RV Clinic

[zenman]

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Anyone ever think about setting up an RV for an office and traveling around to rural areas?

 

[PikminOC]

This was shown in "Everwood" with a psychologist. The problem was the psychologist left town to go to another town and all her patients were left without her care.

Maybe you are talking more about consistent care (like 1 day a week very week). That should be ok.

 

[michaelrack]

Anyone ever think about setting up an RV for an office and traveling around to rural areas?

most insurers would not reimburse a mobile clinic.

 

[zenman]

most insurers would not reimburse a mobile clinic.

Yes, I was thinking about a regular circuit. Wonder why they wouldn't reimburse?

 

[notdeadyet]

Why not rent an office space in a rural spot once a week or so?

If appointments in an RV doesn't skeeve out you, it should sure skeeve out your patients...

 

[nitemagi]

I do PT "street medicine" as part of a new innovation program for the county, targetting homeless mentally ill. Contract work. Case managers, social workers, a fam med doc, and me. I literally walk on the beaches and the streets, and do intakes on street corners, in parks, on the beach. Definitely a change of pace, and quite the contrast to my 5th floor furnished PP office.

 

[notdeadyet]

I do PT "street medicine" as part of a new innovation program for the county, targetting homeless mentally ill. Contract work. Case managers, social workers, a fam med doc, and me. I literally walk on the beaches and the streets, and do intakes on street corners, in parks, on the beach. Definitely a change of pace, and quite the contrast to my 5th floor furnished PP office.

I've heard of things like this. What's the outcome goal?

 

[nitemagi]

I've heard of things like this. What's the outcome goal?

Get into treatment those who won't bring themselves in but who want it. Also to get them housing and medical care.

 

[whopper]

Well I figure there could be several problems, most of them bureaucratic and not because they'd lead to poor care.

Most places want the office to be grounded with an official address. If you had a mobile office, I figure the insurance companies, already idiots, won't be able to think outside the box when you can't give them an official address and just place you on hold, and put you on "hold limbo" where they just keep transferring you around to the next shmuck who won't do anything.

 

[trophyhusband]

Yes, I was thinking about a regular circuit. Wonder why they wouldn't reimburse?

Because the new HIPAA 5010 rules require an actual billing address in order for the claim to be paid. Providers can no longer use a PO Box as the billing address.

Now you could maybe (?) use the address of an actual clinic but the insurers are likely to wonder why you're seeing a bunch of patients who live in the same general vicinity many miles away from your clinic each day. So you'd have to be prepared to spend a lot of time fighting with insurers to get your bills paid.

 

[zenman]

I hate insurance companies 👎

 

[vistaril]

I've heard of things like this. What's the outcome goal?

several- govt budget deficits, property tax increases, etc.....

 

[nitemagi]

several- govt budget deficits, property tax increases, etc.....

That's correct! Getting people into this tx keeps them out of ER's, which leads to lower expense on other county resources and thus lower county deficits.

It's fully paid by the MHSA in california, a voter approved initiative to tax millionaires 1% with that money going directly to mental health services of those not being served.

way to think about the big picture vist 🙄

 

[vistaril]

That's correct! Getting people into this tx keeps them out of ER's, which leads to lower expense on other county resources and thus lower county deficits.

It's fully paid by the MHSA in california, a voter approved initiative to tax millionaires 1% with that money going directly to mental health services of those not being served.

way to think about the big picture vist 🙄

"fully paid" is an interesting word to use there.....it sounds like some sort of noxious class warfare legislation but I'll just stop there as I know this isn't a political forum. But Im shocked that "the voters" would approve confiscating money from "not them". Why don't the voters also "approve" the confiscation of jennifer aniston's house in california as well? After all they could sell it and then use that to fund something else.....ok really stopping this time.

sounds like an interesting program.....I question how cost effective it really is. Then again, with those sorts of programs you can generally produce a report after a period of time to show it either saved big money or was a waste of big money(depending on what the interests are)

 

[nitemagi]

"fully paid" is an interesting word to use there.....it sounds like some sort of noxious class warfare legislation but I'll just stop there as I know this isn't a political forum. But Im shocked that "the voters" would approve confiscating money from "not them". Why don't the voters also "approve" the confiscation of jennifer aniston's house in california as well? After all they could sell it and then use that to fund something else.....ok really stopping this time.

sounds like an interesting program.....I question how cost effective it really is. Then again, with those sorts of programs you can generally produce a report after a period of time to show it either saved big money or was a waste of big money(depending on what the interests are)

Yep. Keep thinkin' butch. That's what you're good at.

 

[notdeadyet]

Yep. Keep thinkin' butch. That's what you're good at.

God that was a great movie...

 

[splik]

nitemagi is the sundance kid? i thought he was gonzo?!

 

[surftheiop]

"fully paid" is an interesting word to use there.....it sounds like some sort of noxious class warfare legislation but I'll just stop there as I know this isn't a political forum. But Im shocked that "the voters" would approve confiscating money from "not them". Why don't the voters also "approve" the confiscation of jennifer aniston's house in california as well? After all they could sell it and then use that to fund something else.....ok really stopping this time.

sounds like an interesting program.....I question how cost effective it really is. Then again, with those sorts of programs you can generally produce a report after a period of time to show it either saved big money or was a waste of big money(depending on what the interests are)

I'm surprised its taken you this long to get to this, your political beliefs just ooze out of everything you post.

Does it bother you that your political beliefs so inform how you interpret medical practice that just from reading like 2 of your posts about how you practice medicine I knew how you stand politically?

 

[billypilgrim37]

nitemagi is the sundance kid? i thought he was gonzo?!

He's actually Charles Dickens in a Gonzo costume.

 

[vistaril]

I'm surprised its taken you this long to get to this, your political beliefs just ooze out of everything you post.

Does it bother you that your political beliefs so inform how you interpret medical practice that just from reading like 2 of your posts about how you practice medicine I knew how you stand politically?

actually, I consider it a compliment.

 

[nitemagi]

actually, I consider it a compliment.