Sorry we are not talking efficiency. Not sure if efficiency and government are on the same page. We are doing it just to stay in business.

Yes one could just get out of Medicare and avoid all headaches and be eternally happy.

"Medicare eligible professionals who are not meaningful users will be subject to a payment adjustment beginning on January 1, 2015".

http://www.cms.gov/Regulations-and-...aymentAdj_HardshipExcepTipSheetforEP.pdf

To avoid reduced payments for the same work done in future, got to work hard now, like it or not.

Just do it.

My 2cts. To avoid cuts.