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As we told in our July issue about proposing new rules by Medicare, here are the quotes from a published document:

  • Proposing a single PFS payment rate for E/M visit levels 2-5 (physician and non-physician in office based/outpatient setting for new and established patients).
  • Proposing a minimum documentation standard where, for Medicare PFS payment purposes for an office/outpatient based E/M visit, practitioners would only need to document the information to support a level 2 E/M visit (except when using time for documentation). 

Some of the comments on web: 

“What is the point of treating multiple problems at the same visit when you get paid the same for one problem or five? Providers will start limiting patients to one or two problems and make them come back for another visit.”

NY -- Halverstam, Caroline  

“This proposal sounds ludicrous. If CMS believes that paying different types of medical specialists the same amount for an office visit, despite the complexity of the patient's problems or the length of the visit, then they should expand their faulty thinking to other domains of healthcare. For example, they should pay the same amount to a neurosurgeon 
for doing complex surgery to remove a brain tumor that they do to a general surgeon to remove an appendix.”

NJ -- Anonymous

“This revision is absurd. This will compel physician to lose incentive and appropriate reimbursement for their effort for appropriate patient care. When a patient needs more time from a physician this time should be recognized and compensated. How does this revision lead to anything good?”

CA-Bassi, Ricky

 

DON’T STAND ASIDE!

THERE IS NO HEALTHCARE WITHOUT HEALTHCARE PROVIDERS, SO YOUR OPINION IS VERY IMPORTANT!

Give your comments here.

In commenting, please refer to file code CMS-1693-P. To be assured consideration, comments must be received no later than 5 p.m. on September 10, 2018

Published document is here.

View submitted comments.

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Insights
August 2018