Talked to my AME at length today

derg

derg

Apparently a "terse" writer
Staff member
She says there's a lot of the experienced Medical office people that she was able to work with the smoothen and hiccups in the certification process, but they're mostly been replaced by a bunch of young people without a true grasp of some of the realities of medicine in 2026.

Even I caught some things that shouldn't have been on my medical record that my soon-to-be former healthcare provider slapped on my record because now, everyone is reimbursed based on the number and severity of maladies you're being treated for. A couple I was never tested for but it showed up that I was diagnosed for them. Needless to say, i'm a little pissed because if it had gone to the FAA, it would make for a long certification process.

Check your records, stay frosty.


(And I just missed @MikeD by a couple hours)
 
I was gonna say, wait, did Dr Ross do something? Then I realized I have zero clue who you use for an AME.

And I'm afraid to log into UMR and see what they're claiming about me...
 
Karnage said:
I was gonna say, wait, did Dr Ross do something? Then I realized I have zero clue who you use for an AME.

And I'm afraid to log into UMR and see what they're claiming about me...
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I bounce back and forth!
 
derg said:
She says there's a lot of the experienced Medical office people that she was able to work with the smoothen and hiccups in the certification process, but they're mostly been replaced by a bunch of young people without a true grasp of some of the realities of medicine in 2026.

Even I caught some things that shouldn't have been on my medical record that my soon-to-be former healthcare provider slapped on my record because now, everyone is reimbursed based on the number and severity of maladies you're being treated for. A couple I was never tested for but it showed up that I was diagnosed for them. Needless to say, i'm a little pissed because if it had gone to the FAA, it would make for a long certification process.

Check your records, stay frosty.


(And I just missed @MikeD by a couple hours)
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Would’ve been awesome to have run into you!
 
The sheer incompetence I’ve encountered at my regular primary care office is staggering. Half the time I go to check in I might as well be talking to a brick wall. Doubly fun when there’s multiple lost blood samples or incorrect tests run.
 
JordanD said:
The sheer incompetence I’ve encountered at my regular primary care office is staggering. Half the time I go to check in I might as well be talking to a brick wall. Doubly fun when there’s multiple lost blood samples or incorrect tests run.
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It’s bad.

I had so many random diagnosis codes for sh— I’ve never been tested for on my chart that it appears that someone was trying to buy a boat.

They get paid per diagnosis code. Most people don’t care because it doesn’t cost them a dime and makes the doctor happy. But when you’re dealing with maintaining a medical clearance to perform a job, all that crap matters real quick.

I’m looking at concierge medicine/off insurance to disincentivize adding diagnosis codes to satisfy their business model.

I can’t tell you how pissed-off I am.
 
Honestly I think you may be a victim of insurance fraud. Sadly making a huff about it could get prying eyes from places you don't want.
 
🦈💜 said:
How exactly does one do this?
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Explanation of Benefits will often list the codes your doctor is billing insurance for, some insurance will have it listed on your account profile. My doctor’s office has a patient portal that lists what I’m being treated for, and I compare that to what my insurance is billed for. It also helps that I get a full visit summary once a year for my SI that also includes all conditions my doc knows about and the treatment plans, if anything.
 
derg said:
I’m looking at concierge medicine/off insurance to disincentivize adding diagnosis codes to satisfy their business model.

I can’t tell you how pissed-off I am.
Click to expand...

I'm still trying to get a job. So, as much as I can relate and would like to share? Keeping my mouth shut on a public forum.

The system is thoroughly broken though.
 
Karnage said:
Explanation of Benefits will often list the codes your doctor is billing insurance for, some insurance will have it listed on your account profile.
Click to expand...

That's going to list what they paid for. So, what test was ordered, and whether it was paid or not. The codes to justify that? Maybe, maybe not.
 
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