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    Top 8 worst administrative hassles according to physicians

    Physicians, especially primary care physicians (PCP), often bear the brunt of what many consider to be excessive regulatory requirements associated with patient care. Here are the most common administrative burdens, according to physicians.  

    Pre Authorization for Medications and Tests 

    For PCPs, there can be a preauthorization catch 22, because payers often require a specialist order for approval of diagnostic tests, but the consulting specialist often wants to see the test results first, before seeing the patient. Nicole Price Swiner, MD, co-author of Thinking About Quitting Medicine, is a PCP in Durham, North Carolina.

    “Paperwork is the bane of my existence,” Swiner says. As a PCP, she says that she is required to fill out requests for insurance companies to authorize everything her patients need, such as medications, procedures and consultations.

    Managing Consults From Specialists

    PCPs, in particular, experience roadblocks when it comes to obtaining and following up on specialty care for patients. Fabiola Antonelli, MD, an internist in Dallas, Texas, shares her experience with this problem.

    “My consults are discontinued and denied multiple times, and I have to sign off on preauthorization templates for Lyrica, Plavix and many other specialist-ordered drugs that my patients need,” Antonelli says.

    Patient Records

    Doctors across specialties learned in medical school that the patient chart is a valuable record to be used for communication between physicians, nurses and all patient care providers. Dena Hubbard, MD, a pediatrician in Kansas City, says that in her experience, the requirements that need to be met in filling patient charts focuses on criteria that do not center on patient care.

    “Charting for billing and coding are based on malpractice prophylaxis rather than communicating the details of patient care from one provider to the next,” Hubbard says.  

    Next: Benchmarks

    Heidi Moawad
    Heidi Moawad is a freelance writer for Medical Economics.

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    • [email protected]
      Very nice article, Ms Moaward. It is so sad to see that are beloved profession has been downgraded and demoralized into record keepers, scribes, and providers instead of physicians trained to diagnose and heal. We have sold out and now are being whipped into indentured servitude , suppressed by ever changing waves of insurance and Medicare regulations and edicts. Burnout, depression, frustration, and suicide are escalating. After 36 years we were burned out of our primary care practice and ready to hang it up. But, loving medicine and our patients and knowing there is a better way, we converted to Direct Primary Care. Out of network, no insurance, no regulations, no billing, no 35 patient day schedules, we are loving it. Traditional medicine is no more. It has been hijacked and will never be the same. Now we see 12 patients per day, have time to educate, FaceTime, and even make house calls. A piece of heaven in Indiana. We work for our patients, not the hospitals or insurance companies. I highly recommend this breath of fresh air indeed. Good luck, Dr Bob 3178671236

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