MIPS Math: a losing equation for physicians and patients

Dr. Jane L. Hughes reacts to the latest offer for MIPS “training”: http://conta.cc/2ps7YTq

I will bet that in their course they will not mention that “the physician must [participate in MIPS]” is not true. The physician chooses to comply in the hope of getting that 9% increase in Medicare payment. CMS says 47% of physicians will lose the zero sum game of MIPS. Weill Cornel Medical college estimates the cost of compliance with EMR, PQRS, etc to be $40,000/physician/year. As I’ve said before, do the math. You would have to clear $430,000 at a 9% return (if you are in the elite compliers) to reimburse yourself for your compliance costs. Hey, then you’d be rolling in reward money…What a thinly veiled process to gather the data to justify real time treatment dictates. I know of no other profession that would give up their privileged communication without a tooth and nail, knock down drag out fight, except the medical profession. If only because of the disastrous treatment implications of not being able to candidly talk and privately record medical and surgical encounters, it would seem to me that all physicians, in spite of the many compliance courses, should choose to just say no, at least to “interoperable EMR with 24/7 unfettered access” by HHS and CMS, as dictated in the MACRA law.

Best regards,

Jane

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Laying EMR, Texting, Driving to Rest. Start Tomorrow

Guest post from Greg N Korneluk:

The government boogeyman is not forcing us to text, and drive at the same time.  We are the ones making the conscious choice to enter data into the EMR in the examination room while interacting with our patients. So why do so many of us do it?

On the surface it seems intuitive.  We are all good multitaskers. While listening to the same old story, why not update the record. No harm done. While we are at is, how about looking at our incoming messages and emails. It will get us home sooner.  Multi-tasking saves time – right? As it turns out many of us are mistaken about multitasking. Continue reading

“Information Blocking” Finally Revealed for the Hoax it is; Make Believe Story With Medical Records Sharing and Interoperating…

Guest post from Barbara Duck – http://ducknetweb.blogspot.com/

I said from the start that this was an absolute made up story and nice to see Dr. Halamka at Harvard Medical address this.  I have seen tons of articles written about this nonsense and now it’s all the way up to the FTC and members of Congress thinking this is real!  It just goes to show you the power of News Rigging for political gain.

>First off, what medical record company has the time or resources to do this?  Second what interest would they have?  It’s not going to create more business or revenue dollars, so again this has been from day one a political hoax and look how many from what they readimage in various news articles were sucked in. Continue reading

Let My Doctor Practice

Dear Physician Colleague,

There are many issues these days that confront physicians and American health care. Most doctors we know are fed up and frustrated. But why all the angst? What has pushed us over the edge? Why now? There is a common denominator here: Those of us who are clinicians and in the active practice of medicine feel that we are being told by those outside of medicine how to practice medicine. We are losing physician autonomy. We are told how to use an EMR and what is meaningful in an EMR. Forces are intruding into the doctor-patient relationship by those who are untrained and unlicensed. Finally, health care insurance companies have a monopoly power over us. Continue reading

Data Selling is Really Making Me Mad

Barbara Duck @MedicalQuack writes to IP4PI:

I got a call the other day and the data selling is really making me mad. It was an offshore call center as you could tell by the accent of the caller. She addressed me by name and said they were interested in letting me know about a new clinical trial for blood thinners since she said she had noticed that I had a history of using blood thinners. I asked, where did that information come from? Uh…well…it was in the files…wouldn’t dish it out. Anyway I continued on then to at least get my 2 cents in with the fact that I have never been prescribed blood thinners at all. Continue reading

EHR Errors Endanger Patients, Entrap Doctors

I wish to add to the note that I blogged earlier here regarding electronic health records. I wish to emphasis the extreme dangers of such EHRs.

The Cleveland Clinic Foundation incident of HIPAA violations regarding release of a patient’s confidential medical records to me when I am not the patient’s doctor, is not an isolated event. These violations happen frequently.

What I actually found out through my investigation of this incident is that the error occurred at initial intake at the hospital of concern.

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Cleveland Clinic Foundation violates HIPAA once again

Last week I received a fax from CCF, that had my name on it. The letter was written to me from a CCF doctor on a patient that isn’t mine. I contacted CCF supervisor “Provider Relations” and I informed her that this is another HIPAA violation and that they need to notify the patient of a security breach to their medical records. I informed her of the big liability for me due to my name being listed as the doctor and that I want their legal department to send me a letter indicating that my name would be removed from such medical documents.

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