Q: What is the biggest inefficiency in your practice?
Dennis Crandall, MD, Founder and Medical Director of Sonoran Spine Center, Phoenix: Working with managed care payors to get appropriate and timely reimbursed for what we do. The hours we spend collecting from insurers seems to be increasing as the reimbursements are decreasing.
Jaideep Chunduri, MD, Spine Surgeon, Beacon Orthopaedics & Sports Medicine, Cincinnati: The biggest inefficiency in my practice that I feel hampers my staff and myself is dealing with the insurance company from precerting surgeries and then getting paid on the back end. A lot of time is spent trying to get surgery approved. There is a big difference from what we learn as we go through training and read the books to what the insurance companies "deem" medically necessary. There are a lot more patients that I feel I can help if the insurance companies would allow us to practice medicine in the way that we learned it.
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