I had no money at all come in  last week
 Well that was a first  
 Makes for a great story 
 I made NO money at all last week.
 I am frustrated  in the hell of primary care 

 Today I see a sweet person who needs her Mirena IUD  replaced . I can do that. I have the skills. But money and the System may stand in my way. So I take time out. She  calls Blue Cross on her blackberry-- oh yes you have   full coverage    they tell her.
Mirena costs 468.00 plus insertion charge. Hmm- I get on the  blackberry -what will you reimburse ?
 OH we cannot tell you that, they say- you have to call her local , we are  in Illinois. I say you are the number on  her  card.
 We cannot say what you will be reimbursed but she is covered , they say

Apparenlty "covered" and what they will pay  have nothing to do with  each other

 Covered for  less than it costs me wouldn't be coverage. I try to explain this and the Blue Cross woman  says "Well  just because you don't like the answer..." !!!

So I   take more  time  and have my biller find out , and  she tells me- after the patient has left, which means I have to take more time and contact the patient-she tells me that blue cross will pay 171.00 for that 468.00 iud
  So I sent the  patient to family planning .which  is  of course subsidized by tax dollars. The patient is delighted. I am screaming with injustices rudeness and  insanity
  Will it ever end?
The part I  hate is that I end up always complaining  and always spending my free time to find a work around .The patient  ends up getting what they need .But her care is fragmented ,I do not get to use my skills, be paid for a procedure I can do, and the broken system continues looking only like doctors are whiners.
That is one brilliant plot  someone  has cooked up

And no money at all came in last week.
Sigh.
I love my  job