It’s Official! Doctors are screwed. What’s your next career?


Doctors are Officially Screwed by the US Government.

Bend over and take it! What’s your fall-back position?

From the North Carolina Healthcare Report:  CMS Finalizes Medicare Payment Rules Affecting Outpatient Hospital, Physician and Home Health Services

Posted on November 11, 2010 by Bo Vazeen

The Centers for Medicare & Medicaid Services (CMS) issued several Medicare payment rules on November 2, 2010, including rules affecting outpatient hospital, physician and home health services.

First, CMS officially implemented measures to reduce Medicare reimbursements for physician services by nearly 25%. A 21% cut will go into effect on December 1, 2010, and an additional 4% cut will become effective on January 1, 2011. The effect of the implementation of the cuts to the physician fee schedule will mean only an act of Congress can halt the much debated payment reductions from going into effect.

Second, CMS implemented a final rule relating to hospital outpatient services provided on or after January 1, 2011. The final rule is in connection to mandates from the health reform legislation which requires CMS to implement certain provisions. Among other things, the rule increases the conversion factor for hospital outpatient services, provides more flexibility to the physician supervision requirements for certain services and expands the set of quality measures that must be reported by hospital outpatient departments to qualify for the full annual payment updates. CMS suggests that the effect of the rules will result in an increase in Medicare payments for hospital outpatient services of approximately 2.5 percent (or $3.2 billion).

Finally, CMS also cut Medicare payments to home health agencies by an estimated 4.89 percent in 2011 (or $960 million). The final rule implementing the measures stated CMS’s expectation that the home health industry is equipped to handle the reductions without affecting patient access to care.

A prepublication copy of each of the final rules can be viewed at the following links: (1) Outpatient hospital, (2) physician, and (3) home health.

I can’t say anything not involving four letter words and many scatological references.

So I won’t. This stands for itself.

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