And neither do we with the one decent carrier that we PAR with that does a small form of this. They simply track claims submitted for the PAPS, Vaccines, Well Visits, and the like. But we do little to get it. But even they have some weird coding stuff that this E&M then goes with the ICD-9 but that isn't how you would code it frequently other than for them.
And that is one of the maddening things. Whether is is regular claims or this CCHIT, it and every one of these SOB's has their own way of doing it, coding it and all the other variables. Who the hell is going to remember and catch all this CCHIT? Aetna this way, BC/BS the other while the gov't some other still. None of the bastards defere to the real proper coding, best care guidelines. It's their own set of codes and things because their bean counters figured out that jumping thru these hoops will tie you up the most so there is the least amount of exposure to actually having to pay you. ANd because of the anti-trust waiver we know they talk among themselves and certainly seem to make sure that one program doesn't really match another, so as to keep you all confused as to have to "properly" (I use that word very lightly) code it for your own saftey no less the best payment.
How about just paying you guys in primary care at 50% better, you all slow down and can not see more than like 15 patients a day so you can actually have real conversations with them, ask extra leading questions, collect info that may not even be come into play for two years, until something new pops up and that light bulb goes off in your head and you go, "ah ha! she told me that she likes to vaction in...... And there is a high incidence of these microbes down there, so she must have....."
Just how much did MaineCare under pay you for each and every code, for each and every visit each and every day my good friend??? As Leslie and I were bitching about over her now doing the meds in office, as she put it so well, "isn't it a shame that in these times docs have to come up with schticks like this just to make ends meet???" Isn't it just???
Everybody wants but nobody wants to pick up the tab or deal with the pain of the underlying cause... "The entire Medical Industrial Complex" and we my dear friends are like poor Mongo.... "Mongo just pawn in game of life".
Good Night and Good Luck,
Paul
