I've read up on the paperwork and physician time required for me to engage patients in chronic management services. I thinks this is a complete fiasco and failure. I am disappointed the AAFP is declaring it a victory. The problem is how much paperwork and non-encounter time needed to manage complicated patients, work we do not get paid for. They passed this CMS granting 42 per month per patient for the 20 minutes, IF you complete all the paperwork. Their solution: throw more paperwork at the problem. It's a complete joke. This is yet another change in healthcare that will benefit large corporations/hospital systems with high overhead, heavy staffing, nurses and mid-levels to do all the extra paperwork. Me? I'll just see another patient once a month, continuing the problem we have had so long: just see more patients. They should have given us a meaningful reimbursement for this. Your revenue is going down because of all these extra services and expenses you have to put in place (MyPHTS, etc) just to see patients. Mine are not getting hospitalized all the time, so the transition codes are pretty meaningless as well.
