Comments on: Incentive to test http://www.kevinmd.com/blog/2006/11/incentive-to-test.html Tue, 14 Feb 2012 11:46:00 +0000 hourly 1 By: CCU-CCRNhttp://www.kevinmd.com/blog/2006/11/incentive-to-test.html#comment-83535 CCU-CCRN Tue, 12 Feb 2008 08:37:00 +0000 http://clients.emmense.com/kevinmd/2006/11/incentive-to-test.html#comment-83535 So goes another 4 BILLION dollars per year in defensive medicine. No wonder there's millions of uninsured Americans. So goes another 4 BILLION dollars per year in defensive medicine. No wonder there’s millions of uninsured Americans.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/11/incentive-to-test.html#comment-68834 Anonymous Thu, 16 Nov 2006 01:19:00 +0000 http://clients.emmense.com/kevinmd/2006/11/incentive-to-test.html#comment-68834 Good luck getting someone to admit that. Good luck getting someone to admit that.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/11/incentive-to-test.html#comment-68812 Anonymous Wed, 15 Nov 2006 16:04:00 +0000 http://clients.emmense.com/kevinmd/2006/11/incentive-to-test.html#comment-68812 " So I can see a patient with epigastric pain and order no tests, give them a GI cocktail"<br/><br/>GI Cocktail?? Do they still have those in ERs? I never EVER Do that. I call the GI cocktail "the Plaintiff's sodomites best friend". I'll admit the patient with a tummy ache and call it "epigastric pain, r/o MI". Screw the economy. I agree with you scalpel. There's no place for tummy aches in the ER. They're all ischemia. ” So I can see a patient with epigastric pain and order no tests, give them a GI cocktail”

GI Cocktail?? Do they still have those in ERs? I never EVER Do that. I call the GI cocktail “the Plaintiff’s sodomites best friend”. I’ll admit the patient with a tummy ache and call it “epigastric pain, r/o MI”. Screw the economy. I agree with you scalpel. There’s no place for tummy aches in the ER. They’re all ischemia.

]]> By: scalpelhttp://www.kevinmd.com/blog/2006/11/incentive-to-test.html#comment-68811 scalpel Wed, 15 Nov 2006 15:55:00 +0000 http://clients.emmense.com/kevinmd/2006/11/incentive-to-test.html#comment-68811 In the ER, the difference between a 99283 and 99284 or a 99285 is the ordering of more tests. So I can see a patient with epigastric pain and order no tests, give them a GI cocktail and a Nexium prescription and charge a 99283. Or I can do an ECG and charge a 99284. Or add a chest X-ray, CBC, LFTs and cardiac enzymes and charge a 99285 (lessening my risk in the process).<br/><br/>Where is the incentive to control costs? In the ER, the difference between a 99283 and 99284 or a 99285 is the ordering of more tests. So I can see a patient with epigastric pain and order no tests, give them a GI cocktail and a Nexium prescription and charge a 99283. Or I can do an ECG and charge a 99284. Or add a chest X-ray, CBC, LFTs and cardiac enzymes and charge a 99285 (lessening my risk in the process).

Where is the incentive to control costs?

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