0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editor's Correspondence |

A Case for Consultation Codes

Paul G. Rochmis, MD
Arch Intern Med. 2010;170(9):836-837. doi:10.1001/archinternmed.2010.120.
Text Size: A A A
Published online

Extract

I disagree with the premise of the article “Is It Time to Eliminate Consultation Codes?” by Shalowitz.1 For less than a 1% (actually 0.91%, using his figures) “savings,” elimination of consultation codes will eliminate access of many Medicare patients to these specialists. I have already closed my practice to new Medicare patients because I cannot afford to spend 60 minutes with a new patient at the already-low reimbursement rate. If consultations codes are eliminated, more specialists will do the same. I disagree with the author's statement that cognitive specialists “are paid so much more . . . for the same or less time spent with them [patients].”1(p16) Where are the data supporting this statement? Is it really plausible that the knowledge and experience in treating complex chronic illnesses will automatically flow from the medical specialist to the primary care physician with the 6% transfer of reimbursement? If you or a loved one should develop rheumatoid arthritis, do you think that a primary care physician will have the ability to counsel and educate the patient, to safely and effectively treat the illness, and to stay abreast of the rapid scientific advances in this field?

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com

Care at the Close of Life EDUCATION GUIDES
Complexities in Prognostication in Advanced Cancer

brightcove.createExperiences();