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@group_theory
I'm currently doing an outpatient rotation. My preceptor sees nearly only Medicaid patients. High volume though. He seems to be doing well financially, and he admitted it to me when I asked.
However, I have a hard time reconciling that with what I found out about the reimbursement rates for Medicaid (my state is one of the worst when it comes to Medicaid-to-Medicare ratio in terms of reimbursements. ~40% of what Medicare pays!). For example, a high complexity new patient visit (99204) reimburses only ~$80 while a f/u visit is only $40!
I'm wondering if there's more to the story than this. Could it be that the middle man company (HMO) that this doctor contracts with pays higher rates than what the plane medicaid rate is?
Thanks
I'm currently doing an outpatient rotation. My preceptor sees nearly only Medicaid patients. High volume though. He seems to be doing well financially, and he admitted it to me when I asked.
However, I have a hard time reconciling that with what I found out about the reimbursement rates for Medicaid (my state is one of the worst when it comes to Medicaid-to-Medicare ratio in terms of reimbursements. ~40% of what Medicare pays!). For example, a high complexity new patient visit (99204) reimburses only ~$80 while a f/u visit is only $40!
I'm wondering if there's more to the story than this. Could it be that the middle man company (HMO) that this doctor contracts with pays higher rates than what the plane medicaid rate is?
Thanks