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sarahkliff's profile
Sarah Kliff
Sarah Kliff
Sarah Kliff
Verified account
@sarahkliff

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Sarah KliffVerified account

@sarahkliff

Senior Policy Correspondent @voxdotcom. Running a year-long project on emergency room billing. Help out by sharing your bill!

Washington, DC
erbills.vox.com
Joined January 2009

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    Sarah Kliff‏Verified account @sarahkliff 11 Apr 2017

    Doctors spend half their time seeing patients, half their time doing other stuff.pic.twitter.com/mxnn80yJl8

    7:01 AM - 11 Apr 2017
    • 11 Retweets
    • 9 Likes
    • Pessimist Blake Jeter Mason Astley Laurie Henthorne Colin Lalley Keith Rabois Hari Rao derek Linda Rockey
    12 replies 11 retweets 9 likes
      1. Bob More‏ @Bobmorevc 11 Apr 2017
        Replying to @sarahkliff

        True. But don't most of us spend a lot of our time doing "other stuff".

        0 replies 1 retweet 1 like
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      1. Dino William Ramzi‏ @dwramzimdmph 11 Apr 2017
        Replying to @sarahkliff

        Not in my practice. We are #DirectPrimaryCare. No insurance. No busy-work. #sohappy

        0 replies 0 retweets 2 likes
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      1. New conversation
      2. Somite of the Devil’s Backbone‏ @toxicpath 11 Apr 2017
        Replying to @sarahkliff

        my primary care MD friends are very unhappy with recent trends in messaging and record-keeping. Many leaving primary care for urgent care.

        1 reply 0 retweets 0 likes
      3.  👻 Official No on Prop 9 Campaign  👻‏ @eean 11 Apr 2017
        Replying to @toxicpath @sarahkliff

        Messaging should save everyone time though. I guess somehow this benefit doesn't accrue to the MD.

        1 reply 0 retweets 0 likes
      4. Somite of the Devil’s Backbone‏ @toxicpath 11 Apr 2017
        Replying to @eean @sarahkliff

        The problem is that all the messaging is on top of the actual patient visits, so MDs end up doing it after work, or weekends.

        1 reply 0 retweets 1 like
      5.  👻 Official No on Prop 9 Campaign  👻‏ @eean 11 Apr 2017
        Replying to @toxicpath @sarahkliff

        I wonder if it's pay for service model at fault or just employers getting free after hours work.

        2 replies 0 retweets 0 likes
      6. Somite of the Devil’s Backbone‏ @toxicpath 11 Apr 2017
        Replying to @eean @sarahkliff

        It's the HMO greed and poor administration.

        0 replies 0 retweets 1 like
      7. End of conversation
      1. Steve Bowden‏ @steveabowden 11 Apr 2017
        Replying to @sarahkliff

        Would "progress notes" include entering data into electronic health records?

        0 replies 0 retweets 1 like
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      1. Joshua Miller‏ @anotherpanacea 11 Apr 2017
        Replying to @sarahkliff

        Why not put secure messages, telephone contacts, and prescription refills on the same side at face-to-face? Quick phoner > visit.

        0 replies 0 retweets 1 like
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      1. Chris Vacca‏ @ChrisAVacca 11 Apr 2017
        Replying to @sarahkliff

        Do you know what types of doctors this represents? Is this part of a study?

        0 replies 0 retweets 0 likes
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      1. Mirochna‏ @DocRockne 11 Apr 2017
        Replying to @sarahkliff

        missing in graph is the time we spend hating EMR. And hating AMA codes and billing levels.

        0 replies 0 retweets 0 likes
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      1. Matt Exline‏ @pulmmatt 11 Apr 2017
        Replying to @sarahkliff

        Could you share reference?

        0 replies 0 retweets 0 likes
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      1. Beth  🏳️‍🌈 🏳️‍🌈 🏳️‍🌈‏ @avgpoliticsnerd 11 Apr 2017
        Replying to @sarahkliff

        "Telephone encounters" is a fantastic description tbh

        0 replies 0 retweets 0 likes
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      1. I wanna be sedated‏ @The_Squibb 11 Apr 2017
        Replying to @sarahkliff

        "Other stuff" Like being reaccomm... nah, too easy.

        0 replies 0 retweets 0 likes
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      1. New conversation
      2. Megan‏ @meganlaser 11 Apr 2017
        Replying to @sarahkliff

        Please don't suggest getting rid of progress notes. My job (epidemiology) and public health really depends on good records.

        1 reply 0 retweets 0 likes
      3. Dino William Ramzi‏ @dwramzimdmph 11 Apr 2017
        Replying to @meganlaser @sarahkliff

        You don't need the detail. You need accurate diagnostic codes. And which doctors: primary care gets the burden. Money goes to procedures.

        1 reply 0 retweets 0 likes
      4. Megan‏ @meganlaser 11 Apr 2017
        Replying to @dwramzimdmph @sarahkliff

        The detail is incredibly important. I work with infectious diseases; knowing about travel, exposures is useful and not covered by codes.

        1 reply 0 retweets 0 likes
      5. Dino William Ramzi‏ @dwramzimdmph 11 Apr 2017
        Replying to @meganlaser @sarahkliff

        A competent physician documents what is necessary. Coding mandates require irrelevant bullets in order to maximize billing = resentment.

        0 replies 0 retweets 0 likes
      6. End of conversation

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