To Par or Not to Par? [The Critical Question for 2010]

About the Medicare HIT 1115 Project

By Ann Miller; RN, MHA

[Executive-Director]

At least one iconoclastic physician, ME-P thought-leader Al Borges MD, has asked that all doctors unite and participate in this year’s Medicare “HIT 1115 Project”; now in-process.

The November 15, 2009 Project

November 15, 2009 began the 6-week time period during which all medical providers can switch Medicare participation. If all physicians become “non-participating” or simply “opt-out,” then lawmakers and their lobbyists may take notice that doctors are fed-up with government intrusion into physician affairs!

Assessment

More: http://www.hcplive.com/technology/blogs/The_HIT_Realist/1269/HIT_1115_project

Cast Your Ballot – Send a Messsage

After reading the above op-ed piece, and a month into the project, please cast your VOTE:

About Dr. Borges

Alberto Borges, MD, is in private practice and is an assistant clinical professor of medicine at The George Washington University School of Medicine and Health Sciences in Washington, DC.

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2 Responses

  1. Ann – well done.

    About 87.4 million people are supported by government-sponsored health insurance, according to the Census Bureau, but a recent report shows that 83 percent of medical offices accept Medicare and only 65 percent accept Medicaid.

    http://www.healthcarefinancenews.com/news/census-fewer-physicians-offices-accept-medicaid-medicare

    Curtis

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  2. PAR versus NON-PAR

    t’s true that non-participating Medicare providers can earn 9.25% more for their services than participating providers when they collect the full limiting charge. But, trying to offset Medicare payment cuts by going from participating to non-participating status will not necessarily result in more annual Medicare revenue.

    Remember, even though a non-participating physician is required to submit unassigned claims to Medicare, the program sends payment checks to the patient, not the physician, and the physician must collect the entire amount for the service from the patient.

    So, when weighing the benefits of participation vs. non-participation, you have to take into consideration the costs associated with collections and the losses from some patients who receive the check for your services from Medicare but never get around to paying you.

    Source: Dr. Lawrence M. Rubin, DPM
    Las Vegas, Nevada
    PMNews: March 04, 2010
    #3,795

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