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Shikar, you are the king of going into threads and writting a dismissive post without any sort of meat behind it. Usually it occurs in CE. And the only person that appreciates it is your strange friend rnoldh.Originally Posted by haganah
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Thank you. Kindly preach on.Originally Posted by Shikar
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Originally Posted by haganah
You can keep trying your little childish ways of trying to get my opinion, including snide personal comments about me, or other SF members etc....but what you fail to understand is, I really dont value your opinion. In addition, to be honest, you just dont know enough about healthcare for me to have a viable dialogue with you. I am sorry haganah, I dont mean to offend you, but I am sure you will understand and respect that.Originally Posted by Shikar
Sorry. Yes. "Nine days after a 10.6% cut to Medicare physician payments went into effect, the Senate acted in dramatic fashion to replace the cut with a modest pay increase for the next 18 months. The legislation (H.R. 6331), which passed both the House and Senate by veto-proof margins, extends the 0.5% Medicare pay increase in place for the first half of 2008 and gives physicians a 1.1% raise for 2009. " That is just one example.Originally Posted by haganah
I know it is difficult for you to understand logic, reading comprehension, facts, etc. on any topic in which you post merely with a smiley face, a "haha", and display your irreverant attitude, so I don't hold it against you. Kind regards and send my love to your beau.Originally Posted by haganah
What did you say?Originally Posted by Shikar
Sorry. Yes. "Nine days after a 10.6% cut to Medicare physician payments went into effect, the Senate acted in dramatic fashion to replace the cut with a modest pay increase for the next 18 months. The legislation (H.R. 6331), which passed both the House and Senate by veto-proof margins, extends the 0.5% Medicare pay increase in place for the first half of 2008 and gives physicians a 1.1% raise for 2009. " That is just one example.Originally Posted by haganah
Medicare has effectively cut provider payments however. I can't give you the "hickpicks" coding, as I deal with policy vs. mechanics, but they disallowed payments for certain things. Take pressure ulcers. To a great extent, these are preventable things. However, sometimes, they are simply "unavoidable," due to the clinical picture of the patient. The government, of course, does not deal with such issues, it merely slaps a one size fits all solution onto things. So say you get an emaciated, 90 year old female, bed bound, demented, poor protein stores. She rolls out of bed and breaks hip. She goes in for an ORIF. She gets a pressure ulcer. Now, that's not a de facto example of substandard care, in this case. However, this expensive thing to treat, will no longer be paid. In its one size fits all, this will be deemed a nosocomial pressure ulcer (read: the fault of the facility), so the organization will have to eat the cost of treatment, plus any other co-morbidities deemd to have been caused by this event. This is just one example.Originally Posted by Piobaire
So you're just going to keep responding to me with smily faces? I tell you what, I'll add your size 95 ignorant ass to my ignore list and then I won't see you go into every single thread on here pretending to know something by dismissing everyone else. Of course, I am sure rnoldh will be quoting you like crazy.Originally Posted by haganah
Medicare has effectively cut provider payments however. I can't give you the "hickpicks" coding, as I deal with policy vs. mechanics, but they disallowed payments for certain things. Take pressure ulcers. To a great extent, these are preventable things. However, sometimes, they are simply "unavoidable," due to the clinical picture of the patient. The government, of course, does not deal with such issues, it merely slaps a one size fits all solution onto things. So say you get an emaciated, 90 year old female, bed bound, demented, poor protein stores. She rolls out of bed and breaks hip. She goes in for an ORIF. She gets a pressure ulcer.Originally Posted by Piobaire
And is there actual data on that? I have that increase in July following a claim of a cut which never occured. It would also be good to see how much of a physician's payment stream comes from medicaid and what the payment percentage on medicaid is vs other forms.Originally Posted by haganah
As I said earlier in the thread, I simplify and gloss over things, painting with broad strokes, as my experience here shows people just do not want to believe what the people in the trenches have to say, but rather the sound byte of their choice. I am not saying you do this, but you do seem to think I pulled my scenario above, entirely out of ******. As you can see, the event I used is in this list, and it paints exactly the picture I did.
The issue is HOW to communicate this nonsense that the government is trying to do to the LAY PUBLIC, who stands to lose from access to quality medical care if the cuts keep coming.Originally Posted by lee_44106
I am not talking about physician payments, but payments to provider organizations. Here is some "actual data." http://www.mavhc.com/files/Download/...ess%207.31.doc As I said earlier in the thread, I simplify and gloss over things, painting with broad strokes, as my experience here shows people just do not want to believe what the people in the trenches have to say, but rather the sound byte of their choice. I am not saying you do this, but you do seem to think I pulled my scenario above, entirely out of ******. As you can see, the event I used is in this list, and it paints exactly the picture I did.Originally Posted by Piobaire
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