5-year coding review.. proposed 32% increase for anesthesia

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Also done.

Lurkers of the forum - this thing took like 1 min 15 sec to do. If you have even a passing interest in the field of anesthesiology, take a moment to help the cause.

dc
 
No can do, boss

I'm sympathetic to your struggles against CRNAs, after all wasnt I here 6 years ago screaming to you about this when everybody brushed me off and ignored what I said?

But when gas docs pull down 300k on average and still arent satisfied by it, selling their souls to the CRNAs for an extra 50k, then I cant in good conscience support the effort to pay them even more.

The medical specialties have been reduced to fighting amongst each other for reimbursement, all squabbling over hte same pie provided by Medicare. I dont like it, but it is what it is and that fate was sealed when Medicare was passed by Congress in the 60s.

Overall funds to doctors are NOT going to increase. So every time one niche specialty gets an increase, it means everybody else takes a hit. Its a zero sum game with the SGR formula in place.

So things being as they are, its only "fair" to either keep things flat for everybody, or give a slight increase to the primary care docs who slave away for one-third of what you guys make.
 
No can do, boss

I'm sympathetic to your struggles against CRNAs, after all wasnt I here 6 years ago screaming to you about this when everybody brushed me off and ignored what I said?

But when gas docs pull down 300k on average and still arent satisfied by it, selling their souls to the CRNAs for an extra 50k, then I cant in good conscience support the effort to pay them even more.

The medical specialties have been reduced to fighting amongst each other for reimbursement, all squabbling over hte same pie provided by Medicare. I dont like it, but it is what it is and that fate was sealed when Medicare was passed by Congress in the 60s.

Overall funds to doctors are NOT going to increase. So every time one niche specialty gets an increase, it means everybody else takes a hit. Its a zero sum game with the SGR formula in place.

So things being as they are, its only "fair" to either keep things flat for everybody, or give a slight increase to the primary care docs who slave away for one-third of what you guys make.

Just remember that those salaries that you are quoting are NOT coming from medicare... they come mainly from reimbursements from private insurance that pays many multiples of medicare.
 
Interesting.

Good luck with your 4th year @ Hopkins.


No can do, boss

I'm sympathetic to your struggles against CRNAs, after all wasnt I here 6 years ago screaming to you about this when everybody brushed me off and ignored what I said?

But when gas docs pull down 300k on average and still arent satisfied by it, selling their souls to the CRNAs for an extra 50k, then I cant in good conscience support the effort to pay them even more.

The medical specialties have been reduced to fighting amongst each other for reimbursement, all squabbling over hte same pie provided by Medicare. I dont like it, but it is what it is and that fate was sealed when Medicare was passed by Congress in the 60s.

Overall funds to doctors are NOT going to increase. So every time one niche specialty gets an increase, it means everybody else takes a hit. Its a zero sum game with the SGR formula in place.

So things being as they are, its only "fair" to either keep things flat for everybody, or give a slight increase to the primary care docs who slave away for one-third of what you guys make.
 
So things being as they are, its only "fair" to either keep things flat for everybody, or give a slight increase to the primary care docs who slave away for one-third of what you guys make.

Good point, but I prefer to think of it as taking some of that $10K facility fee that urologists/facility owners get for one round of lithotripsy instead of stealing money from the primary care guys.

To each their own.

dc
 
No can do, boss

I'm sympathetic to your struggles against CRNAs, after all wasnt I here 6 years ago screaming to you about this when everybody brushed me off and ignored what I said?

But when gas docs pull down 300k on average and still arent satisfied by it, selling their souls to the CRNAs for an extra 50k, then I cant in good conscience support the effort to pay them even more.

The medical specialties have been reduced to fighting amongst each other for reimbursement, all squabbling over hte same pie provided by Medicare. I dont like it, but it is what it is and that fate was sealed when Medicare was passed by Congress in the 60s.

Overall funds to doctors are NOT going to increase. So every time one niche specialty gets an increase, it means everybody else takes a hit. Its a zero sum game with the SGR formula in place.

So things being as they are, its only "fair" to either keep things flat for everybody, or give a slight increase to the primary care docs who slave away for one-third of what you guys make.

:laugh::laugh::laugh:

If you only knew what I was laughing at.:laugh:

And a Medical student with a god complex at that.
 
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