The AAFP Gets Tough


It’s almost too pathetic to write about but I will fight through it. The article on the AAFP website is called AAFP Demands Straight Answers on Flawed Audit Process and it has a subheading that states Meaningful Use Under Fire Again.  You can explore the comical story for yourself but basically the AAFP is writing a second letter to get the CMS attention for not coming through on the audit process and subsequent payments. “In short, member accounts have convinced the AAFP that auditors are saddling physicians with an enormous administrative burden.”   In other words, docs who bought into this crap aren’t getting paid:

“The AAFP is concerned that auditors are causing undue hardship for family physicians,” wrote Blackwelder on July 9. Auditors are pelting physicians with unreasonable and burdensome documentation requests that, when tallied, add significantly to the cost of physicians trying their best to comply with program rules, he added.

“Family physicians who have implemented and fully use electronic health records (EHRs) in the spirit of the meaningful use program should have a reasonable expectation that the accompanying financial subsidy would help offset the implementation costs and associated initial decrease in practice productivity,” said Blackwelder.

  • Undue hardship?  Check.
  • Unreasonable documentation?  Check
  • Significant cost?  Check

This seems about right for making a deal with the government, wouldn’t you say?  How many times have I written about this happening?

And now the AAFP is getting tough?  Even in the the comment section below, members are making fun of the AAFP.  One says:

“The AAFP refuses to back down”

And if CMS doesn’t respond, the AAFP will . . . write another letter?

The answer is yes, but this time it will be different.  It will be sent certified.  CMS better watch out.

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] 

  6 comments for “The AAFP Gets Tough

  1. Dave Fitzpatrick
    July 23, 2015 at 9:55 pm

    You make a deal with the Mafia, you have a deal.
    You make a deal with any part of the American Government (please review the history of American Indians) and you WILL be screwed at the earliest leisure of the American government.

  2. July 22, 2015 at 10:55 am

    We need to be clearer about our alphabet soup here… AAFP could mean Family Practitioners, Forensic Pathologists, Family Planners… please at least once in an article, preferably the first use, use the full name of the organization.

    • Kurt
      July 22, 2015 at 9:43 pm

      O.K. full name here:

      Academic A-sho-l-s F—ing P–cks

  3. Steve O'
    July 21, 2015 at 9:15 am

    “For instance, AAFP members have documented frustrating instances of when they’ve waited for correspondence from auditors that was long past due, experienced a complete lack of follow-up by auditors after an audit was instigated, seen no end date in sight to audits that drag on and on, and endured continuing and repetitive correspondence from auditors when that communication served only to prolong the audit process.”
    Get the hint, honey, this ain’t Mr. Right.

    • Ken
      July 22, 2015 at 12:33 am

      Those CMS administrators better watch out, I can see the AAFP initiating some tough measures, such as Ringing and Running (aka Ding Dong Ditch) certain houses at night. Or there may even be some wedgies coming for the most senior CMS personal, and this could be followed by houses getting toilet-papered.
      Just remember the AAFP’s motto: If You Don’t Treat Us Nice, We’re Telling Our Mom!

  4. Susan Sparling
    July 21, 2015 at 8:00 am

    “…associated initial AND SUSTAINED decreaseS in practice productivity.” If we’re going to be accurate.

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