Steven,
I am still in the raw stage, but I spent a few hours burned a bunch of charts onto PDF's, had everything looked at and got denied because I did not enter v85 codes for weights.
One could argue if I had attended a conference as listed above that would not have happened.
But dammit, I am not going to spend an extra 30 seconds searching on every patent, their BMI and entering the V85 code and taking up a one of the only 4 slots to submit codes any way.
This does not enhance my skills as a physician and medicare can have their 1.5% or if it gets too much I will become nonpar or opt out.
And I am not going to pay my staff to do this for me.
I suppose one could argue I am letting 3K to 4K walk out the door. I can live with that.
However, I would make a counter argument that with the improved efficiencies with dragon, templating in AC and secure messaging with the portal, I am easily producing more, working smarter, and decreasing overhead costs and netting more money in my pocket than chasing after the government carrot.
But to me it is not about the money, it is about using the technology to make me a better doc, and if you can get the PQRS I am happy for you. I have partners doing it and I would not dissuade them either.
I guess I am getting stubborn with age.