Moderator ventana Posted January 20, 2014 Moderator Share Posted January 20, 2014 So after being able to order oxygen in the home and CPAP or BiPAP for my patients for many years they now have changed guidelines and require The office note in the prescription to be signed by a physician. I own my own practice, my physician is not on site, this is a major PIA Then at the same time I see that specialty physicians income is rising faster than anybody else, big article showing that in 1985 dermatologists and internal medicine docs earned about the same, now some 25 years later dermatologists earn almost 3 times what internal medicine does. Stupid Medicare. Link to comment Share on other sites More sharing options...
Guest Paula Posted January 20, 2014 Share Posted January 20, 2014 Yup, their reasoning is to prevent fraud. Somehow a physician signs your note and prevents fraud. In the real world the physician who signs your note and never saw the patient is the one committing fraud. Stupid Medicare. Stupid people who run Medicare. Link to comment Share on other sites More sharing options...
Moderator True Anomaly Posted January 20, 2014 Moderator Share Posted January 20, 2014 Then at the same time I see that specialty physicians income is rising faster than anybody else, big article showing that in 1985 dermatologists and internal medicine docs earned about the same, now some 25 years later dermatologists earn almost 3 times what internal medicine does. Stupid Medicare. Haven't you heard about the R.O.A.D. to success? R-radiology O-ophthalmology A-anesthesia D-dermatology In all seriousness, sorry to hear about your troubles ventana. It's total BS Link to comment Share on other sites More sharing options...
SoCalPA Posted January 20, 2014 Share Posted January 20, 2014 Haven't you heard about the R.O.A.D. to success? R-radiology O-ophthalmology A-anesthesia D-dermatology In all seriousness, sorry to hear about your troubles ventana. It's total BS Where does EM fall in? Serious question. Some in EM seem to do well. Link to comment Share on other sites More sharing options...
Moderator True Anomaly Posted January 20, 2014 Moderator Share Posted January 20, 2014 Where does EM fall in? Serious question. Some in EM seem to do well. Actually, some fit an "E" on the end of the acronym so it still sounds like "road"- just spelled ROADE Link to comment Share on other sites More sharing options...
Guest Paula Posted January 20, 2014 Share Posted January 20, 2014 I thought those rules were on hold? It will affect more than just Ventana. PC, EM, hospital med, everyone will have to submit to these rules. Apparently it's in the works to get fixed but what I remember is that CMS will not change it. It is another restriction to care for patients and PA/NP running around trying to get signatures PLUS have the office note with the order is a royal pain. I thought we were supposed to be going to a paperless system with all the ehr's and this is NOT True! Link to comment Share on other sites More sharing options...
Moderator ventana Posted January 20, 2014 Author Moderator Share Posted January 20, 2014 the enforcement is put on hold but the vendors are enacting them so that medicare will not withold payment if they ever change.... totally screws me..... Link to comment Share on other sites More sharing options...
SocialMedicine Posted January 20, 2014 Share Posted January 20, 2014 it is the E-ROAD or EASY ROAD ha Link to comment Share on other sites More sharing options...
Guest Paula Posted January 21, 2014 Share Posted January 21, 2014 the enforcement is put on hold but the vendors are enacting them so that medicare will not withold payment if they ever change.... totally screws me..... Ohhh, that's why the home medical guy was at our clinic last week and I heard him say something about gathering signatures from the doc and discussing with the nurses. I was down the hall and missed most of the conversation. Link to comment Share on other sites More sharing options...
genuineonline Posted January 22, 2014 Share Posted January 22, 2014 Great information, thanks for sharing it. Link to comment Share on other sites More sharing options...
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