Rob Bessler writes…
Currently consult codes go away. This will lead to hospitalists having to use the admission codes selectively combined with using more follow up codes for times when they assume care of patients.
Admission codes rvu’s and hence payment are less than the high level consult codes which mean less revenue. Some practices use the prolonged service codes to obtain additional revenue for services performed. Some payers pay for this and most don’t. Currently there is a 21% cut that goes into effect January one. All experts seem to think a patch will get passed to prevent this. Some say primary care codes will go up in reimbursement 6%. Currently the E and M codes hospitalist use are not in the selected codes to go up in reimbursement. Some think the House-like version of the bill might pass that will have Medicaid pay at medicare rates.
For many practices it is budget season.
Does anybody have the real crystal ball?
The sudden resignation of White House staff secretary Rob Porter got me to thinking. Let me say up front this post isn’t about politics. And by the time it gets uploaded, our national ten-minute news cycle will probably have moved on to some other world crisis or titillating disclosure and people will be saying, “Rob […]
For several decades, providers working within hospitals have had incentives to reduce stay durations and keep patient flow tip-top. DRG-based and capitated payments expedited that shift. Accompanying the change, physicians became more aware of the potential repercussions of sicker and quicker discharges. They began to monitor their care and as best as possible, use what measures […]
My wife and I are planning to add square footage to our house. We want more space. We are considering an office expansion, a guest room, and making the master bedroom more master and less bedroom. The kids are growing, the family is always visiting, and we have no plans to relocate. We also need […]