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The following joke depicts the sad affairs faced by our current healthcare system in a humorous way:
 

Bubba walked into a doctor's office and the receptionist asked him what he had. Bubba said, Shingles. So she wrote down his name, address, medical insurance number and told him to have a seat.

 

Fifteen minutes later a nurse's aid came out and asked Bubba what he had. Bubba said, Shingles. So she wrote down his height, weight, a complete medical history and told Bubba to wait in the examining room.

A half hour later a nurse came in and asked Bubba what he had. Bubba said, Shingles. So the nurse gave Bubba a blood test, a blood pressure test, an electrocardiogram, and told Bubba to take off all his clothes and wait for the doctor.
 
An hour later the doctor came in and asked Bubba what he had. Bubba said, shingles.
The doctor asked, “Where?”
Bubba said, "Outside on the truck. Where do you want them???!!!"
 

This is another example of CPT system

 

Dr. Reagan: Board Certified Specialist with 10 years of experience in practic

 

PA Carter (Physician Assistant): Recently graduated from PA school one year ago.

 
Let’s say a patient comes for a follow-up blood pressure treatment. Dr. Reagan performs a detail visit and gives his recommendations. ‘By the way Dr.Reagan, I have a hang toenail that has been bothering me for a few days’ the patient says. Dr.Reagan inspects the nail and correctly decides that the nail will come off in a few days without any surgical intervention, so he assures the patient and gives him instructions on how to take care of it.
 

Medicare Charge for this visit: CPT code 99213 -  $57.89.

http://www.cignagovernmentservices.com/partb/coverage/fees/index.html
 

A patient comes for a follow-up to Carter Clinic for blood pressure treatment and also mentions a hang toenail. PA Carter is a kind and caring provider and performs a detail exam for which Medicare allows a visit charge 99213. However, PA Carter in not sure about the diagnosis and what the treatment plan should be. He decides to orders an X-ray of the foot and, then, determines that the nail needs to be removed. He then performs a mini surgery for the toenail excision.

 

Medicare allows CPT 99213 for visit -$57.89, CPT 73620 for X-ray -$23.10, 
                             CPT 11750 for Excision - $177.95. Total Cost: $258.95!!!!!

http://www.cignagovernmentservices.com/partb/coverage/fees/index.html
 
 
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