Looming cuts in 88305 TC reimbursement

[KCShaw]

Apparently there's a guy in California who signs out that many every year.

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[pathstudent]

Apparently there's a guy in California who signs out that many every year.

If I could sign out a billion a year, I would one year and then retire with my HUNDRED BILLION DOLLARS! (which after Jerry Brown, Pelosi and Obama get through with it will be a mere 45-48 billion)

 

[2121115]

.

 

[KCShaw]

If I could sign out a billion a year, I would one year and then retire with my HUNDRED BILLION DOLLARS! (which after Jerry Brown, Pelosi and Obama get through with it will be a mere 45-48 billion)

Clearly insufficient for my plans.

 

[lipomas]

I seriously doubt it accounts for a large percentage of overall medicare spending. Think about cardiology procedures, or people in ICUs or radiology studies.

Overall medicare spending is around 1 trillion dollars. A large percentage of that would have to be at least 10%, don't you think, which would be 100 billion dollars.

Given that CMS spends about 100 per biopsy that would mean it would take a billion 88305s to account for a large percentage of overall medicare spending.

Well, obviously "large percentage" is kind of a relative term here. I meant large percentage in relation to other CPT codes.

88305 was 1.2 billion in 2010. That is not trivial. It may be trivial in relation to "overall medicare spending" but that's a meaningless statement because EVERYTHING is trivial in relation to overall medicare spending. So are CT scans. The point is is that that is 1.2 billion that can be reduced.

Here you go: http://www.acla.com/node/372

88305 is #7 in charges among ALL medicare procedures. Obviously, that is not trivial. And I would suggest that #7 among ALL medicare procedures does qualify something to be a large percentage.

 

[MOHS_01]

Well, obviously "large percentage" is kind of a relative term here. I meant large percentage in relation to other CPT codes.

88305 was 1.2 billion in 2010. That is not trivial. It may be trivial in relation to "overall medicare spending" but that's a meaningless statement because EVERYTHING is trivial in relation to overall medicare spending. So are CT scans. The point is is that that is 1.2 billion that can be reduced.

Here you go: http://www.acla.com/node/372

88305 is #7 in charges among ALL medicare procedures. Obviously, that is not trivial. And I would suggest that #7 among ALL medicare procedures does qualify something to be a large percentage.

Do you happen to know if this list is public information? I'd love to see it and how it has changed over time.

 

[2121115]

Do you happen to know if this list is public information? I'd love to see it and how it has changed over time.

It is public information. It's on the CMS website.

 

[pathstudent]

Did anyone listen to the cap webinar yesterday. They were supposed to detail just how devastating these cuts will be to pathologists. I signed up for it but had to spend the time doing Fna adequacy for gi docs. What did they say.

 

[WEBB PINKERTON]

You can still view the webinar. The recorded version is on the CAP website.

Its all wealth distribution to help out Primary care physicians. Gotta love these stupid socialists.

I didnt know they were planning on cutting immunos and cytology 88112 codes.

 

[pathstudent]

You can still view the webinar. The recorded version is on the CAP website.

Its all wealth distribution to help out Primary care physicians. Gotta love these stupid socialists.

I didnt know they were planning on cutting immunos and cytology 88112 codes.

But what is the percent! Will it be 50% or 5% or what.

And that does totally suck if they are cutting Ihc and nongyn ThinPrep.

 

[TMZ2007]

They are claiming not to know how much the 88305 TC cut is going be, or even if it's definitely occuring, but that a cut is very likely and that the exact amount/%age will not be known until the CMS releases its annual update after Nov 1. It was a pretty worthless webinar actually.

 

[WEBB PINKERTON]

You got that right. The webinar was virtually worthless if you were wanting specifics.
Here is a link to it.

http://www.cap.org/apps/cap.portal?...inars.html&_state=maximized&_pageLabel=cntvwr

The 2014 cut to cytology enhancement prep (88112) and immunos is far from set in stone but it says the PC and TC could be cut.

Now more than ever we need client billing eliminated for everyone. It is the most important issue facing the industry.

A significant cut to 88305TC will make it difficult to survive, and the labs that do will make you feel like Charlie Chaplin in Modern Times.

 

[2121115]

A significant cut to 88305TC will make it difficult to survive, and the labs that do will make you feel like Charlie Chaplin in Modern Times.

Not if you are already a PC only practice anyway, which many are these days.

 

[pathstudent]

Not if you are already a PC only practice anyway, which many are these days.

I don't know a single one. I don't know how you can get by on PC only. The majority of our revenue is from billing global and TC is a huge portion of that.