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?
JAMA just published the largest trial I have seen on a Hospital at Home (HAH) model to date and the first one out in the last few years. It comes from Mount Sinai in NYC–who have led the pack in this style of care if national presentations are the judge. They launched the program three […]
In 2011-2012, an undergrad pre-med student performed an ingeniously simple but enlightening health policy study. Jamie Rosenthal called 122 hospitals across the U.S. (2 randomly selected hospitals from each state, plus Washington D.C., along with the 20 top-ranked orthopedic hospitals according to the US News and World Report rankings that year) and asked them what […]
I’m so excited that it’s (finally!) almost time for SHM’s annual conference! Last year I missed HM17 – for the first time in a dozen years – due to a death in the family, so I’ve been experiencing “annual conference withdrawal syndrome” for a long time now. There’s no cure for that, other than a […]