HOW MEDICARE DOCTORS ARE PAID TO KEEP YOU SICK
BY DR. IRVIN SAHNI
Below is a brief excerpt. To listen to the video and read the rest of the article - click on this link:
EXCERPT:
"Dr. Irvin Sahni: The bottom line is this. Doctors are incentivized the wrong way in my opinion; they’re incentivized the wrong way. So if you believe that the goal is to prevent disease to begin with rather than just simply treat it once it occurs. In other words, if you believe that being proactive is more important than being reactive, then you would agree with what I’m about to say.
If
I see a patient who has Medicare, just because so many doctors see
Medicare and the fee schedule is constant, I will bill Medicare based on
certain variables. And some of those—it’s very complicated, of course,
just like the tax code is very complicated.
But to simplify,
there’s two very commonly used codes: it’s a 99213 and a 99214. A 99213
is just an evaluation visit, an existing patient I’ve been seeing them
for years. And when he comes in I can bill a 992—a 12345, okay, almost
never a one, almost never a five, things usually lay in the middle
depending on what kind of doctor you are and how sick your patients are."
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