2019 Fee Schedule
- Thread starter LBJLA23
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Thanks for posting
Blood smear Interp moving to .36 RVU would have been ridiculous this one is already too low, esp compared to 88305. I spend considerably longer on the average blood smear review & Interp than I do on the avg 305.
I am still not clear on one thing - will a pathology group employed within a larger medical group have to report MIPS / quality data for the pathology group, for each individual path or will group data for the entire medical group suffice to avoid reduction in reimbursement?
It is no wonder so many docs are burning out with the ever increasing bureaucratic burden, paperwork, documentation, etc required just to practice.
Blood smear Interp moving to .36 RVU would have been ridiculous this one is already too low, esp compared to 88305. I spend considerably longer on the average blood smear review & Interp than I do on the avg 305.
I am still not clear on one thing - will a pathology group employed within a larger medical group have to report MIPS / quality data for the pathology group, for each individual path or will group data for the entire medical group suffice to avoid reduction in reimbursement?
It is no wonder so many docs are burning out with the ever increasing bureaucratic burden, paperwork, documentation, etc required just to practice.
MIPS is an INSULT to everyone with a medical degree. I say take the DAMN MIPS and APPLY IT TO THE BUREAUCRATS including the CAP and ABP!!
Boycott CAP (BCAP)!! FPN!! MPGA!!! FIGHT ABP (FABP)!!!!!!!!
D
deleted314957
This is more of the death by a thousand cuts/boiling the frog. They just keep knocking those PC’s down year after year.
D
deleted314957
bureaucratic quality improvement metrics, designed for clinicians but then grotesquely contorted to try to apply to pathologists. and it appears that the bureaucrats poorly understand the specialty.
Man.....in other words, decreased salaries....
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the 11th hour MIPS shenanigans is legendary...to put it delicately there was a Friday afternoon memorandum issued by the CAP to remove MIPS scoring for non-patient facing physicians who provide 24-hr coverage.
To translate that: in one fell swoop, CAP almost solved the combination of the pathologist manpower excess alongside super group formations in 1 elegant solution. This was rejected by CMS by Monday morning, but the sheer grandeur of this attempted coup is incredible. This is the metaphorical military coup of landing commandos on the rooftops of the mansions of ruling oligarchs and kicking in doors at midnight on a random Friday, pure epicness.
There is a hushed whisper in D.C. this will be revisited once the specter of mass lawsuits from large path groups dissipate...we will see but this is the most fascinating turn of events of my entire career.
Step 1: eliminate the 40 MIPS pts granted for 24-hr coverage
Step 2: You need points based on your group size, groups of 15 or less pathologists need easier activity combinations than bigger groups, this is a little wordy but essentially all groups got by using just the 24-hr coverage point total in general and maybe 1-2 other medium weights.
Step 3: The main other ways for pathologists to get points...you guessed it...is by MOC, no MOC no points.
Step 4: Watch groups with older non-MOC pathologists and those that are larger than 15 crumble as their CMS reimbursements plummeted every year
Step 5: Win.
To translate that: in one fell swoop, CAP almost solved the combination of the pathologist manpower excess alongside super group formations in 1 elegant solution. This was rejected by CMS by Monday morning, but the sheer grandeur of this attempted coup is incredible. This is the metaphorical military coup of landing commandos on the rooftops of the mansions of ruling oligarchs and kicking in doors at midnight on a random Friday, pure epicness.
There is a hushed whisper in D.C. this will be revisited once the specter of mass lawsuits from large path groups dissipate...we will see but this is the most fascinating turn of events of my entire career.
Step 1: eliminate the 40 MIPS pts granted for 24-hr coverage
Step 2: You need points based on your group size, groups of 15 or less pathologists need easier activity combinations than bigger groups, this is a little wordy but essentially all groups got by using just the 24-hr coverage point total in general and maybe 1-2 other medium weights.
Step 3: The main other ways for pathologists to get points...you guessed it...is by MOC, no MOC no points.
Step 4: Watch groups with older non-MOC pathologists and those that are larger than 15 crumble as their CMS reimbursements plummeted every year
Step 5: Win.
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