Thu. May 9th, 2024

There is not much to this blog post. I just read this article and after I vomited in my mouth a little I decided to show you what you are missing out on by doing DPC.

Review 2022 CPT and Medicare Changes

The article “Key CPT and Medicare Changes for Family Medicine in 2022,” for example, recaps the latest developments in CPT coding, Medicare payment policy and Medicare’s Quality Payment Program. For starters, the article clarifies elements of major changes to new and established patient E/M codes (99202-99215) that CPT implemented in 2021, including:

– specifying which activities, such as travel and general (i.e., nonpatient-specific) teaching, should not be counted when time is used to determine the level of service;

– clarifying that a test the patient and physician discuss but do not select after shared decision-making may be counted as long as the joint consideration is documented;

– clarifying that multiple results of the same tests performed during an E/M service constitute one single “unique” test; and

– clarifying that “discussion” between physicians/other qualified health care professionals and patients requires a direct, interactive exchange.

Does any of the above help with patient care? No. This is all for the data collectors and it only wastes your time.

For those doing DPC be glad. For those who are stuck in the system…..get out.

55140cookie-checkWhat You Are Missing Out On By Doing DPC: Medicare Changes
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By Douglas Farrago, MD

Douglas Farrago MD is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Douglas Farrago, MD received his Bachelor of Science from the University of Virginia in 1987, his Masters of Education degree in the area of Exercise Science from the University of Houston in 1990, and his Medical Degree from the University of Texas at Houston in 1994. His residency training occurred way up north at the Eastern Maine Medical Center in Bangor, Maine. In his final year, he was elected Chief Resident by his peers. Dr. Farrago has practiced family medicine for twenty-three years, first in Auburn, Maine and now in Forest, Virginia. He founded Forest Direct Primary Care in 2014, which quickly filled in 18 months. Dr. Farrago still blogs every day on his website Authenticmedicine.com and lectures worldwide about the present crisis in our healthcare system and the effect it has on the doctor-patient relationship. Dr. Farrago’s has written three books on direct primary care: The Official Guide to Starting Your Own Direct Primary Care Practice, The Direct Primary Care Doctor’s Daily Motivational Journal and Slowing the Churn in Direct Primary Care (While Also Keeping Your Sanity) are all best sellers in this genre. He is a leading expert in direct primary care model and lectures medical students, residents, and doctors on how to start their own DPC practice. He retired from clinical medicine in October, 2020.

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