ULTRASOUND Messages for July, 2002: Horton's rule

Horton's rule

From: joshua copel

joshua.copel@yale.edu

Thu Jul 18 12:41:50 2002

> No Joe, it was Deep Throat who said "Follow the money", at least in "All The President's Men". Willie Horton robbed banks because "that's where the money is". Same thing in the end.
>
> Seriously, on January 1 the CPT system in the US will change, with a number of new & revised codes for Ob sonography. Among the changes: a new code for comprehensive fetal survey, which will come in at substantially more RVUs than 76805 (which incidentally will NOT lose any RVUs). It remains to be seen how the payors will ration use of the new code.
>
> Final wording & exact coding numbers will be available in Federal Register about 1 November. Other good changes, new codes for 1st trimester sonograms and reworking of coding for multiples, better definition of "repeat or follow up" scans with more RVUs allotted.
>
> Josh Copel
>
> > Ah, but you miss the point, Grasshopper. The bottom line is $$$.
> >
> > If the insurer pays $25 for someone with minimal initials (but initials
> > nonetheless) behind their name for a sonogram, then OF COURSE they'll make
> > the rule that THOSE initials are preferable.... You with the M.D. (who want
> > $125, by the way) DON'T GET PAID, because you're not on the list. You CLAIM
> > you do a wonderful job, but it says right here on the list, you've got the
> > wrong initials - payment DENIED.
> >
> > Of course, if the person with the prefered initials does a "better" job, and
> > incidentally wants $50 since it was such a good job, then - oops! - payment
> > DENIED! See, it says right here on the list that people with your initials
> > only get $25....
> >
> > Joe P.
> >
> > Was it Willie Horton who said "Follow the money" ?
>
> ------------------------------------------------------------------------
>
> ------------------------------------------------------------------------
> Copel, Joshua <joshua.copel@yale.edu>
> ------------------------------------------------------------------------
> Professor, Obstetrics & Gynecology and Pediatrics
> Yale University School of Medicine
>
> Copel, Joshua
> Professor, Obstetrics & Gynecology and Pediatrics <joshua.copel@yale.edu>
> Yale University School of Medicine
> 333 Cedar St. PO Box 208063 Pager: (860)340-6500
> New Haven Fax: (203)785-6885
> Ct Work: (203)785-2671
> 06520-8063 Conference Software Address
> Specific Directory Server
> Additional Information:
> Last Name Joshua
> First NameCopel, Joshua
> Version 2.1

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