That’s right…

does the government really believe the people’s health is a priority or is it all a fake way to make the citizens of our country feel safe and secure?

I mean billing medicaid, getting pre-certification for services, and speaking to incompetent individuals who don’t know their right from their left becomes overwhelmingly frustrating and not worth it. This is why providers elect to turn away Medicaid patients.

So our government puts all this stuff in place… welfare, medicaid, chip, and all kinds of social programs to “help those in need” or “help those at risk” or whatever…

Does anyone every wonder about why there are hundreds and hundreds of doctors, clinicians, therapists, and other health professionals who prefer to miss out on the opportunity to help the needy or at risk patients?

I mean seriously most people who go into a health related career state that helping others in need is one of their reasons for becoming whatever they chose to become… but yet the people who need the most education, the most time, and empowering are the very people no health professionals wants to have anything to do with…

Why is that, you think? Well I tell you why… because Medicaid, i.e. government agency, does not pay well and they don’t want to pay. So they save money by putting people who are not trained and not so smart to do claim reviews. Here’s the best part… the people doing reviews don’t necessarily have to be graduated from any sort of field related to your claim or even have a college degree.

By college degree… I mean a 4yr university or higher… What I mean to say is that these people have not been trained in analyzing to come up with a result. So… either they read your evaluation and can’t understand what it says because they don’t stock the amount of neurons to get the analysis involved in your evaluation, diagnosis, and recommendations or they neglect to read the evaluation at all…

So they base their decision on numbers which unfortunately do not give true insights as to the patient’s progress or lack there of.

Here’s another funny thing… I really don’t think these people are trained… so they don’t realize the importance of really reading all the informal analysis to determine whether these patients really need treatment or not…

You want to know another funny thing… So I recommend treatment for a pt… which is 2x/mo for 6 months… ok… that is only 12 visits. This patient has shown progress so there’s no reason for increasing frequency because things are moving as expected… so medicaid decides that my recommendation is not fit… I guess their LVN or whomever decides this… so get this they recommend 2x/wk for 3 months… that’s 24 visits… hello… which is more cost effective for you and the patient? is it paying for 24 unnecessary visits or paying for 12 visits which involve parent education, modeling, direct therapy with the patient and prevention practices?

let me get this straight… considering Medicaid hasn’t bothered to pay me since January and well we are now in April… if they are behind and having issues with payment then why would they authorize more visits for a patient who doesn’t need it?

See… I think it all comes down to money… I don’t know that people who work for these social programs and Medicaid really care about whether the patient is receiving the right services and the right treatment…

The People complain because there are very few health professionals who will accept Medicaid and the ones that do aren’t providing effective treatment or spending the time to educate and empower our “at risk” and/or “needy” families to aid in prevention of disease, developmental delays, and/or disorders.

What The People don’t understand is that these health professionals aren’t treated with respect. They are not paid in a timely manner or even paid appropriate amounts for services, time, and responsibilities. They are not treated as experts in their fields. I mean how can an LVN change an SLP’s treatment and decide whether the patient needs or does not need therapy. I thought that’s why SLP’s got Master’s degrees, certifications, and licenses from the state board. So that SLP’s could decide frequency, eligibility, and appropriate treatment for patients with speech and language difficulties… that’s their expertise, right? What’s an LVN’s expertise? Cleaning butts and bathing patients… then I think they need to stick to that…

Let me tell you who the LVN’s boss is… an internist… that’s right an Internist who works with adult patients… well shouldn’t the internist stick to adult claims… not in this case… in this case.. the internist decides whether a pediatic patient is eligible for services… yet she doesn’t understand the complexities of developmental delays and disorders….

How can that be?

Now tell me… what’s the government’s true interest in helping the people with Medicaid?

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