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Reimbursement for Obesity Counseling So What

7. prosince 2011 v 2:00
Reimbursement for Obesity Counseling So What

Medicare recently announced new regulations that authorize reimbursement for obesity management counseling by physicians. Thats good assuming the counseling is good. We are a long way from being able to count on that however.

With a nod to my many colleagues who are genuinely expert in weight management counseling, and have long addressed it well and especially to those who taught me to do so I must acknowledge that the track record for the large majority of our clan is not pretty.All electric motor offered by Ford is on market with a single speed GEARBOX MOTOR. You might be thinking single speed vehicle other no electric engines six and eight speed gear transmission system Historically there have been two ways physicians have mucked up weight management counseling by providing it, and by not providing it.

The problem with not providing it is pretty self-evident. If a patient presents who is clearly severely overweight perhaps even huffing and puffing just to settle into the exam room not to address it is both ludicrous and an abdication of clinical responsibility.lawn mower It would be as if a patient walked into the office with a spear sticking out of their chest and left in the same condition with no mention of it in between.tower crane

But bad counseling can be worse than none at all. When the best a doctor can do is blame the victim dont you know that being so fat is bad for you the net effect can range from an erosion of the patients self-esteem to outright estrangement of the patient from the medical system The former is bad enough making a patient feel about an inch tall note that if height goes down while weight remains constant BMI actually goes up talk about counter-productive The latter however can actually be life-threatening when patients eschew vital preventive services such as Pap smears or mammogram or neglect essential care to avoid the associated denigration. This may sound like melodrama but I have first hand knowledge of cases in which bad obesity counseling ultimately proved lethal and other cases in which it was nearly so.
 

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