This is already happening with Medicare under certain situations:
1) Patient is admitted to nursing home. If, say, I give a Lupron injection, it has to be paid by the NH... it's like pulling teeth. The last case forced me to send my office manager 3 times in order to finally get paid.
2) Now with Hospice in-hospital situations, one's reimbursement has to come out of Hospice's global fee. In this situation it's not as bad in my town since there are at least 3 Hospices trying to get me to do referrals to them. It's still a bad situation, though.
These 2 new policies are part of the reason why I decided last year I decided to begin winding down my oncology practice. It's just so much more difficult to get paid... it's not worth it anymore. I see myself eventually going with a pure outpatient services practice in the not too far off future. <sigh>
Al
Last edited by alborg; 01/17/2010 11:29 AM.
