2006 changes to the Healthcare Common Procedure Coding System (HCPCS) and Medicare Part D taking full effect have also accelerated Medicare reimbursements.
Doctors can avoid entirely the stress and cost of using a system that was never designed for them if they simply stop seeing Medicare and Medicaid patients.
- NYT: Medicare’s explanation takes 87 pages. To receive the highest level of payment for an office visit, I have to document several aspects of the main problem, screening questions about at least 10 organ systems, something about the patient’s family and/or social history, and/or a lengthy physical exam. In addition, I have to demonstrate that my medical decision making was very complicated, considering the number of possible diagnoses and treatments, the complexity of the data and/or the patient’s risk of serious complications. That type of visit is supposed to take about 40 minutes.
- Besides the cost of implementation, evidence already is accumulating that doctors order more, not fewer, imaging studies when EMR is used.