I went to the doctor this morning to get another TB test. I’m teaching an entrepreneurship class at a local school district and a clear TB test is required to teach. The TB test has to be “renewed” every 4 years. For those of you who don’t know how a TB test works: they put a little bit of the bug in you and see if you react. You come back in exactly 72 hours for them to see the reaction if any and give you a form saying you’re clear. Here’s a better explanation.
Here’s the insurance/customer service crazy I experienced today that makes me invigorated to improve life here in CA.
1) My appointment was for 8:45. I didn’t walk into the inner sanctum to even talk with a nurse to take vitals until 9:15. I arrived and there was ONE other person in the waiting room. The staff at the desk didn’t call me up to see her until 9:05. I told them I had to leave by 9:30 when I checked in at my appointment time.
2) The staff had to call and confirm my insurance even though it’s in their computer system. When the staff member finally called me up, she took my insurance card and called the insurance company to verify the information was correct (even though it’s in their system).
3) I watched 4 different medical assistants walk back and forth behind the counter ( in the inner sanctum) swinging their hands like they had nothing to do. The initial intake staff was a complete bottle neck because she was on the phone, either listening to messages or with an insurance company, because she wasn’t talking on the phone, she was doing paperwork and typing while on the phone.
4) I paid for the office visit before I walked through the door ($40 co-pay). Like going to a movie, I have to pay before I get in. Okay, that’s fair enough. I take a deposit for my services, so I get it. I value their time, even if they don’t value mine.
5) I sat for 15 minutes waiting for the doctor that didn’t show up. I sat in the room for the doctor for 15 minutes. at 9:35, past my deadline for leaving, I got up and left. I had an important appointment at 10:00 that I COULD NOT be late for. As it was, I skated in about 3 minutes before the meeting.
6) This test could have been done by a Medical Assistant. This appointment could have been done by an MA, not a doctor. I know because the last time I had it done, it took 10 minutes and the MA did it. There is no need to take vitals for this. My expectation was I would be in and out. And I had this expectation because that’s what the staff told me when I booked the appointment and when I arrived. “It should be very quick, ” she said.
7) I asked for a refund of my co-pay (and got it) because I had to leave. The original staff didn’t know how to do that and had to ask her supervisor if it was possible. There were more keying in errors when she did the refund. She did not have the attention to detail or training required to make the decision and take action on it.
8 ) I asked the staff for a price list of services so should I eliminate the crazy insurance merry-go-round, I know what I’m paying for cash out of pocket. She couldn’t give me a price list. Her answer was, “prices are different, it all depends on what the doctor circles on the form after you’ve seen him/her. I can’t tell you how much things cost.”
My questions:
When I booked the appointment, why did I get put with a doctor when this is a task that a Medical Assistant can take care of? They gave me a specialist when I only needed a generalist and a waste of staff resources and my time resulted. How was I to know to specifically ask for an MA and should that even be my responsibility?
Why do they have to call the insurance to confirm each time I come in? Surely I’ve signed enough forms in the world to have my insurance company AND my doctor talk with one another.
When I asked for a price list of services, the staff couldn’t give it to me. Where’s the clarity? Why can’t I know up front how much my physical will be? How much my annual gyno exam will be? How much the TB test will cost?
How come the staff isn’t trained to give attention to customers walking in the door and how to manage the tasks should a billing reversal be required?
My opinions:
I received incredibly poor customer service this morning on every count. I communicated my expectations and they were acknowledged, agreed with, and then disregarded. I, the customer in the medical office, receiving a service, was treated with disrespect. My time was not valued. And this is not the first time it has happened. I find I have been willing to accept this lack of service for years, which is my own brand of crazy. Why on earth should I go to a practice that doesn’t understand the “business” side of it? Consequently, I’m looking for a new doctor in the Midtown Sacramento area – email me if you have a referral.
Besides the poor customer service, the entire doctor/health insurance kettle is broken. I understand the medical/insurance system is amazingly complex and that irritates me to no end. I currently make “donations” to my insurance company and they told me I’m about to start paying them more. I go to the doctor once a year – for a physical exam. When I change to a Health Savings Account, or some better way of controlling where my money goes for these costs, I’d like to know exactly how much it costs for that annual exam. I’d like to know up front how much the TB test will cost. Why is that so hard? If it costs $500 for an annual exam, then that’s what it costs! Just tell me so I can appreciate it more instead of it being cloaked in secrecy. I promise I will take even better care of myself by knowing what things really cost.
I know it can be easier. I lived in England for 5 years. I LOVED the National Health Service. And people who wanted private insurance could get private insurance on top of it. The NHS was amazing because you knew when you walked in the door how much prescriptions were going to cost, and that everything was covered. You know how much things were going to cost. You knew what to expect. Period. It was taken care of. And my taxes weren’t any worse than they are here in California. For an island of 60+ million, they really do know how to make sure that the least among us are taken care of and that those who want to spend more dough on private health care, can do so. It is a great system. Why can’t we do that here? (This is a rhetorical question – though if you feel like talking about it – go right ahead.)
There endeth the lesson for today. Again, if you know a General Practitioner in midtown Sacramento or have information for a Health Savings Account package, please email me.
Have a magnificent day!
Posted in small business
Tags: business, business owners, customer service, doctor's office, entrepreneurs, focus, health insurance, humility, organization, organizing, professional organizers, room to breathe professional organizers, small business