Crappy Alphabet Soup by Chris Perry

I have been a fan since the Placebo Journal days and member of the round table as Sir Borborygmos. I’m about to quit next month after 35 years. I’m not dignifying this with the title of retirement.  I’d like to leave you with a little fodder for future topics.I have been compiling a list of the ever growing regulatory, punitive,and intrusive government and industry agencies that have made my life miserable.
In no particular order:
  1.           ABFM
  2.           AAFP
  3.           NCMB
  4.           AMA
  5.           CLIA
  6.           HIPPA
  7.           NCQA
  8.           OSHA
  9.           HEDIS
  10.           PECOS
  11.           RUC
  12.           JCAOH
  13.           RBRVS
  14.           RAC
  15.           MAC
  16.           ACLS
  17.           BCLS
  18.           NRP
  19.           PCMH
  20.           PPSA
  21.           PQRS or is it PQRI
  22.           CMS
  23.           SGR
  24.           ICD-10
  25.           EMR
  26.           EHR
  27.           QRUR
  28.           P4P
  29.           MOC
  30.           MU
  31.           ACA
  32.           ACO
  33.           ONC
  34.           HITECH
  35.           ACGME
Keep smiling, Sir Bororygmos
Editor’s Note:  Do I need to say more?  Anybody else have another alphabet soup to add?

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  11 comments for “Crappy Alphabet Soup by Chris Perry

  1. E Vulanich
    April 3, 2014 at 10:35 pm


  2. Princess PITA
    April 3, 2014 at 8:20 am

    Congratulation Sir Borborygmos on your escape-I mean retirement! As a nurse for the last 40 years, and the last several doing Case Management and Utilization Review, I have been choking on the alphabet soup as well. It brings me to tears when I let myself think about the way healthcare has changed. And I DO remember when doctors were respected and I stood up and offered my chair when a physician came into the nurses station. We never would have called a doctor (which we often said somewhat reverently) by his first name. I still don’t do that. You so earned that title and it should be used (except out in public where if used, it gets abused). Enjoy the new journey and I hope you still have a few old Placebo Journals to peruse every now and then to remind you how lucky you are.

  3. David Lubin, MD
    April 2, 2014 at 11:09 pm

    Nice going Chris, and congrats. I WILL dignify it, after my 37 years, by calling it retirement. I deserve it. One error though, it’s HIPAA, not HIPPA, and I have one…AMFs!

  4. Robert D'Agostino
    April 2, 2014 at 8:41 pm

    The sad thing is actually knowing what they all mean.

  5. George
    April 2, 2014 at 6:21 pm


  6. spencer
    April 2, 2014 at 3:57 pm

    Wash D.C.

    also a former Knight of the Roundtable and Contributor to PJ
    Sir Rumpleforeskin

  7. Ed
    March 29, 2014 at 1:23 pm

    Don’t forget: Esq. and JD

    • Pat
      March 29, 2014 at 1:40 pm


  8. Pat
    March 29, 2014 at 9:54 am


    Godspeed Chris, I’m envious.

  9. Sir-Lance-a-Lot
    March 29, 2014 at 9:48 am

    I can only think of three more, but I’m surprised you missed ’em!




  10. March 29, 2014 at 7:22 am

    Chris, this is not an item on your list to further compound the Misery but a short ? acronym that might help with the tremendous burden you are carrying: GOD

Comments are closed.