Big News from Dermatology


After causing paranoia about the sun with a resultant pandemic in Vitamin D deficiency, dermatologists finally found a new landmark study to show they deserve making a ludicrous amount of money.  The journal JAMA Dermatology suggests that many patients may prefer to learn of their biopsy results over the phone.  Wow!  Earth shattering! That really changes everything….for nobody but them.  It actually allows them to NOT have office follow-ups, which aren’t paid for by insurance companies.  Subsequently, this research “justifies” only calling the patient and therefore seeing more people in the office, doing more biopsies and….wait for it….making more money!  Hooray for dermatologists.  Hooray for research!

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]

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1 Response

  1. fred powell says:

    Actually, this is a bit cloudy. A f/u visit where there is discussion with the physician is billable and not included in the biopsy bundled fee. There is no global period for CPT 11100. Our vast majority of biopsies are shave biopsies, but occasionally a suture is placed for a punch bx. We dont usually charge for a nurse taking the suture out, but if the pt requests that the doctor discuss the diagnosis and treatment (or the doc feels it’s needed) , it is a reimbursed visit.
    So derms actually make more $ by having the patient in to discuss the bx result. It’s free when we call them and tell them the result. I guess that does open the schedule for other patients, but as it is, there’s no way I’d increase my patient load…………I already see about 30 per day, and there’s no way the quality would be the same if I increased the volume.

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