RI’s Bad Biz Climate Even Captures Doctors in Its Net

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Wow, Rhode Island sure is not welcoming to doctors. (H/T GoLocalProv.)

Add this to the list of regulatory reforms that state leaders and the General Assembly must work on.

A new study released Monday morning finds that RI ranks among the worst places in America for physician to practice.



  • ShannonEntropy

    Right below the article you linked to …
    Related Slideshow: #50 to #1: Doctors in RI with the Most Medicare Prescription Claims

    Those figures would seem to be prima facie evidence of fraud
    … the top prescriber here wrote nearly ** 84,000 ** Medicare prescriptions last year ??

    Even if he only had Medicare patients & worked 24/7/365 that would be almost TEN prescriptions an hour — every hour of every day. Even my nimble-fingered primary care doc can’t write scripts that fast !!

    Want even more eye-popping numbers ??
    Check out these stats =►

    http://www.golocalprov.com/news/rhode-islands-medicare-millionaires/

    http://www.golocalprov.com/news/top-20-doctors-others-for-medicare-reimbursements-in-ri/

    Maybe Med Schools otter add a “How To Survive A Federal Prison Sentence” to their basic curriculum

    • Rhett Hardwick

      What your links describe is what you always find when you separate the payor from the recipient of service. Why else does a windshield, under insurance, cost $700; but if you tell them no insurance, it drops to $300. If you have insurance, but it is not an insurable loss, just normal road wear, they will suggest you throw a rock through it.

      Some years ago, my former wife ganged up with a group that went to hospitals and offered to “improve their billing”. Since it is all done by codes, it is just a matter of adjusting the codes (a fracture is coded as a break). Her group got 10% of the increased take. She being an “ex” all I know is what i saw in the papers. Some of them went to jail. Since her life didn’t seem to be interfered with, and being a cutie, I suspect she availed herself of the Nuremberg Defense. Before being signed on, they met with some of Boston’s larger law firms, they apparently had no objection. Their basic claim was that they were “experts” in medical billing. I have probably simplified it.

      • Rhett Hardwick

        I looked through your second link. Surprised to see that 80% are ophthalmologists and ambulance services. I also noticed that the payees frequently receive about 22% of the sum requested. That suggests that there is significant over billing. It would also suggest that the payees are rationalizing that they are being stiffed and therefore lard on the billing. I wonder, how does a business that legitimately bills 25 million, and receives 7 million survive. They should be unable to meet expenses. I recall that a few years ago a friend’s wife was transported 1/2 a mile from a car accident to the hospital. She was merely bruised and conscious, the charge was $1,000 I understood that this was a “minimum charge”. She was fully capable of taking a cab, A $1,000 seems a very high hourly rate. Of course, they do show up with a crew of 4, or 5, these days.

        • ShannonEntropy

          I wonder, how does a business that legitimately bills 25 million, and receives 7 million survive

          They lose money on every patient … but they make it up on volume

          Just kidding !!

          If they bill say $1,500 for an MRI Mediscare might only pay them $200. But when YOU go in uninsured you have to pay the full boat

          The subject of medical billing was covered exhaustively a few yrs ago by Steven Brill in Time® magazine. When you get a few spare hours check it out =►

          http://www.uta.edu/faculty/story/2311/Misc/2013,2,26,MedicalCostsDemandAndGreed.pdf

  • oceanstater

    Do we have too many lawyers suing? We do have too many lawyer ads.
    Maybe there are also too many drug ads contributing to overbilling and overprescribing and overspending.

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