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You can BILL all you want, it is just that insurance, especially
government "insurance" will not PAY.

Andrew

On Tue, Jun 26, 2012 at 5:08 PM, Dr. Adam Friedlander
<[log in to unmask]> wrote:
> Who's to say you can't bill for the interaction?  Psychiatrists, lawyers,
> accountants...they all bill for phone interactions, and more and more
> physicians across the country are doing the same - especially those
> physicians with their nice little boutique practices that don't accept
> insurance.  A general pediatrician should DEFINITELY bill for telemedicine,
> which is what this is.
>
> As the dual trained (EM and Peds) guy in my practice, many peds cases are
> funneled to me when I am working, and there a quite a few kiddos who could
> have easily stayed home if mom had sent us a photo, or had a FaceTime
> interaction.  Nobody should suggest, however, that the advice should be
> free, or that there shouldn't be appropriate informed consent for
> telemedicine interactions...
>
> Adam D. Friedlander, M.D.
> Nothside-Forsyth Emergency Department
> Northside Emergency Associates
>
>
>
> On Tue, Jun 26, 2012 at 4:55 PM, Darrell Looney <[log in to unmask]> wrote:
>
>> I think a lot of the hostility is coming from the fact that more and more
>> of us recognize that patients are held to no standard and therefore do
>> whatever they want, while we as medical professionals are constantly
>> buffeted by winds of changing regulation. Whether from the tempest of Press
>> Ganey or the throws of litigation, it's hard to place confidence on
>> technology or thought processes which utilize diagnostic acumen of those
>> who seek to hold everyone else responsible for any bad outcomes associated
>> with its use.
>>
>> The technology in and of itself = good
>>
>> The technology in the hands of those using it with impunity = misuse,
>> abuse, poor decision making and poor outcomes (in other words, bad)
>>
>> Amazing that such a potentially useful gadget could have such great social
>> benefit in a place like the African outback, while representing significant
>> liability here in the US.
>>
>> DLooneyMD
>>
>> *****************************************************
>> Shape your musical landscape! Add some funky violin jazz to your vibe!
>> Da Phatfunk Clique
>> DPC on Jango!
>> DPC on Myspace!
>> DPC on Facebook!
>>
>>
>> > Date: Tue, 26 Jun 2012 15:41:54 -0400
>> > From: [log in to unmask]
>> > Subject: Re: Technology!
>> > To: [log in to unmask]
>> >
>> > Wow, lot of hostility to technology!!  It's simply a tool like a
>> > stethoscope, US, an otoscope, and is only helpful when used right.  But
>> it
>> > can be very helpful: they are using cell phone, pictures and text
>> messages
>> > in parts of Africa to expand the MD/RN coverage it to areas that are hard
>> > to reach but are covered by cell service.  From what I have heard, it is
>> > very useful and may even save a few lives.  The same thought has been
>> used
>> > to radically change farming practices and banking in the Developing
>> world.
>> >
>> > Perhaps, we should look at how we can work with technological advances
>> like
>> > this, and the others that are coming (know 3 people personally, who are
>> > working on similar cell technology as in Africa to be used here in North
>> > America), for every one's benefit?  Might make life better for all of
>> > us....just a thought!
>> > MIke Falk.
>> >
>> >
>> > On Tue, Jun 26, 2012 at 10:45 AM, Marty Herman <[log in to unmask]>
>> wrote:
>> >
>> > > I wouldn't use this to prescribe. Maybe the FDA should just make every
>> > > drug over the counter. Then people could just self diagnose and treat.
>> If
>> > > they are right, great, terrific, they save money. Butif they screw up
>> , and
>> > > need a physician to straighten out their health, well my fee wold be
>> very,
>> > > very high..and cash only!
>> > >
>> > > Marty
>> > > Martin Herman, M.D.
>> > >
>> > > Pediatric Emergency Medicine
>> > > Sacred Heart Children's Hospital
>> > > FSU @ Sacred Heart, Division of Pediatrics
>> > > 5153 N. 9th Ave, 6th Floor Nemours Bldg
>> > > Pensacola, FL 32504
>> > > Ph: 850 416 7658(office)
>> > > Ph: 901 219 9202 ( cell)
>> > > Fx: 850 416 7677
>> > > Email: [log in to unmask]
>> > >
>> > > CONFIDENTIALITY NOTICE:
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>> or
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>> > >
>> > >
>> > >
>> > >  > Date: Mon, 25 Jun 2012 23:13:27 -0500
>> > > > From: [log in to unmask]
>> > > > Subject: Re: Technology!
>> > > > To: [log in to unmask]
>> > > >
>> > > > Very cool device.
>> > > >
>> > > > The manufacturer claims it could reduce the cost of healthcare by
>> > > reducing office visits. So your doctor sees you over the Iphone but
>> > > insurance won't pay for a phone encounter. All the liability, no
>> payment.
>> > > Maybe the patient could send the image to the nurse call line from
>> their
>> > > insurance provider who might not even be in the USA and get a
>> prescription
>> > > sent from Mexico.
>> > > >
>> > > >
>> > > >
>> > > > Jason Foland, MD
>> > > > Clinical Associate Professor of Pediatrics
>> > > > Florida State University COM
>> > > > Medical Director, Pediatric Respiratory Therapy
>> > > > Pediatric Critical Care Physician
>> > > > Sacred Heart Children's Hospital
>> > > > Pensacola, Florida
>> > > >
>> > > > Sent from my iPad
>> > > >
>> > > > On Jun 25, 2012, at 8:21 AM, "Radhika Vijayan" <[log in to unmask]>
>> wrote:
>> > > >
>> > > > > Have any of you heard of this new device aparently being tested in
>> Bay
>> > > area.
>> > > > >
>> > >
>> http://www.technologyreview.com/news/428197/parents-could-skip-the-doctors-office-with-this/
>> > > > >
>> > > > > One of my collegues came across this article.
>> > > > > Sounds like a new wave in health care
>> > > > > Radhika Vijayan
>> > > > > HackensackUMC
>> > > > >
>> > > > >
>> > > > >
>> > > > >
>> > > > >
>> > > > >
>> > > > >
>> > > > >
>> > > > >
>> > > > > Build yourself a Temple of Peace, which no man can take away, no
>> power
>> > > can
>> > > > > destroy, With a life of Harmony, find your joy in Yourself, exactly
>> > > where you
>> > > > > are now.
>> > > > > Swami Chinmayananda
>> > > > >
>> > > > > For more information, send mail to [log in to unmask]
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>
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