Crappie-doc 🐟🎣(@crappiedoc):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 all—even 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.

2026.07.17 17:03

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 all—even 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.

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