The story of the "G"Codes...BD
How HMO participation affects data reporting
In Sacramento, CA, IPAs are already measuring the performance of FP Ronald Sockolov and his three partners. One of those IPAs, Hill Physicians Medical Group, is holding a substantial part of their reimbursement hostage to meeting quality goals for both senior and commercial HMO members. But Sockolov says his group has done well by trying hard to ensure that every designated patient receives appropriate services.
The G-code burden bothers FP Jeffrey K. Pearson of San Diego less than the way Medicare currently reimburses him. If CMS changed its geographical fee adjustment for San Diego, where its payments are much lower than those in nearby Los Angeles, he might be inclined to do voluntary data reporting. Otherwise, he sees no reason to pay staff to harvest that information.
In any case, Pearson doesn't believe that quality reporting will actually lead to a CMS pay increase down the line. What he and his colleagues suspect, he says, is that if you're not reporting, "they'll take money away from you, but they're not going to give you additional money."
http://www.memag.com/memag/article/articleDetail.jsp?id=333259&pageID=1&sk=&date=
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