Medicare's plan to slash payment by 50% when two services are done the same day is pure hypocrisy.
It's far better for physicians to schedule a separate visit and bring the patient back for the ultrasound.
Ordering both on the same day often means the visit isn't paid at allโeven with a modifier.
Patients frequently have unrelated concerns, and many travel long distances (e.g., 2 hours). Forcing separate days is inefficient, logistically burdensome, and bad for patients.
This isn't cost control. It's a shell game
Bad for everyone except Medicare. Government wins again.