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Why the RVU system gives a false sense of productivity

Brandon Betancourt
Physician
October 17, 2012

One of my biggest problems of the RVU system is that it decided by a secret society composed of specialists. Nobody seems to have a problem that a “secret society” decides how much work and how much cost should be allocated to a medical service.

Medical procedures are very dangerous and have a lot of risk, but so is trying to provide healthcare to a complicated 2-year old that can’t tell …

Read more…

Why the RVU system gives a false sense of productivity

Why medical practices need coaches

Brandon Betancourt
Physician
September 7, 2012

Besides discipline, what would you say is the one thing that all athletes have in common? All Olympic athletes have a coach.

I find this interesting.

Here we have the most elite athletes in the world. Most of them have trained for most of their lives, others are repeat Olympians, and others are repeat medal winners. Yet they still have coaches.

Why would they need coaches? Surely they know what needs to be done …

Read more…

Why medical practices need coaches

Addressing comments on your medical practice’s Facebook page

Brandon Betancourt
Social media
February 13, 2012

Does your medical practice allow anybody to post links and comments on your Facebook page?

The short answer is yes. We do. Why? Because we think allowing patient to post links and commenting on our practice’s Facebook page helps us achieve these four things:

1. It encourages communication.
2. It allows us to address issues that we would otherwise have a hard time addressing.
3. Other patients will benefit by reading the discussions.
4. We …

Read more…

Addressing comments on your medical practice’s Facebook page

What patients need to know about coding

Brandon Betancourt
Physician
December 4, 2011

Health insurance is very complicated. At our practice, we deal with health insurance all the time and even for us, it gets to be very complicated sometimes. So it is natural that patients have a hard time understanding it as well.

Therefore, I decided to summarize a conversation I had with a patient in an effort to help other patients understand, at the very least, a portion of how medical health …

Read more…

What patients need to know about coding

Medical practice unintended consequences

Brandon Betancourt
Physician
September 5, 2011

The airlines, in an effort to recoup revenue, started charging passengers to check luggage a while back.  Seems like a great strategy. Not only are they recuperating revenue, they are giving passengers a reason not to bring luggage they don’t need. This of course saves money on fuel.

The result? More bags in the main cabin.

Since there is an incentive not to check a bag, more people bring their bags as …

Read more…

Medical practice unintended consequences

Why your medical practice should adopt social media

Brandon Betancourt
Social media
June 23, 2011

“Twitter? I don’t have time for that, besides, my life is boring; nobody wants to hear about my boring life.” This is a common response when I talk to people about social media.

One of the reasons I think many have a hard time persuading docs to adopt social media, is because docs don’t understand what they can do with social media or how they can use it for …

Read more…

Why your medical practice should adopt social media

Physicians and their staff need to put on a consistent show

Brandon Betancourt
Physician
June 13, 2011

This past summer, I had a few parents complain to me about our staff. The parents wanted to let me know that they were treated nicely by the staff, but they had noticed things from the employees that they didn’t appreciate. They mentioned that the staff seemed annoyed and irritated, even bored at times and a bit disingenuous.

I wanted to investigate the issue before I reprimanded the staff. Things …

Read more…

Physicians and their staff need to put on a consistent show

How physician practices can compete with retail clinics

Brandon Betancourt
Physician
March 29, 2011

A reader recently wrote to me: “Brandon, in our area, we’ve seen a few retail clinics pop up. What can we do as a practice to let patients know that visiting retail clinics is not in their best interest?”

We had along discussion. So I put together a summary of our conversation. Below is a rundown, more of less, of what I …

Read more…

How physician practices can compete with retail clinics

What your medical office can learn from Norman Rockwell

Brandon Betancourt
Physician
January 24, 2011

This past summer I got a chance to visit Washington DC. While I was there, I saw a Norman Rockwell exhibition at the Smithsonian American Art Museum. As it turned out, the exhibition was the private collection of George Lucas and Steven Spielberg. The exhibition highlighted Rockwell’s masterful storytelling.

I didn’t know much about Norman Rockwell before that day. I knew he was a famous American painter and I had seen …

Read more…

What your medical office can learn from Norman Rockwell

Should patients be charged for no shows?

Brandon Betancourt
Physician
November 26, 2010

No shows.  It seems that no matter what we do, we always have them.

Despite the fact that we call every single person on the schedule to remind them of their appointment the day before (the staff personally makes the call. We don’t use an automated system) we found that in 2009, we had 389 no-shows.

Slicing the data

Is 389 a high number of no-shows? I guess it depends on the size …

Read more…

Should patients be charged for no shows?

Why doctors have poor customer service

Brandon Betancourt
Physician
October 7, 2010

One of my docs was telling us about a patient’s experience at another practice. Apparently, the parent was at her wits end with her crying baby. She called the  on call doctor to ask for advice and the doctor told the patient, “your baby has colic’s; turn on the vacuum and stop calling.”

It turned out the baby had some gastric condition (not colic) and needed treatment. The patient ended up …

Read more…

Why doctors have poor customer service

How JetBlue can improve your medical practice

Brandon Betancourt
Physician
August 31, 2010

I got a chance to fly JetBlue for the first time recently. Since I had heard so many good things about the airline, I was looking forward to experiencing the JetBlue, well, experience.

I took four flights in total with them. While outbound, they lost my bag. While inbound to Chicago, my last leg was delayed about 2 hours. I then I had to wait another 80 minutes for my bag …

Read more…

How JetBlue can improve your medical practice

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  • Most Popular

  • Past Week

    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • Evidence-based medicine vs. clinical judgment: a medical student’s perspective

      Jay Pendyala | Education
    • The controversy over Maintenance of Certification for grandfathered physicians

      Bernard Leo Remakus, MD | Physician
    • When side effects are actually a cry for help with medication costs

      Shuchita Gupta, MD | Physician
    • The hidden math behind physician hiring costs and recruitment

      Timothy Lesaca, MD | Physician
    • The Schism of Time: Bridging the generational gap in the workplace

      Seleipiri Akobo, MD, MPH, MBA | Physician
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
  • Recent Posts

    • Health insurance incentives and alternatives to opioids for chronic pain

      Molly Candon, PhD and Daniel Clauw, MD | Conditions
    • Independent medical practice: Why private clinics are essential

      Marcelo Hochman, MD | Physician
    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • Do no harm: Why physician burnout requires bottom-up reform

      Desiree Francis, MD | Physician
    • Institutional distrust in health care: Why a doctor lost faith

      Joshua Mirrer, MD | Physician
    • Communicating health to children: a pediatrician’s guide for parents

      Joey Skelton, MD | Conditions

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