unfair? unprofessional? anti-competitive?

[optowalt]

Oh, and another thing:

There really is not sufficient frequency of eyewear redo (for *any* reason), even at a loft 20% (which is close to what we experience in my shop at times), to try to determine and allocate blame and fault for redos.

In eyewear, it's part of the total human condition, especially if one tries to ensure that every client receives the excellence we're committed to.

B

Did I read theat right? Aprox 20% redos? You better hire me fast!!

[loose-screw]

Not sure if this is illegal. I have had some dealings with practices in the past that would make us go through a lot of BS to get a copy of the Rx.
The patient's usually see for themselves what type of practice it is.
Also I have worked with some great Dr's who upon request by me would recheck an outside Rx at no charge which in turn would gain the respect and future business of said patient

[Barry Santini]

Did I read theat right? Aprox 20% redos? You better hire me fast!!

Hell, If I thought *anyone* could reduce my total redo percentage by half...

I'd hire them in a minute....

B

[IndianaOD]

Refraction $75 each x 4 per hour = $300 / hour.

Opticians raise your hand if you net $300 / hour.


[...crickets chirping]

Sorry, around here almost all insurances reimburse less than $20 for a refraction. Two eye exams an hour is typical.

[optowalt]

Sorry, around here almost all insurances reimburse less than $20 for a refraction. Two eye exams an hour is typical.

Dude, My plumber makes loads more. Stop taking insurances and make some real money.

[LandLord]

Sorry, around here almost all insurances reimburse less than $20 for a refraction. Two eye exams an hour is typical.

Sorry for you. Your Canadian colleagues are making $300 an hour.

And if you work in a side-by-side that's $300 NET because all of your expenses are paid by the store owner!

[LandLord]

The reality is products are being sold online more and more. Personal services like an eye exam cannot. If opticianry wants to make it into the next century we need to move from a product provider into a service provider.

[Johns]

The reality is products are being sold online more and more. Personal services like an eye exam cannot. If opticianry wants to make it into the next century we need to move from a product provider into a service provider.

Ironically, I think that it is the internet that is causing many of the examiners to resort to the tactic of disclaimers. In the past, they could make a good enough living on exams, and the glasses were a nice little extra.

Now, since their income's have been so watered down by granting third party plans a place at their table, they rely more on the glasses. They're getting pinched, and don't know where to turn.

I've been getting a ton of PMs from ODs looking for closeouts, private labels, and off-brand frames, as well as displays with which to display more/different product. The days of seeing business as usual are over, and some folks in the field are trying to play catch-up, often resorting to anything that will keep an Rx from walking - including, as wmcdonald said, "..the use of fear tactics".

[IndianaOD]

Ironically, I think that it is the internet that is causing many of the examiners to resort to the tactic of disclaimers. In the past, they could make a good enough living on exams, and the glasses were a nice little extra.

Now, since their income's have been so watered down by granting third party plans a place at their table, they rely more on the glasses. They're getting pinched, and don't know where to turn.

I've been getting a ton of PMs from ODs looking for closeouts, private labels, and off-brand frames, as well as displays with which to display more/different product. The days of seeing business as usual are over, and some folks in the field are trying to play catch-up, often resorting to anything that will keep an Rx from walking - including, as wmcdonald said, "..the use of fear tactics".

I don't mind my patients going someone else in town that has decent staff and product. Usually, however if they take the Rx it is usually to go to wally world or the internet. These are most of the cases that come back with problems. These are why I would consider charging in the future.

[IndianaOD]

Sorry for you. Your Canadian colleagues are making $300 an hour.

And if you work in a side-by-side that's $300 NET because all of your expenses are paid by the store owner!

You are talking refractions correct? Not comprehensive eye exams. I am only taking about the refraction component of the exam.

[Oedema]

You are talking refractions correct? Not comprehensive eye exams. I am only taking about the refraction component of the exam.

Anyone with one of these incredible $300 per hour opportunities want to let me know, b/c I'm not making anywhere near that as a canadian OD!:cheers:

[braheem24]

$300 an hour
$2,400 a Day
$55,200 a month
$662,400 a Year

... Wonder how they fool other ODs to fill in for $500 a day?

$500 a day
$11,500 a month
$138,000 a year

$662,400-138,000 =

[drk]

Also - If the public was actually charged more than just the minimum co-pay for every pharmeceutical they received that didn't "do the job satisfactorily", or "didn't feel better after taking", you'd see just as much indignation regarding "why they have to be charged" as eyewear clients do in the same situation.

I was going to bring this up, as well.

Recognize that implicit to this discussion is a guarantee of success on the first try.

No other medical professional I know of is held to this standard. It's very high.

As such, when care is fragmented, no one wants to take the "blame" when something goes "wrong".

It doesn't need to be this way.


Look, we have to be collegial as possible. Sure, everyone wants to take care of the patient from A-Z (and get the rewards), but you have to respect the patients' wishes and have a degree of humility.

If we are truly focused on the patient, we swallow our pride and work with others and "share the care".


The verbiage from the original post is, like Mr. McDonald said, rank scare-mongering, and very unprofessional.

[Barry Santini]

drk,

Your post above is the single, best post I've yet seen on Optiboard the sums up the ECP service dilemma.

Kudos!

Barry

[drk]

Thanks, Barry. :o

[IndianaOD]

Anyone with one of these incredible $300 per hour opportunities want to let me know, b/c I'm not making anywhere near that as a canadian OD!:cheers:

I'm there. Many ODs can't even break 5 figures a year.