Guest guest Posted December 30, 2008 Report Share Posted December 30, 2008 My experience has been that surgeons need me to do pre-op physical 2-4 weeks prior and they are to "re'do" pertinent exam morning of the surgery and check the appropriate boxes. When I worked at the Community Health Center one ortho group stated doing their own pre-ops because they complained the primaries weren't available (Well, yeah if you tell the patient surgery is next week then in a typical offie that's gonna be hard to squeeze in!). So ortho groups have been doing the pre-ops on the healthy patients and sending the "sick" ones or the complicated ones back to the primary! That's cherry picking. I'll remember to tell my patients to come back to me for the pre-op. Meanwhile I'll use those docs who already send them back to me and are good surgeons too! Subject: Re: pre op physicalsTo: Date: Tuesday, December 30, 2008, 12:41 PM Myria, I could be wrong, but I think that surgeons are SUPPOSED to dotheir own preop physicals if the pt. is healthy and does not needmedical evaluation to "clear" him/her for surgery. Isn't it paid foras part of the global fee for the surgery?---Sharlene >> My turn to be a grouch today! When I send someone to a specialistand surgery is needed then I expect them to be sent back to me for thepre-op physical not have the ortho office use their physicianextenders to further take away from my practice! I call the officemanager to request that my patients be returned to me for pre-opclearance and get this run around of "it's how we've always doneit!" and no committment at all --- if they send the patient back to methey'll still do their "own" H & P before hand! So if it isn'tprofessionally courteous then it's medical wastefulness! GRRR!> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2008 Report Share Posted December 30, 2008 All docs do their own physicals.You can not do anyone;s h a nd p but you can and should be consulted and bill a consult for medical clearance My experience has been that surgeons need me to do pre-op physical 2-4 weeks prior and they are to " re'do " pertinent exam morning of the surgery and check the appropriate boxes. When I worked at the Community Health Center one ortho group stated doing their own pre-ops because they complained the primaries weren't available (Well, yeah if you tell the patient surgery is next week then in a typical offie that's gonna be hard to squeeze in!). So ortho groups have been doing the pre-ops on the healthy patients and sending the " sick " ones or the complicated ones back to the primary! That's cherry picking. I'll remember to tell my patients to come back to me for the pre-op. Meanwhile I'll use those docs who already send them back to me and are good surgeons too! Subject: Re: pre op physicalsTo: Date: Tuesday, December 30, 2008, 12:41 PM Myria, I could be wrong, but I think that surgeons are SUPPOSED to dotheir own preop physicals if the pt. is healthy and does not needmedical evaluation to " clear " him/her for surgery. Isn't it paid for as part of the global fee for the surgery?---Sharlene >> My turn to be a grouch today! When I send someone to a specialistand surgery is needed then I expect them to be sent back to me for thepre-op physical not have the ortho office use their physician extenders to further take away from my practice! I call the officemanager to request that my patients be returned to me for pre-opclearance and get this run around of " it's how we've always doneit! " and no committment at all --- if they send the patient back to methey'll still do their " own " H & P before hand! So if it isn'tprofessionally courteous then it's medical wastefulness! GRRR!> -- If you are a patient please allow up to 24 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD ph fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2008 Report Share Posted December 30, 2008 I agree. Let me try to clarify. I've gotten forms that I complete the top part which is the pre-op clearance. Then on the bottom 1/4 of the sheet the surgeon signs he has rechecked BP, etc and signs on that bottom portion of the sheet. Now with an EMR I just print out my pre-op clearance and I don't complete those forms but I did used to see them. From: sharkinn <sharkinnyahoo (DOT) com>Subject: [Practiceimprovemen t1] Re: pre op physicalsTo: Practiceimprovement 1yahoogroups (DOT) comDate: Tuesday, December 30, 2008, 12:41 PM Myria, I could be wrong, but I think that surgeons are SUPPOSED to dotheir own preop physicals if the pt. is healthy and does not needmedical evaluation to "clear" him/her for surgery. Isn't it paid foras part of the global fee for the surgery?---Sharlene >> My turn to be a grouch today! When I send someone to a specialistand surgery is needed then I expect them to be sent back to me for thepre-op physical not have the ortho office use their physicianextenders to further take away from my practice! I call the officemanager to request that my patients be returned to me for pre-opclearance and get this run around of "it's how we've always doneit!" and no committment at all --- if they send the patient back to methey'll still do their "own" H & P before hand! So if it isn'tprofessionally courteous then it's medical wastefulness! GRRR!>-- If you are a patient please allow up to 24 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD ph fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2008 Report Share Posted December 31, 2008 RE sending complex pts for preop "optimization." Yep, that is what they're SUPPOSED to do. BUT bill "consultation fee" for the preop. Matt in Western PA Re: pre op physicalsTo: Date: Tuesday, December 30, 2008, 12:41 PM Myria, I could be wrong, but I think that surgeons are SUPPOSED to dotheir own preop physicals if the pt. is healthy and does not needmedical evaluation to "clear" him/her for surgery. Isn't it paid foras part of the global fee for the surgery?---Sharlene >> My turn to be a grouch today! When I send someone to a specialistand surgery is needed then I expect them to be sent back to me for thepre-op physical not have the ortho office use their physicianextenders to further take away from my practice! I call the officemanager to request that my patients be returned to me for pre-opclearance and get this run around of "it's how we've always doneit!" and no committment at all --- if they send the patient back to methey'll still do their "own" H & P before hand! So if it isn'tprofessionally courteous then it's medical wastefulness! GRRR!> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 31, 2008 Report Share Posted December 31, 2008 Just surgeons covering their asses in a way that does not interupt their day. But, it gets people in for physicals so I am always ahppy to do it. To: Sent: Tuesday, December 30, 2008 2:00:32 PMSubject: Re: Re: pre op physicals All docs do their own physicals.You can not do anyone;s h a nd p but you can and should be consulted and bill a consult for medical clearance On Tue, Dec 30, 2008 at 1:25 PM, Myria <myriaemenyyahoo (DOT) com> wrote: My experience has been that surgeons need me to do pre-op physical 2-4 weeks prior and they are to "re'do" pertinent exam morning of the surgery and check the appropriate boxes. When I worked at the Community Health Center one ortho group stated doing their own pre-ops because they complained the primaries weren't available (Well, yeah if you tell the patient surgery is next week then in a typical offie that's gonna be hard to squeeze in!). So ortho groups have been doing the pre-ops on the healthy patients and sending the "sick" ones or the complicated ones back to the primary! That's cherry picking. I'll remember to tell my patients to come back to me for the pre-op. Meanwhile I'll use those docs who already send them back to me and are good surgeons too! From: sharkinn <sharkinnyahoo (DOT) com>Subject: [Practiceimprovemen t1] Re: pre op physicalsTo: Practiceimprovement 1yahoogroups (DOT) comDate: Tuesday, December 30, 2008, 12:41 PM Myria, I could be wrong, but I think that surgeons are SUPPOSED to dotheir own preop physicals if the pt. is healthy and does not needmedical evaluation to "clear" him/her for surgery. Isn't it paid foras part of the global fee for the surgery?---Sharlene >> My turn to be a grouch today! When I send someone to a specialistand surgery is needed then I expect them to be sent back to me for thepre-op physical not have the ortho office use their physicianextenders to further take away from my practice! I call the officemanager to request that my patients be returned to me for pre-opclearance and get this run around of "it's how we've always doneit!" and no committment at all --- if they send the patient back to methey'll still do their "own" H & P before hand! So if it isn'tprofessionally courteous then it's medical wastefulness! GRRR!>-- If you are a patient please allow up to 24 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD ph fax Quote Link to comment Share on other sites More sharing options...
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