NORMAN J CLEMENT RPH., DDS, NORMAN L.CLEMENT PHARM-TECH, MALACHI F. MACKANDAL PHARMD, BELINDA BROWN-PARKER, IN THE SPIRIT OF JOSEPH SOLVO ESQ., IN THE SPIRIT OF REV. C.T. VIVIAN, JELANI ZIMBABWE CLEMENT, BS., MBA., IN THE SPIRIT OF THE HON. PATRICE LUMUMBA, IN THE SPIRIT OF ERLIN CLEMENT SR., WALTER F. WRENN III., MD., JULIE KILLINGWORTH, WILLIE GUINYARD BS., JOSEPH WEBSTER MD., MBA, BEVERLY C. PRINCE MD., FACS., RICHARD KAUL, MD., LEROY BAYLOR, JAY K. JOSHI MD., MBA, ADRIENNE EDMUNDSON, ESTER HYATT PH.D., WALTER L. SMITH BS., IN THE SPIRIT OF BRAHM FISHER ESQ., MICHELE ALEXANDER MD., CUDJOE WILDING BS, MARTIN NDJOU, BS., RPH., IN THE SPIRIT OF DEBRA LYNN SHEPHERD, BERES E. MUSCHETT, STRATEGIC ADVISORS
WALTER F. WRENN MD
Doctors in America are under assault. They have become victims of rules and regulations established by non-medical individuals.
These individuals have determined and established rules from how we bill insurance companies for our services to what prescriptions we can write for our patients.
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If we don’t spend a certain amount of time with our patients and bill under the wrong code we have committed insurance fraud and can be arrested, charged, and incarcerated.
If we see a person on a Monday but bill for the services on Tuesday we again are guilty of insurance fraud and subject to punishment. With electronic records which we were forced to adopt we again can be found guilty of not spending the required minutes for a specific billing code because we exported the previous note.
The note had all the pertinent information but according to law enforcement, we didn’t spend the required amount of time with the patient. Insurance companies have been allowed to set fees based on those billing and procedure codes. If a physician is to participate as a provider they must accept the fee that the insurance company is willing to pay.
They can’t bill the patient for the difference between what they charge for the visit and what the insurance company pays for the visit. Even with Medicare, a physician has to accept as payment what Medicare has established as their reimbursement rate.
They can however bill for the 20 percent not covered by Medicare. If a physician is unwilling to be governed by these rules they can’t participate in the Medicare or insurance program.
No profession or industry that I am aware of has these types of control.
In the early 2000s, an old problem that had been ignored in black neighborhoods began to be noticed in white neighborhoods. People were dying from opiate drug overdoses.
We now had an opiate epidemic and like most perceived crises we began to pass laws before we had any understanding of the problem. To this day the vast majority of individuals still don’t understand the problem.
FOR NOW, YOU ARE WITHIN