Blog | Thursday, September 13, 2018

Hope ya' don't mind if I pay ya' in change!

Many of you may have heard that CMS is proposing to change the payment rates for outpatient care, including that provided by infectious disease physicians. A detailed explanation of the proposal can be found here, but for a simple illustration please see the short video below:

Yes, it's almost that bad. How many hours do you invest in seeing a new outpatient with a complicated problem, including review of voluminous records, the clinic appointment itself, the follow up calls, the time spent obtaining authorization for various tests or scans, and the EMR time to document it all? Now divide $135 by that number.

So yea, please submit comments directly to CMS and contact your congressperson!

Daniel J. Diekema, MD, FACP, practices infectious diseases, clinical microbiology, and hospital epidemiology in Iowa City, Iowa, splitting time between seeing patients with infectious diseases, diagnosing infections in the microbiology laboratory, and trying to prevent infections in the hospital. This post originally appeared at the blog Controversies in Hospital Infection Prevention.