Patients charge physicians for waiting --&gt; and get paid!!

March 3, 2011

wow that is impressive. was that a policy of the office? or a bold patient?thuc huynhhttp://scrubd.in

March 3, 2011

I have paid my patients when I've been behind or forgot I added them to the schedule and left for a home visit! I pay 50 dollars as that's what I charge when patients no show. Twice in 2.5 years. If it was regular practice I would have been broke. With an IMP office I know who needs more time and schedule accordingly.

To: Sent: Wed, March 2, 2011 8:00:25 PMSubject: Re: Patients charge physicians for waiting --> and get paid!!

wow that is impressive. was that a policy of the office? or a bold patient?

thuc huynh

http://scrubd.in

March 3, 2011

I have paid my patients when I've been behind or forgot I added them to the schedule and left for a home visit! I pay 50 dollars as that's what I charge when patients no show. Twice in 2.5 years. If it was regular practice I would have been broke. With an IMP office I know who needs more time and schedule accordingly.

To: Sent: Wed, March 2, 2011 8:00:25 PMSubject: Re: Patients charge physicians for waiting --> and get paid!!

wow that is impressive. was that a policy of the office? or a bold patient?

thuc huynh

http://scrubd.in

March 3, 2011

wow thats awesome. something for me to think about for the future.thuc huynhhttp://scrubd.in

March 3, 2011

wow thats awesome. something for me to think about for the future.thuc huynhhttp://scrubd.in

March 3, 2011

wow thats awesome. something for me to think about for the future.thuc huynhhttp://scrubd.in

March 3, 2011

So if I spend twice as much time, pt should pay me twice?

Patients charge physicians for waiting --> and get paid!!

Hey, a friend just told me she charges doctors $45/hrfor waiting in the waiting room. Has been paid TWICE for this when she presents office with her bill.Any other anecdotal stories along these lines?Please share.PamelaPamela Wible, MD3575 St. #220 Eugene, OR 97405www.idealmedicalcare.org

March 3, 2011

So if I spend twice as much time, pt should pay me twice?

Patients charge physicians for waiting --> and get paid!!

Hey, a friend just told me she charges doctors $45/hrfor waiting in the waiting room. Has been paid TWICE for this when she presents office with her bill.Any other anecdotal stories along these lines?Please share.PamelaPamela Wible, MD3575 St. #220 Eugene, OR 97405www.idealmedicalcare.org

March 3, 2011

this is the most hilarious thing ive ever heard. so let's see how quickly she

can pull that one off with an office other than mine.

i dont intentionally run over time. i do because i take time to explain to

people. patients gladly wait. your friend -- i think is ridiculous for even

doing this. she will be out the door before i even blink. i think this is

ludicrous.

grace

>

> Hey, a friend just told me she charges doctors $45/hr

> for waiting in the waiting room. Has been paid TWICE

> for this when she presents office with her bill.

>

> Any other anecdotal stories along these lines?

> Please share.

>

> Pamela

>

> Pamela Wible, MD

> 3575 St. #220

> Eugene, OR 97405

>

>

March 3, 2011

this is the most hilarious thing ive ever heard. so let's see how quickly she

can pull that one off with an office other than mine.

i dont intentionally run over time. i do because i take time to explain to

people. patients gladly wait. your friend -- i think is ridiculous for even

doing this. she will be out the door before i even blink. i think this is

ludicrous.

grace

>

> Hey, a friend just told me she charges doctors $45/hr

> for waiting in the waiting room. Has been paid TWICE

> for this when she presents office with her bill.

>

> Any other anecdotal stories along these lines?

> Please share.

>

> Pamela

>

> Pamela Wible, MD

> 3575 St. #220

> Eugene, OR 97405

>

>

March 3, 2011

this is the most hilarious thing ive ever heard. so let's see how quickly she

can pull that one off with an office other than mine.

i dont intentionally run over time. i do because i take time to explain to

people. patients gladly wait. your friend -- i think is ridiculous for even

doing this. she will be out the door before i even blink. i think this is

ludicrous.

grace

>

> Hey, a friend just told me she charges doctors $45/hr

> for waiting in the waiting room. Has been paid TWICE

> for this when she presents office with her bill.

>

> Any other anecdotal stories along these lines?

> Please share.

>

> Pamela

>

> Pamela Wible, MD

> 3575 St. #220

> Eugene, OR 97405

>

>

March 3, 2011

EXACTLY... I will charge this particular patient time and a half!!

grace

>

> So if I spend twice as much time, pt should pay me twice?

> Patients charge physicians for waiting -->

and get paid!!

>

> Hey, a friend just told me she charges doctors $45/hr

> for waiting in the waiting room. Has been paid TWICE

> for this when she presents office with her bill.

>

> Any other anecdotal stories along these lines?

> Please share.

>

> Pamela

>

> Pamela Wible, MD

> 3575 St. #220

> Eugene, OR 97405

>

>

March 3, 2011

EXACTLY... I will charge this particular patient time and a half!!

grace

>

> So if I spend twice as much time, pt should pay me twice?

> Patients charge physicians for waiting -->

and get paid!!

>

> Hey, a friend just told me she charges doctors $45/hr

> for waiting in the waiting room. Has been paid TWICE

> for this when she presents office with her bill.

>

> Any other anecdotal stories along these lines?

> Please share.

>

> Pamela

>

> Pamela Wible, MD

> 3575 St. #220

> Eugene, OR 97405

>

>

March 3, 2011

My friends are pretty bold. #2. but office policy sounds great.

Instead of the sign in the waiting room that says " Please wait

here " or some such thing, i'd love to see a sign that says:

" We value your time and will reimburse you $45/hr for

waiting beyond 10 minutes for your scheduled visit. "

Pamela Wible, MD

3575 St. #220

Eugene, OR 97405

>

> wow that is impressive. was that a policy of the office? or a bold

> patient?

>

> thuc huynh

>

March 3, 2011

My friends are pretty bold. #2. but office policy sounds great.

Instead of the sign in the waiting room that says " Please wait

here " or some such thing, i'd love to see a sign that says:

" We value your time and will reimburse you $45/hr for

waiting beyond 10 minutes for your scheduled visit. "

Pamela Wible, MD

3575 St. #220

Eugene, OR 97405

>

> wow that is impressive. was that a policy of the office? or a bold

> patient?

>

> thuc huynh

>

March 3, 2011

My friends are pretty bold. #2. but office policy sounds great.

Instead of the sign in the waiting room that says " Please wait

here " or some such thing, i'd love to see a sign that says:

" We value your time and will reimburse you $45/hr for

waiting beyond 10 minutes for your scheduled visit. "

Pamela Wible, MD

3575 St. #220

Eugene, OR 97405

>

> wow that is impressive. was that a policy of the office? or a bold

> patient?

>

> thuc huynh

>

March 3, 2011

Try it Matt & let us know how that works out. . .

Pamela

>

> So if I spend twice as much time, pt should pay me twice?

> Patients charge physicians for waiting -->

and get paid!!

>

> Hey, a friend just told me she charges doctors $45/hr

> for waiting in the waiting room. Has been paid TWICE

> for this when she presents office with her bill.

>

> Any other anecdotal stories along these lines?

> Please share.

>

> Pamela

>

> Pamela Wible, MD

> 3575 St. #220

> Eugene, OR 97405

>

>

March 3, 2011

Try it Matt & let us know how that works out. . .

Pamela

>

> So if I spend twice as much time, pt should pay me twice?

> Patients charge physicians for waiting -->

and get paid!!

>

> Hey, a friend just told me she charges doctors $45/hr

> for waiting in the waiting room. Has been paid TWICE

> for this when she presents office with her bill.

>

> Any other anecdotal stories along these lines?

> Please share.

>

> Pamela

>

> Pamela Wible, MD

> 3575 St. #220

> Eugene, OR 97405

>

www.qualityfamilypractice.com

>

March 3, 2011

I think this would be a terrible policy.

Who do we collect that money from? The patient who took

longer than anticipated? The ER that called an interrupted hours?

Nurses from the hospital?

I value their time and that is why they get as much time as they

need. If this were to become policy then it would also have to be policy

that people get 15 minutes and are then ushered out the door whether we have

finished or not so that I can “stay on time”.

Kathy Saradarian, MD

Branchville, NJ

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ] On Behalf Of roxywible

Sent: Thursday, March 03, 2011 12:46 AM

To:

Subject: Re: Patients charge physicians for waiting

--> and get paid!!

My friends are pretty bold. #2. but office

policy sounds great.

Instead of the sign in the waiting room that says " Please wait

here " or some such thing, i'd love to see a sign that says:

" We value your time and will reimburse you $45/hr for

waiting beyond 10 minutes for your scheduled visit. "

Pamela Wible, MD

3575 St. #220

Eugene, OR 97405

>

> wow that is impressive. was that a policy of the office? or a bold

> patient?

>

> thuc huynh

www.qualityfamilypractice.com

>

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March 3, 2011

I think this would be a terrible policy.

Who do we collect that money from? The patient who took

longer than anticipated? The ER that called an interrupted hours?

Nurses from the hospital?

I value their time and that is why they get as much time as they

need. If this were to become policy then it would also have to be policy

that people get 15 minutes and are then ushered out the door whether we have

finished or not so that I can “stay on time”.

Kathy Saradarian, MD

Branchville, NJ

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ] On Behalf Of roxywible

Sent: Thursday, March 03, 2011 12:46 AM

To:

Subject: Re: Patients charge physicians for waiting

--> and get paid!!

My friends are pretty bold. #2. but office

policy sounds great.

Instead of the sign in the waiting room that says " Please wait

here " or some such thing, i'd love to see a sign that says:

" We value your time and will reimburse you $45/hr for

waiting beyond 10 minutes for your scheduled visit. "

Pamela Wible, MD

3575 St. #220

Eugene, OR 97405

>

> wow that is impressive. was that a policy of the office? or a bold

> patient?

>

> thuc huynh

www.qualityfamilypractice.com

>

CyberDefender has scanned this email for potential threats.

Version 2.0 / Build 4.03.29.01

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March 3, 2011

I think this would be a terrible policy.

Who do we collect that money from? The patient who took

longer than anticipated? The ER that called an interrupted hours?

Nurses from the hospital?

I value their time and that is why they get as much time as they

need. If this were to become policy then it would also have to be policy

that people get 15 minutes and are then ushered out the door whether we have

finished or not so that I can “stay on time”.

Kathy Saradarian, MD

Branchville, NJ

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ] On Behalf Of roxywible

Sent: Thursday, March 03, 2011 12:46 AM

To:

Subject: Re: Patients charge physicians for waiting

--> and get paid!!

My friends are pretty bold. #2. but office

policy sounds great.

Instead of the sign in the waiting room that says " Please wait

here " or some such thing, i'd love to see a sign that says:

" We value your time and will reimburse you $45/hr for

waiting beyond 10 minutes for your scheduled visit. "

Pamela Wible, MD

3575 St. #220

Eugene, OR 97405

>

> wow that is impressive. was that a policy of the office? or a bold

> patient?

>

> thuc huynh

>

CyberDefender has scanned this email for potential threats.

Version 2.0 / Build 4.03.29.01

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March 3, 2011

I agree this sets a bad precedent. Nobody likes to wait, but then again, no one likes to have their doctor visit end just because "we are out of time". I wonder how that same patient who demands $45/hr for waiting would feel if her doctor ended the visit after the allotted time but she still had unanswered questions? In my old practice at Kaiser, I was rarely on time but my patients who stuck with me knew I was trying to do the best job I could. I had colleagues who would always see their patients on time and go home on time, but I didn't consider them very good or caring doctors. Rather than choose to stay in an antagonistic relationship, patients should find a doctor whose practice style fits their own needs and preferences. Just like doctors should seek out patients who value and appreciate their skills and services. When there is a mismatch, unhappiness follows. SetoSouth Pasadena, CA

I think this would be a terrible policy. Who do we collect that money from? The patient who took

longer than anticipated? The ER that called an interrupted hours?

Nurses from the hospital? I value their time and that is why they get as much time as they

need. If this were to become policy then it would also have to be policy

that people get 15 minutes and are then ushered out the door whether we have

finished or not so that I can “stay on time”. Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing

From:

[mailto: ] On Behalf Of roxywible

Sent: Thursday, March 03, 2011 12:46 AM

To:

Subject: Re: Patients charge physicians for waiting

--> and get paid!!

My friends are pretty bold. #2. but office

policy sounds great.

Instead of the sign in the waiting room that says "Please wait

here" or some such thing, i'd love to see a sign that says:

"We value your time and will reimburse you $45/hr for

waiting beyond 10 minutes for your scheduled visit."

Pamela Wible, MD

3575 St. #220

Eugene, OR 97405

>

> wow that is impressive. was that a policy of the office? or a bold

> patient?

>

> thuc huynh

>

CyberDefender has scanned this email for potential threats.

Version 2.0 / Build 4.03.29.01

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March 3, 2011

I agree this sets a bad precedent. Nobody likes to wait, but then again, no one likes to have their doctor visit end just because "we are out of time". I wonder how that same patient who demands $45/hr for waiting would feel if her doctor ended the visit after the allotted time but she still had unanswered questions? In my old practice at Kaiser, I was rarely on time but my patients who stuck with me knew I was trying to do the best job I could. I had colleagues who would always see their patients on time and go home on time, but I didn't consider them very good or caring doctors. Rather than choose to stay in an antagonistic relationship, patients should find a doctor whose practice style fits their own needs and preferences. Just like doctors should seek out patients who value and appreciate their skills and services. When there is a mismatch, unhappiness follows. SetoSouth Pasadena, CA

I think this would be a terrible policy. Who do we collect that money from? The patient who took

longer than anticipated? The ER that called an interrupted hours?

Nurses from the hospital? I value their time and that is why they get as much time as they

need. If this were to become policy then it would also have to be policy

that people get 15 minutes and are then ushered out the door whether we have

finished or not so that I can “stay on time”. Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing

From:

[mailto: ] On Behalf Of roxywible

Sent: Thursday, March 03, 2011 12:46 AM

To:

Subject: Re: Patients charge physicians for waiting

--> and get paid!!

My friends are pretty bold. #2. but office

policy sounds great.

Instead of the sign in the waiting room that says "Please wait

here" or some such thing, i'd love to see a sign that says:

"We value your time and will reimburse you $45/hr for

waiting beyond 10 minutes for your scheduled visit."

Pamela Wible, MD

3575 St. #220

Eugene, OR 97405

>

> wow that is impressive. was that a policy of the office? or a bold

> patient?

>

> thuc huynh

>

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March 3, 2011

Good points. In our quest for health care reform we need

empowered patients. It's like having an inquisitive medical

student at your side asking tough questions. Keeps us on

our toes. Yes, we shouldn't have antagonistic relationships

with patients, but let's face it most people are trapped in

medical mills. It is to our benefit for them to stand up

and say " It's ridiculous to wait 30-120 minutes for my

scheduled appointment. " If patients feel disrespected

and devalued when they finally get to the exam room

then we are not delivering health care.

If we call ourselves " patient-centered " and claim we are " ideal

medical practices " then we should ideally not make patients wait

at all (see video clip): http://tiny.cc/yp9kk

OR we should demonstrate that we value their time when we

do (rarely) make them wait. I give an inexpensive gift. It's not

about $. It's common courtesy.

It does not have to get to the point of being presented with a

$45/hr invoice (and I think that would never happen in an IMP bc pts

tend to love their IMP docs and we have solid relationship-driven

not production-driven practices) BUT would it not speed up

REAL health care reform if ALL Patients in medical mills

would demand to be paid for their waiting time? I think so.

Ideas?

~ Pamela

Pamela Wible, MD

3575 St. #220

Eugene, OR 97405