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04/16/2016 David Gurvis, DPM
The Economics of the New Healthcare Era: Part 1 - What Has Been Happening? (Bryan C. Markinson, DPM)
I am in complete agreement with Dr. Markinson. I was dismayed and outraged by Dr. Hrywnak’s remarks. Some seem to have swallowed the hook, the sinker, the float, and are still going. How can we have come so far downhill? Is this kind of crap going to hit us and hit us hard? Sure. But as they say, do we have to enjoy it and embrace it? EMRs have done nothing good except build a tower of Babel. Yet some rave about how much it has improved medicine. If it has improved anything, it is in the attorney’s ability to sue. PQRS? Improved quality? Balderdash is the strongest word I am going to use here, but I could do better (but would never get published). MU? To whom? Physicians now spend on average an hour a day looking at emails and if my own PCP is any example, most of them crap. Not at all helpful to treatments and needing more explanation back to the patient than can effectively be done in a simple email. I used to take notes on paper with an instrument that needed very little instructions after grade school. You might recall it, it is called a ball point pen. Instead people now brag about having scribes. Another employee. And we discuss which reporting agency is best for the PQRS (at what cost added to our practices), instead of say, discussing some interesting case. There is a ICD 10 code and I shall quote it Insect bite (non-venomous) of anus (initial encounter) S30.867A. The only question left to ask is “are we the anus”? And why? David E Gurvis, DPM, Avon, IN
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