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medpundit |
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Thursday, September 18, 2003Yesterday, the managed care company that administers our area’s Medicaid program called to say they wanted to inspect our new office today. The problem is, there is no new office yet. A series of unfortunate events conspired to delay the readiness of my new office space by a month. In the meantime, I’m working temporarily out of two exam rooms and a storage space in my old building while the new tenants remodel all around me. It’s far from adequate. There are too few phone lines, my medical records are in boxes, and all but the most necessary equipment and supplies are in storage. I’ve been limiting the patient visits to only the acutely ill. Operating at full capacity just isn’t possible under the circumstances. And even though I’m following the OSHA, CLIA, and HIPAA rules, any insurance inspector would be put off by the general disarray. Not to mention that this space isn’t really the new office. If they want to inspect the new office, then shouldn’t they inspect the new office? This point was completely lost on the Medicaid rep. She insisted. My office manager balked. Then, she fired the ultimate threat. If there was no inspection today, then we just can’t see Medicaid patients anymore. To which I can only say, “Adios, Medicaid.” UPDATE: A reader in the healthcare field says Medicaid reviews are the worst: As the executive of an mental health agency that is certified, licensed, and/or accredited by Ohio Department of Mental Health, Ohio Department of Alcohol and Drug Abuse Services, Medicaid, Medicare, Ohio Board of Pharmacy, JCAHO, any number of private insurers, and the local mental health board I can assure you that Medicaid reviews are the most arbitrary, conceptually disorganized, bureaucratized and capricious of the lot--JCAHO (believe it or not) stands heads and shoulders above the rest for professionalism and conceptual integrity. posted by Sydney on 9/18/2003 10:30:00 AM 0 comments 0 Comments: |
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