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Most Doctors Don't Think Patients Need Full Access To Med Records
Lucas123 writes "While electronic medical records (EMR) may contain your health information, most physicians think you should only be able to add information to them, not get access to all of the contents. A survey released this week of 3,700 physicians in eight countries found that only 31% of them believe patients should have full access to their medical record; 65% believe patients should have only limited access. Four percent said patients should have no access at all. The findings were consistent among doctors surveyed in eight countries: Australia, Canada, England, France, Germany, Singapore, Spain and the United States."
The price tag
God doesn't think he's a doctor.
Or,
"I'm not going to do test X because the lab I own doesn't sell that service, but I'll send him for an extra MRI because I've got a boat payment to make".
You are welcome on my lawn.
I wonder what hidden gems are in his medical notes.
SJW n. One who posts facts.
That's not what the book says...
1) Quoting directly from the manual... "When Counseling and/or coordination of care dominates (more than 50%) the physician / patient... encounter, then time may be considered...
2) The actual code 99215 (level 5 existing patient office visit" reads "Physician's *typically* spend 40 minutes face-to-face". That statement only is applicable if #1 above applies. If not "...requires 2 of three key components". Typical doesn't mean every visit. Also I quoted the 5 minute visit for a level 4 visit. In a stable diabetic, treating a skin infection (for instance) may only take 5 minutes, which is enough time for a detailed history of the illness and the medical decision making which is of moderate complexity -- thus its a 99214 if all the physician does is write an antibiotic script.
Medicare alone has about 250 pages on how to code an E&M (office) visit, from two separate policy manuals, and most insurance companies (every one I've ever dealt with) use Medicare's definition. The CPT manuals I've looked at usually just barely touch the surface of the full regulations.