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Dr Lebbeney D.O, MSc - PainDoc

@kingsemelo

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@cliftonghana •certified broker (@eandcpropertyconsult ) Let’s talk You through some of the best air bnb apartments in Prime Accra! Feel free to Call us or Dm at anytime! #accrarealtor #accraairbnb #accraapartments #luxurylivingaccra

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That needle jockey life 💉🥃

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This is why I don’t do procedures on the same day I see the patient. CMS/insurance billing rules require complex coding with modifiers to distinguish the separate services. Even when properly coded, insurers frequently reduce or deny payment for one of the services, arguing it’s bundled into the procedure, despite the extra time and expertise involved in the consultation. This leads to physicians not being adequately compensated for the full scope of their work, making it financially and logistically more practical to separate the visits. Giving out free medical care is unsustainable.

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Today’s thoughts brought to you by @dutchrojashealthcare

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Sunday thoughts…

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This is just insulting.

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Just make it happen.

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If you feel attacked, then you have to make some changes 😂

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A little Monday motivation and reminder to get after it 👊🏼

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⁣⁣
This document outlines a contract between United healthcare and small healthcare provider groups in Ohio. It contains stipulations of how providers must deliver and bill for services, the conditions, and know which claims are paid, and the rights and responsibilities of both parties.⁣⁣
⁣⁣
Right off the bat, I see red flags and ethical issues:⁣⁣
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• 𝐋𝐢𝐦𝐢𝐭𝐬 𝐨𝐧 𝐏𝐚𝐭𝐢𝐞𝐧𝐭 𝐂𝐚𝐫𝐞: Restrictions on treatment options due to non-coverage may conflict with a physician’s medical judgment.⁣⁣
• 𝐅𝐢𝐧𝐚𝐧𝐜𝐢𝐚𝐥 𝐏𝐞𝐧𝐚𝐥𝐭𝐢𝐞𝐬: Denial of reimbursement for administrative issues (e.g., untimely claim submission) unfairly impact providers without benefiting patients.⁣⁣
• 𝐄𝐱𝐜𝐥𝐮𝐬𝐢𝐯𝐞 𝐍𝐞𝐭𝐰𝐨𝐫𝐤 𝐑𝐞𝐪𝐮𝐢𝐫𝐞𝐦𝐞𝐧𝐭𝐬: Obligations to refer patients within a network could limit patient choice and access to necessary specialists.⁣⁣
• 𝐋𝐨𝐰 𝐑𝐞𝐢𝐦𝐛𝐮𝐫𝐬𝐞𝐦𝐞𝐧𝐭 𝐑𝐚𝐭𝐞𝐬: Agreements often set rates for services that may be significantly lower than the actual cost of providing care. This creates financial strain on smaller practices and may force them to reduce staff or services.⁣⁣
• 𝐀𝐝𝐦𝐢𝐧𝐢𝐬𝐭𝐫𝐚𝐭𝐢𝐯𝐞 𝐁𝐮𝐫𝐝𝐞𝐧𝐬: Requirements for excessive documentation or compliance can divert physician time and resources away from patient care.⁣⁣
• 𝐔𝐧𝐢𝐥𝐚𝐭𝐞𝐫𝐚𝐥 𝐀𝐦𝐞𝐧𝐝𝐦𝐞𝐧𝐭𝐬: The payer reserves the right to amend terms without mutual consent. This undermines the negotiating power of physicians and introduces unfavorable terms.⁣⁣
• 𝐃𝐞𝐥𝐚𝐲𝐞𝐝 𝐏𝐚𝐲𝐦𝐞𝐧𝐭𝐬: Lengthy claims processing times or payment denials based on technicalities disrupts the financial stability of small practices.⁣⁣
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Continued in comments.

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The African Diaspora Network met last month in Florida to discuss Ghana’s future, sustaining democratic credentials, and incorporating the diaspora network in the development framework. This week, a new government was elected to steer the ship in Ghana. We look forward to seeing the implementation of policies to move Ghana forward in the next four years.

Thank you to the speakers that were able to join us remotely from Ghana (@sam_pee_yalley @ahadziewilliam @niiquaynor) and thank you to @afrolounge_usa for hosting us.
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#ghana #ghanaelections2024 #democracy #diaspora #africandiaspora

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Corporate healthcare is destroying America. Save yourself some money and support a local business.

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