Comments on: Medical procedures: "Increasing revenue by doing very little" http://www.kevinmd.com/blog/2007/08/medical-procedures-increasing-revenue.html medical blog Sun, 22 Nov 2009 19:59:44 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2007/08/medical-procedures-increasing-revenue.html/comment-page-1#comment-79317 Anonymous Tue, 21 Aug 2007 02:39:00 +0000 http://clients.emmense.com/kevinmd/2007/08/medical-procedures-increasing-revenue-by-doing-very-little.html#comment-79317 Yes they are. It not the E & M code that is underpaying but the payment rate set by a third party, not the customer. <br/><br/>The difference between the cosmetic procedure and the E & M service is not as much what is being done but who is determining the value. The first is set in the free market between provider and customer. The latter is set by someone in no need of and not desiring the service. Can you imaging what value Medicare would set on dermabrasion?<br/><br/>Leave the plantation. Have the guts to set your fees or stop griping. Save medicine. Yes they are. It not the E & M code that is underpaying but the payment rate set by a third party, not the customer.

The difference between the cosmetic procedure and the E & M service is not as much what is being done but who is determining the value. The first is set in the free market between provider and customer. The latter is set by someone in no need of and not desiring the service. Can you imaging what value Medicare would set on dermabrasion?

Leave the plantation. Have the guts to set your fees or stop griping. Save medicine.

]]> By: Anonymous http://www.kevinmd.com/blog/2007/08/medical-procedures-increasing-revenue.html/comment-page-1#comment-79215 Anonymous Sun, 19 Aug 2007 00:17:00 +0000 http://clients.emmense.com/kevinmd/2007/08/medical-procedures-increasing-revenue-by-doing-very-little.html#comment-79215 As a primary care doctor, I totally agree with this post. In the past a general doctor did office suturing, sigmoidoscopies, ekg, removed skin lesions, set bones and did basic lab tests...all of which was reimbursed for the time and expertise. Now those procedures are referred out and all we have are E&M codes that barely cover the cost of keeping the doors open. Isn't my brain and training worth something? As a primary care doctor, I totally agree with this post. In the past a general doctor did office suturing, sigmoidoscopies, ekg, removed skin lesions, set bones and did basic lab tests…all of which was reimbursed for the time and expertise. Now those procedures are referred out and all we have are E&M codes that barely cover the cost of keeping the doors open. Isn’t my brain and training worth something?

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