00:00I'm speaking to Robert Record, CEO in State of Alabama, licensed medical doctor for Christ Health Center. Is that correct?
00:08Sir, yeah, this is Robert Record. How can I help you? It sounds like you're upset. I would love to
00:13be of great help to you. I know we've got you for you. What can I do for you? It's
00:17been four years.
00:18Oh, yes. It's been four years. I've been trying to get that issue resolved for four years, actually. I saw
00:25Dr. Terry Daniel Smith, MD, and he was at the Chalkville, Old Springville Road Christ Health Center.
00:34My issue with my Christ Health visit, 2019, I believe I received no measurable level of service in my visit,
00:43and I had two visits, okay?
00:46The one with the doctor, Terry Daniel Smith, and that visit was $109. I had a visit with nurse, NP,
00:56and Musgraves, $107.
00:58Why was I charged $107 for a visit with an NP and $109 for the visit with the MD? Because
01:07there's quite a gulf of experience.
01:11So you don't understand why you would charge the same bill for an NP as an NP? Okay.
01:16Yeah. So why?
01:20Because the medical codes are the same, and the medical price is the same on either one.
01:25I think that I should have been charged less for the visit with the NP than the MD.
01:31I honor your thought on that, sir.
01:34Yeah, and I mean, you know, I can go down to the Woodlawn Clinic today and take video.
01:40The people that go to your clinic there in Woodlawn, they don't have $100 to pay to see an NP.
01:45You obviously don't know the market prices, the going rate to see an NP is what I think.
01:50Well, you're welcome to accuse me and use language like that. That's your right.
01:55I can back it up with facts because I've seen other NPs. I can share what the market rate is
02:01in this area.
02:02Birmingham, Alabama, sir.
02:04You're welcome to say that, sir. You're welcome to say that.
02:07Our fees are set with the federal government, approved by our board, and reviewed every year by our board.
02:16And we charge on a sliding scale based on people bringing in documentation of their income, and then we reduce
02:23those fees based on that.
02:24And so I know what we collect on average on an uninsured patient, and it's all based on their salaries.
02:32They're done with the federal sliding scale, which is approved annually by the federal government.
02:37Yeah, again, I would like a better answer as to why I was charged $100 to see a nurse and
02:44a medical doctor.
02:46Because there's a gulf of discipline there, okay?
02:51Yeah.
02:52You know, a nurse is not a doctor, and you shouldn't be charged.
02:56She's not a nurse. She's a nurse practitioner.
02:59So she's certified registered nurse practitioner.
03:03And the charges are the same in both, which is pretty much standard practice across the industry.
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