Devoted Family Medicine

09/09/2025

https://www.promed-dme.com/resource/cgm-out-of-pocket
to be honest, I believe this is Good-RXZ and they find coupons, I don't know if they will work with Medicare. _ That is another sneaky issue..

09/09/2025

So, consider this: Insurance companies decline one patient who is completely insulin dependent and does not wake up to his alarm at night from a continuous glucose monitor (CGM).

The family buys them for him over the counter while the insurance company takes us on a 20–40-man hour endeavor to help this patient. The family is awakened by the alarm; the patient doesn't hear it and is confused and unable to understand that he needs to raise his glucose without family intervention. We tell ths insurance company this (through diagnosis codes of course- everything to them is run by codes and numbers...), and they want Dates, glucose level drop values, what symptoms the patient was having and what measures were taken - one might think they don't care about his safety with the delays...So another patient also with Medicare, is initiated on insulin and she has immediate coverage - but then, she is healthier...

What does this really mean? So many insurance companies that look the same under you really look under the hood at what is really paid.

09/09/2025

Are you going to meet your medical insurance deductible this year? I'd like to know, please comment below with Y or N. Feel free to add any other comments.

We opened the clinic in Summer of 2024 essentially. Our EHR was the WORST we could have ever chosen. That EHR system was touted as one of the best and they had two billing companies we could choose that "integrated well" with their service. We chose poorly. The whole thing was unworkable and the designated biller collected additional money up front to get me credentialed through insurance companies. He did start the process but then did not respond to the insurance companies and failed to respond to them and so...We were not getting paid. after several months of applications and trying to respond to all of them AND we amazing help from my daughter in law (without her, we would not have been paid at all).

After all that, we now get a few checks a day and at the rate each insurance company pays,,, we would indeed need to see about 3-4 patients an hour! This is why insurance no longer works.

And just to add insult to injury, the insurance company will tell us our patient was not actually covered on that day and take their payment back and tell us to bill the patient. They also will repeatedly deny claims for simple and dumb reasons like: the first listed diagnosis on the bill happened to be the BMI (not the most important - like it should have been. The reason for the denial will be: The insurance coverage doesn't cover treatment for obesity. Never mind that the office visit was about diabetes.

So, what to do? How could I in good faith inform my patient that they can't have medical decisions or discussions about weight when this is a huge epidemic in our country? Of course, I might get paid by the insurance company if I get the list of the diagnoses to remove the BMI but seriously! I am supposed to meet "standard of care" by discussing nutrition and exercise....

I have a solution: These insurance companies aren't really paying for you either. Are you meeting your deductible?

07/03/2025

what in the heck is going on? Depression? Brain Fog?, weight gain?

06/16/2025

https://youtu.be/IxPjEyG7Mj0 It is more people than you think, or at least it's more than I thought. No one wants to talk about it.

Hormone imbalances in adults that are happening way to early. Creating havoc in our marriages and relationships. Getting back to a healthy status and hormon...

04/05/2025

https://youtube.com/shorts/vf0Z8iHOWWc?si=pfBAzCdYMmUcSFB1

In the 1960s, Yale University conducted a chilling experiment to study obedience, where participants delivered increasingly severe electric shocks to an inno...

04/05/2025

https://youtube.com/shorts/Pc8vssp6XAE?si=p4nJr4I7z8Hl5fdU

Match Day is an emotional roller coaster!See the full video on my other channel: https://youtu.be/R9yz4HsARNA

03/16/2025

https://youtu.be/7V6nucKFK88?si=4zohmOT2gdK2VoNN
Something to seriously consider. I have noticed a distinct difference in children of today and previous generations. It is not the same and children seem much more anxious and ill equipped for adulthood. Not all of them of course. But some seem to be there with rational reason. Medically.

03/02/2025

Well. I said I’d do
It and I’m doing it. Going to the Texas Senate.

01/30/2025

01/15/2025

I think the problem is physician/patient neglect.
I am seeing many people with complicated problems.
After graduating residency and seeing the trends of doctors selling themselves to the larger groups in hospitals. Even I went to work in these large groups, which isn't so bad to have colleagues closeby to work with if there is a novel situation.
But overall, the patients and the doctors got a raw deal but this was all I knew coming out of residency and I could be wrong.
Here's what I saw: Patients were rushed through appointments made by the larger group and office managers who were encouraged to completely fill the schedule and no time was left for most doctors to review charts, labs or spend a little extra time with their patients. So patients didn't get proper care, things went un-noticed or not even spoken. Now, the patients are sicker because of a lack of appropriate attention and patients that just gave up on doctors.

10/03/2024

This makes me want to fold clothes.