote HistoryQuoted:
Quoted:
If you are paying via insurance, or if this doctor accepts insurance and bills this out, then it is lacking medical necessity and is potentially deniable. Ask the office if they accept medicare or medicaid and if they do this to those patients. If they say yes...then inform them you will report them to RAC and see if RAC wants to come perform an audit for non-medically necessary tests being charged to Medicare/Medicaid. ETA: Here's the link, report the doctor here on the cell phone right in front of him and watch the hilarity ensue. When RAC comes in, they comb through the past 7y of medical records looking for improper payments and perform a takeback (literally taking money out of the doctor office's bank account) for anything they find. https://www.cms.gov/research-statistics-data-and-systems/monitoring-programs/medicare-ffs-compliance-programs/recovery-audit-program/ Yes, invite the man into someone else's legitimate livelihood because you don't like the policy. Screw you. It's not a legitimate livelihood when you are doing tests that aren't medically necessary and then billing the taxpayer to pay for your fraud. That sir is what you call fraud, not a legitimate business...and the precedent is set for physicians losing their medical license for defrauding the government like that. Generally you get 3-4 big take backs done before they pursue you in court. You might want to review your personal ethics if you think what is going on is legitimate. And since social services is the largest single piece of the federal budget you think you'd care. 
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Posted: 9/27/2016 5:21:37 PM EDT
[#49]
Quote HistoryQuoted:
Just looking for a new source of revenue. I mean......the insurance is getting the bill.......Rrrrright? Aloha, Mark No if he is testing everyone the insurance will deny. I cannot see how he can get paid for this. Personally i think it is a good idea. Drugies are a pain in the ass to care for and litigious as hell. |
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Posted: 9/27/2016 5:24:30 PM EDT
[#50]
Quote HistoryQuoted:
Shit in the cup I'd like to subscribe to your news letter. |
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