Is the Patient Billed?
MEDISCRIBE© CONSUMER DIVISION is structured so that the consumer/patient is either able to obtain their medical records from their primary care provider. These files are then digitally sent directly to MEDISCRIBE© or a physical copy of the file is securely sent.
However, the problem is that only about 8% of the nation's 5,000 hospitals and about 30% of our target market or about 136,000 Physicians currently have some kind of common computerized record-keeping systems similar to the Obama visions.
Right now Massachusetts has developed a plan to fully computerize records at its 14,000 physicians' offices by 2012 and its 63 hospitals by 2014. After a pilot program, the state legislature estimates it will cost about $340 million to build the statewide computer system.
PATIENT MEDISCRIBE© PLANS
There are two levels of Patient information that will be provided and it depends on which one that patient enrolls in. The Personally Provided Medical Information (PPMI) or the Doctor Provided Medical Information (DPMI).
I. PERSONALLY PROVIDED MEDICAL INFORMATION (PPMI)
These are records that are directly obtained from the individual consumer. These records are designed to be used by the individual consumers for such purposes as:
2) Emergency Room
Under the PPMI program the intention is to be able to provide the consumer with the basic and critical information that will provide enough information that in the event of an accident, heart attack, illness, or other type of emergency within the United States or in any foreign country. What the PPMI program provides is such the basic information as:
1) Blood Type
4) Historical medical conditions such as illnesses, blood pressure, diseases, etc., along with family medical history.
This is a separate contractual charge that the consumer pays directly. It is an initial setup charge of $10.00 and a $5.00 annual renewal fees. If the system is accessed this fee is waived and there will be a $5.00 access charge fee each time the System is accessed during that year.
II. DOCTOR PROVIDED MEDICAL INFORMATION (DPMI)
The DPMI Program provides all of the advantages of the PPMI program expect that the information that is obtained does not have the possibilities of being altered. This is important when the information is being used by the doctor, hospitals, clinics, and in some extended emergencies when detailed and unadulterated medical records are vital. In addition, it is the information in the DPMI Program that the insurance companies must have and not the information on the PPMI Program due to even the slightest possibility of alteration.
In the DPMI Program the doctor is charged each time it is accessed by the office. Hospitals will be charged differently as are clinics. These will be a direct billing by the hosting institution to the patient and if the patient has insurance will be covered by the patient’s insurance plan. In the event that there is a request by an insurance company, there will be a direct billing charged to the patient, the doctor, or the insurance company, depending upon the billing selection.
The consumer/patient does have the option to join this DPMI. This is a choice in which the consumer makes when they wish to join the MEDISCRIBE© Program. It is simple, all the consumer does is allow MEDISCRIBE© to request the information from the consumer’s primary care physician or request that the primary care physician send MEDISCRIBE© the records. It either case, it is important that a “Chain of Handling” be established and can be verified by HIPAA and any institution or entity that is receiving these verified records.
In regards to information would then in turn be provided to insurance companies, the consumer/patient would have the ability to restrict the information provided as to that information that is necessary.
COST: There is a $10.00 setup fee and a $5.00 annual renewal fees. If the system is accessed this fee is waived and there will be a $5.00 access charge fee each time the system is accessed during that year.