fee schedule insanity

[Guest guest]

: The payment at least from medicare are based on RVU which include a provider expense, practice expense, and malpractice expense. The AMA or CMS sits down and adjusts these for locality. Based on actual data from available resources I approximated the RVU into $ per hour for the E & M codes. Of course in my old practice I might see 4 9921 or 213 visits per hour and this would skew the numbers, but I calculated $135 per hour. That is approximately $2/min to run my practice. If you could see patients every hour for the year you would generate $270,000 in accounts receivable. So a pap smear is not just the supply, but the supply, time, and risk. CMS pays. Private payors compensate nothing for routine breast and pelvic exams they will pay for the smear itself when I send it to the lab but nothing more when done at preventive physical. Definitely more time than prostate

exam.

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[Guest guest]

: The payment at least from medicare are based on RVU which include a provider expense, practice expense, and malpractice expense. The AMA or CMS sits down and adjusts these for locality. Based on actual data from available resources I approximated the RVU into $ per hour for the E & M codes. Of course in my old practice I might see 4 9921 or 213 visits per hour and this would skew the numbers, but I calculated $135 per hour. That is approximately $2/min to run my practice. If you could see patients every hour for the year you would generate $270,000 in accounts receivable. So a pap smear is not just the supply, but the supply, time, and risk. CMS pays. Private payors compensate nothing for routine breast and pelvic exams they will pay for the smear itself when I send it to the lab but nothing more when done at preventive physical. Definitely more time than prostate

exam.

Celebrate Earth Day everyday! Discover 10 things you can do to help slow climate change. Yahoo! Earth Day