Reality Check 2 Posted January 12, 2022 Share Posted January 12, 2022 I do telehealth and no call/video is EVER 5 minutes. Chronic disease management takes time and effort. Billing is not all there is to it. Notes, rx's, referrals, etc. Our calls take the first 5 minutes to just get the tech going - older crowd - and do all the disclaimers and such for telehealth - e911, address of patient location, disclaimers. etc. So, I would be billing 99214 without doubt. I could maybe do 3, maybe 4 in an hour. But, again, not interested in this employer - telehealth in general is evolving and needs to be held to standards. Medicine should never be all about money. It is an ART. 1 1 Quote Link to comment Share on other sites More sharing options...
ANESMCR Posted January 12, 2022 Share Posted January 12, 2022 Okay that’s not the point. Point was time doesn’t equal code anymore and coding has changed significantly. Time for tech to work has nothing to do with the actual interaction. I also dislike telehealth x10. 1 Quote Link to comment Share on other sites More sharing options...
FMDCEO Posted January 12, 2022 Share Posted January 12, 2022 ANESMCR is correct...this isn't "insurance fraud", this is value-based care. Time is only billed for behavioral health visits now and complexity is used in primary care, urgent care etc. A 99214 per CMS pays $140 per visit (national average) which goes back to the math I gave you here. If you're not sure how to determine complexity, you can use the free Codify calculator and select their Medical Decision Making tool. Ventana- what holes and ommissions? I've answered every single one of your questions here. Did I miss something? Again, I'm not trying to sell you anything. We wouldn't onboard anyone with such pessimism as energy radiates and we couldn't have the negativity affecting our patients. If this was just about sales, I would ignore this and let anyone come work with us. Most of our patients need a medication refill or an antibiotic, so yes Reality Check 2, you can do a visit in 5 minutes. In fact, MDLIVE put out a report last year that their average visit was 3 minutes. And then you have Khealth who is delivering care over text messages! As far as telehealth as a means to deliver good care overtime- the NHS in the UK has now issued guidance requiring that GPs ask their patients to do a telehealth visit prior to an office visit. The idea is to force the adoption of technology. If you know much about geopolitics, then you know they test out many ideas in the UK first before bringing them here to the US. This will most surely become a trend we see emerge here with the NIH or other health departments issuing the same guidance to US providers. Whether you think the care is good or not, telehealth will only continue to expand in usage and scope. The pandemic is not ending anytime soon and things are never going back to how they used to be. The full technological evolution of healthcare is here. Eventually, a certain percentage of providers will be replaced by robots, software and AI. They are already using software as FDA approved treatments in behavioral health and robots in hospitals. Quote Link to comment Share on other sites More sharing options...
Reality Check 2 Posted January 12, 2022 Share Posted January 12, 2022 Good medicine cannot be measured in minutes or CPT codes. Real peer review and quality assurance show the benefits of an interaction or intervention with a medical professional. This type of job is obviously not for me. If it works for others - great. We should put quality practice ahead of the number per hour and time of visits. I expect some snippy reply from CEO guy - whatever. Be good practitioners - do good things - do things right. 1 Quote Link to comment Share on other sites More sharing options...
ANESMCR Posted January 12, 2022 Share Posted January 12, 2022 I think you’ve proven your point, answered questions thoroughly, and saved face. Now it’s just personal opinion for some. Telehealth is fine as long as it isn’t serving complex patients imo. Med refills, routine follow up’s, and antibiotics etc-Great way to serve the patient population. Higher complexity, urgent care, and chronic disease-not so much. 1 1 Quote Link to comment Share on other sites More sharing options...
Moderator ventana Posted January 13, 2022 Moderator Share Posted January 13, 2022 Holes and omissions. leaving out you are the billing company and that you will take a % of collections. ommission on the fact their appears to be a flat monthly fee for software use and provider listing (industry norm is the %of collections covers this) Using gross hourly figure to make it look attractive when you also control the “expense” side with fees and charges that are unavoidable stating that billing is only on complexity. They have allowed complexity (as the previous guidelines did somewhat) to help determine coded level. You can indeed still bill on time or complexity. They didn’t throw old system just allow complexity to help guide. the bigger question I have not touched on, but others have, and you alluded to, is the utility and value of telehealth. The fact most your visits are for ABX and Med refills to me is a huge red flag. Hardly any colds require ABX but if someone is paying you with the expectation to get script (not expectation of a solid reasonable professional medical evaluation) well then you only have a binary decision. Script yes or no. Talk to PA’s in concierge practices to learn more of the negative impact that this has on the patient provider relationship and how it can erode the medical profession. I am one of the few PA who have owned and run my own practice and I have seen how easy it is to bend rules to make more $ and cheapen the provider-patient relationship. I am all for a great proven model of telehealth however my experience in working 5 years as house call clinician and the the last two years in front line primary care during Covid has reenforced the value of great relationship based face to face primary care. Yes I do telemedicine sparingly when appropriate to follow up on routine stable chronic conditions. 2 1 Quote Link to comment Share on other sites More sharing options...
Cideous Posted January 18, 2022 Share Posted January 18, 2022 I do give the guy credit for coming here to face the fire and answer some questions. That says a lot to me. 3 Quote Link to comment Share on other sites More sharing options...
TexasPA28 Posted January 23, 2022 Share Posted January 23, 2022 Telemedicine is garbage and I dont care what company it is. It's all about throwing antibiotics out to every single person with a runny nose so you can get off the phone and onto the next one. Then the PCP has to spend 30 mins telling the patients why the telemed doc was an idiot who was just throwing out abx like candy all day. The CEO of Teladoc went to the Texas State Medical Board and lied to their face stating that their providers don't script abx for URIs. It was outrageous lies over and over again. Quote Link to comment Share on other sites More sharing options...
ACFNP Posted June 8, 2022 Share Posted June 8, 2022 I know this is an older forum but I'd like to get an employee perspective on this company if anyone is willing to discuss it with me. I've had a job offer from them but I'm having some doubts! Quote Link to comment Share on other sites More sharing options...
Tori08797 Posted October 4, 2022 Share Posted October 4, 2022 Face My Doc is a fraudulent company. They will not deliver on anything they promised. After paying for your $29 background check and providing your credentials and personal information, they will be IMPOSSIBLE to reach. Their website support and cut links lead to inactive pages, they don’t answer the phone as it is voicemail only, no one responds to emails and one year after paying for your background check, out of nowhere they will begin charging you a monthly fee of $29. No warning, no notification and no communication as to why. Stay far away from these guys! They are a sophisticated group of organized crime/scammers. Because you initially gave access to your bank account, your bank won’t consider it as fraud and since they currently don’t have any job openings listed on indeed, you can’t report them as fraud. They know exactly what they are doing. World class scammers. BEWARE AND STAY FAR AWAY!!! 1 1 Quote Link to comment Share on other sites More sharing options...
sas5814 Posted October 4, 2022 Share Posted October 4, 2022 I never paid any attention because it didn't interest me but your post made me go look. Dead links here and there. The entire web site is VERY basic and seems to be oriented towards gathering personal information. The "I need a doctor" link is dead. I don't know if they are scammers or just a failed business idea but the web site looks abandoned. Last "webinar" listed for people to watch was in April. Quote Link to comment Share on other sites More sharing options...
FMDCEO Posted October 4, 2022 Share Posted October 4, 2022 As the Founder & CEO of the company, I take personal offense to this- especially when I've sacrificed years of my life away from friends and family to building FaceMyDoc. If you were charged $29, it seems as if our system had you classified as a patient and charged the annual patient fee (it is not monthly so refrain from assuming and telling others that it is monthly- you know what happens when you assume don't you?). We have thousands of patients and hundreds of providers across the country, so yes our phone lines are tied up much of the time with calls from one group or the other. We need to expand our call center operations which we are currently in the midst of doing. There is no record of any emails requests from anyone with your name Tori. It is very easy to contact us in other ways, like 99% of everyone else who can't reach us via phone- and thats by Google chat. All you need to do is put FaceMyDoc into Google and you'll get a chat option where we would be happy to help you! If you would contact us we would be happy to return your Starbucks money as your $29 isn't making or breaking anyone over here. 1 hour ago, Tori08797 said: Face My Doc is a fraudulent company. They will not deliver on anything they promised. After paying for your $29 background check and providing your credentials and personal information, they will be IMPOSSIBLE to reach. Their website support and cut links lead to inactive pages, they don’t answer the phone as it is voicemail only, no one responds to emails and one year after paying for your background check, out of nowhere they will begin charging you a monthly fee of $29. No warning, no notification and no communication as to why. Stay far away from these guys! They are a sophisticated group of organized crime/scammers. Because you initially gave access to your bank account, your bank won’t consider it as fraud and since they currently don’t have any job openings listed on indeed, you can’t report them as fraud. They know exactly what they are doing. World class scammers. BEWARE AND STAY FAR AWAY!!! Quote Link to comment Share on other sites More sharing options...
PAtoMD Posted October 4, 2022 Share Posted October 4, 2022 I forgot how much fun fun this thread was. If you're just handing out starbucks money, venmo me 4 Quote Link to comment Share on other sites More sharing options...
CAAdmission Posted October 5, 2022 Share Posted October 5, 2022 I can't afford Starbucks. Can we please also subsidize Dunkin Donuts? Quote Link to comment Share on other sites More sharing options...
sas5814 Posted October 5, 2022 Share Posted October 5, 2022 (edited) 14 hours ago, FMDCEO said: As the Founder & CEO of the company, I take personal offense to this- especially when I've sacrificed years of my life away from friends and family to building FaceMyDoc. I have started 3 businesses from a concept to selling them when they were successful including starting my own practice. I can imagine its very frustrating to see your baby get smeared. I think it takes some courage to come face your accusers. That said nobody but you cares about your blood, sweat, and tears and time away from family and friends. We are all potential users and customers and you are only as good as can be determined by a casual observer in a very short attention span world so you might want to fix things that need to be fixed and address concerns instead of getting your ass up and belittling. If someone accuses you and their accusation isn't true you have a choice of setting them strait or ignoring them. A snarky insulting CEO isn't a good face on any company. 10 days ago I took a 43k withdrawl from one of my retirement accounts and my investment company wired it to the wrong account. Actually they wired it into the ether because they simply omitted a number from my account. When I called and we figured out what happened their response was to shrug and tell me to call back in 3 weeks and they would check to see if the wired transfer had bounced back to them. Not an adequate answer. So after generally making a nuisance out of myself I finally got a call from someone in answer to my BBB complaint. He promised to fix things and keep me posted. Keep in mind my money is still missing. This morning I got an "answer" to my BBB complaint. "We have reached out to the consumer and consider this matter closed." Negatory Pig Pen. The matter is closed when I have my money in my bank account. This is one of the largest and best regarded fund management companies in the world. Today they suck...because you are only as good as your response to a bad situation. You can bet I am sharing their suckiness with anyone and everyone including HR at my last employer which is where this fund came from. Edited October 5, 2022 by sas5814 extra information 2 Quote Link to comment Share on other sites More sharing options...
Reality Check 2 Posted October 5, 2022 Share Posted October 5, 2022 THE best advertisement is word of mouth recommendations. Attack responses and failure to address real complaints will tank any company. Like Scott, I have had issues with the same investment company and a company I owned voting stock in. Assertiveness on my part - tenacity, really - got the issue resolved and the company is no longer in my portfolio or on my shopping list. HOW a company reacts to things makes or breaks them, whether as consumers or employees. My first impression is not good for this company. It hasn't changed. It likely won't. Done with this thread. Moving on to my day. Quote Link to comment Share on other sites More sharing options...
FMDCEO Posted October 5, 2022 Share Posted October 5, 2022 21 hours ago, sas5814 said: I never paid any attention because it didn't interest me but your post made me go look. Dead links here and there. The entire web site is VERY basic and seems to be oriented towards gathering personal information. The "I need a doctor" link is dead. I don't know if they are scammers or just a failed business idea but the web site looks abandoned. Last "webinar" listed for people to watch was in April. We need to have a "basic" website- especially with the difficult many people have with technology, things have to be simple. Maybe you have McAfee or something running in your browser because the "Find A Doctor" link works just fine for us and all of our staff plus family members- we just tested it on over 100 devices. Sometimes McAfee and others block certain sites- try disabling it and click the link again. If it doesn't work send an email to info@facemydoctor.com so we can look into. The webinar in April was a special guest feature from one of our partners regarding Remote Patient Webinar- otherwise, we do webinars everyday, 4 times per day. Quote Link to comment Share on other sites More sharing options...
sas5814 Posted October 5, 2022 Share Posted October 5, 2022 I run AVG but it could still be blocking some links. It hasn't happened before as far as I know but with technology anything is possible. You might pull down outdated links because they give people an impression of an out of date web site. Its an easy conclusion to draw and, like I said, its short attention span theater most days. I hope you have continued success. It sounds like you have put a lot into this and its working for you. I know what it is like to create something from nothing but an idea. Its pretty energizing. Quote Link to comment Share on other sites More sharing options...
FMDCEO Posted October 5, 2022 Share Posted October 5, 2022 Where are you seeing the outdated links? I've already updated the Google sitemaps quite awhile ago and the current menu seems to be working. Thanks for your input- it's easy to miss things like bad links when you're running a business. I'm sure you can relate! Quote Link to comment Share on other sites More sharing options...
sas5814 Posted October 5, 2022 Share Posted October 5, 2022 55 minutes ago, FMDCEO said: Where are you seeing the outdated links? I've already updated the Google sitemaps quite awhile ago and the current menu seems to be working. Thanks for your input- it's easy to miss things like bad links when you're running a business. I'm sure you can relate! I'd have to go back and look at it. It just occurred to me I was on my work/government computer and the security is so tight links are often blocked. I'll poke around over the weekend on my own laptop and see how it shakes out. If I find dead links or outdated ones I'll PM you. Quote Link to comment Share on other sites More sharing options...
AlaskanNP Posted October 20, 2022 Share Posted October 20, 2022 I would like to speak with someone from FACEMYDOC. I have some questions regarding their start up. Quote Link to comment Share on other sites More sharing options...
iamtheleabee Posted December 2, 2022 Share Posted December 2, 2022 they are a complete scam. i filed a BBB complaint and have not heard from them. i considered working for them in 2021 and decided against it. i gave them permission to access my bank account AT THAT TIME for ONE background check. so why did they pull $ out this past summer? and why can' i reach anyone to get it back? it doesn't matter how much, they have no permission to go into my bank account in perpetuity. f them Quote Link to comment Share on other sites More sharing options...
iamtheleabee Posted December 2, 2022 Share Posted December 2, 2022 The point is--it's not your $30 to take. And since YOU should not have debited my bank account for no reason, the onus should not be on ME to email, call, instagram, BBB etc to get it back. if your company billing product cannot tell the difference between a job applicant from 2021 and a patient, that seems like a big problem. and since you have not returned my $, it also seems like fraud. Quote Link to comment Share on other sites More sharing options...
CAAdmission Posted December 2, 2022 Share Posted December 2, 2022 1 hour ago, iamtheleabee said: i gave them permission to access my bank account AT THAT TIME for ONE background check. so why did they pull $ out this past summer? Sheesh - did you talk with your bank? Close the account and transfer funds to another. Quote Link to comment Share on other sites More sharing options...
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