dang referrals, mailbox payback

DANG REFERRALS
those dang referrals why do you have to get them
if you have a hmo (we call these just say no) then you know
what a referral is
have to do them all the time for patients
it has created a big bureaucracy to handle them in the
pcp(primary care provider-thats me)office and the
insurance company
only time they are refused is if the doctor is not on
the insurance-well duh

mywifeshe has insurance that is a ppo(preferred provider option)
mywifeshe doesnt have to have referrals
whats the difference-millions of dollars

one of the major insurance companies elimated the hmo referral
requirement and saved millions of dollars a year in administrative costs

have a person in our offices of 10 pcps who does nothing but
process these referrals

if patient on a hmo sees a specialists without one the insurance company may
not pay for the visit-boy that creates a lot of paperwork on both sides and
for the patient with appeals etc

why do they make you get those dang referrals

MAIL BOX PAYBACK 
am recipient of mailbox payback
remember all those mailboxes you destroyed as a teenager
it has come back to haunt me now
am on my fifth mailbox now
they have been batted(our preferred method back in the day) shot
hit with car
some were found dangling from the post
some have been found in the nearby pastures in multiple pieces
some are like swiss cheese(well did at least one like that )

just pick them up smile and say well its mailbox payback
go to home depot or lowes and just get a new one

the organicgreen doctor