It's gonna get worse. Oct. 2013 ICD-10 becomes mandatory for all private practice reporting. This isn't just a little update, it's a total rewrite. And, if we can't shoot down the Affordable Healthcare Act, all private practice income will be 3rd-party payers (everybody must have insurance or pay a fine).<quoted text>
Yes, I'm a recently retired doc. I'm from California, but relocated to Missouri in 1998 to escape the HMOs, and closed the office last August. My wife and I have moved to Mexico for our retirement. I'm part of that flight from the practice of medicine that you may have read about. Many of us were dissatisfied with modern the modern medical milieu, and have been looking for ways out early. I found it and grabbed it.
Payer reimbursement reforms - good luck with that.
I am convinced any provider who can bail, will bail, especially our older, more experienced physicians. They are not gonna want to learn a whole new diagnosis coding system (going from about 10k codes to about 80k codes). And they are not gonna be happy with 100% 3-rd party payer reimbursement and the insurance companies having total control of healthcare.
What we're looking to do here is create a "level playing field" in payer-provider negotiations (something that has never existed) and eliminate all the obfuscations payers are currently allowed.
Might not mitigate all the impact of "healthcare reform", but may give providers enough breathing room to hang in for a while longer!!
(My wife and I are both involved in private practice consulting, if you couldn't tell.)