My schedule is only full over the next 2 weeks. After that, it starts to be 1/2 full at most. How is everyone else’s? I’m guessing I’m on of the ones being laid off? Texas FNP.
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@m0 what state are you in?
@j7 mine is close to the same. Maybe 8 total past that first week.
@fa no one in HC received nor receives bonuses for anything that can be diagnosed
@jw that makes sense. Thank you
@j7 when providers were laid off from Landmark, their schedule was cleared that day and they did nothing their last 2 weeks. UHC doesn’t want a disgruntled employee meeting with patients.
That’s funny, those who defend the risk adjustment situation being exploited. These people know exactly what’s being asked of them. You would have to be completely d-mb when your
Asked to perform tests over and over again that have nothing to be done other than establish a reason to overbill Medicare. There are plenty of patients who knew there was something not right and actually threw the house call practitioner out of their house.’
Does anyone know if you get laid off from housecalls will you still see members scheduled out? Or it’s obvious and you have none on your schedule? I’m still seeing some added here and there but not past first week of feb
@hn I don’t think that is necessary. I have no doubt all of House Calls
Providers provide great care and have helped every member they see.
They follow the guidance provided to them by corporate. (If the guidance is determined to in error, it’ll be changed . Neither is on them though.) Providers within payer organizations and those elsewhere are not expected to be certified coders. It’s up to corporate’s coding analyst type teams to decide what to submit to CMS and what not to.
@hw https://www.tiktok.com/@loudestwhistleblower
@hp loud whistleblower on tictok
That’s why it’s important to discuss medical history with members and document objectively, transparently, and most importantly as simply as possible. If the member is unaware of the diagnosis, do not code. Don’t do it and there will be no problems. Disregard their BS document discrepancy inquiries.
They the company have to move quietly. They cannot risk upsetting the Housecalls staff. One person could have enough information and turn whistleblower. They are not gonna risk mass layoff, they will get rid of the current staff quietly.
If the house calls staff is smart they would go to Medicare.gov and file a fraud complaint and get their little number because at the end of the day they don’t want the fbi knocking on their door saying : You knowingly and willingly did this and your being blamed by your company and they are saying they had no knowledge of your behavior. You all did notice that the CNO Jumped ship like last year when all this was just starting.
@fd Coming from in office setting, everything related to coding and deliberate restriction of access to external medical records was screaming red flags. Read up how much trouble quantflo is with the government.
@fa that is my prediction as well. I read all 105 pages of the report findings released earlier this week by the government. The guidance provided to HouseCalls by UHC seems questionable which is unfortunate. Primary Care providers are held to a much higher standard when documenting and coding RA diagnoses. I’ll be surprised to see the program continue on in the same manner for much longer. I hate to say it but the scrutiny seems valid to me. House Calls notes have always made me scratch my head. What is documented during those visits often does not align with the rest of the medical records for a member. I think UHCs documentation and coding guidance for this program was too aggressive.
House calls will be the scapegoat for the upcoding and the Medicare aggressive coding tactics . They will blame it on the NP of falsifying the diagnosis in order to get bonuses etc. In the end the program will be thrown under the bus and they will get rid of them.
@dj Agree.
and those that keep their jobs will be subject to same day scheduling, 1% raises even though they decreased the 401k, probably little to no incentive visits, and little to no qvc payouts because how difficult it has become to qualify for one.
@dd that’s kind of the point. It’s not going to be a mass layoff, but enough from each state to reduce to whatever their budget is. Most will still have jobs, and probably 200-300 of us will be laid off. They don’t need to file a warn act because it won’t be considered mass layoff.
@da I do not believe there will be massive layoffs in HC. There will certainly be some given what they said. HC makes them a lot of money. They love to say “business as usual” regardless of what’s coming. Processes must be follower. That’s corporate bs for you.
yet annual reviews are still scheduled. It’s like am I getting laid off or not? if we aren’t being let go the end of this month, then it has potential to be feb or march unless they decide not to cut any of us. we’d have to go through reviews then be let go after.
@ad for sure. Start of the year I am usually booked quickly for 6+ weeks.
@ad they usually try to book 6 weeks out..they did mention in the business update meeting that we would see our schedules looking less different as they are working on files/resource planning but no eta on that
@OP Is this something out of the norm for you and this time of the year?
@a4 this doesn’t say anything about layoffs. Just related to the investigation they’ve been under the past year
@OP https://www.fiercehealthcare.com/payers/senate-report-dings-unitedhealths-ma-risk-adjustment-policies-wsj
Same here, I’ve been wondering the same thing. In AZ