Specialty Focus   
Volume VI | Issue 41                                                                                
Oct. 10, 2017  
        Practice specific news, analysis and commentary 
      for Florida's Medical Specialists
                            From the publisher of FHIweekly & FloridaHealthIndustry.com

The price of an office visit goes up in multispecialty practices, according to study
Joanne Finnegan  
Fierce Healthcare
Multispecialty consolidation drives up the price of a standard office visit, according to a study from the National Bureau of Economic Research. The study by Stanford University researchers found that generalist physicians charge higher fees when they are integrated with specialist physicians-with a greater effect in markets where there is not a lot of competition among specialists. 
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Payment cuts for 9 specialties under MIPS
Ophthalmologists face 7% reduction in 2018
Mary Rechtoris | Becker's ASC

An Avalere analysis found many specialties may face CMS logo payment cuts in 2018 under CMS' Merit-based Incentive Payment System (MIPS).

FHI logo cropped small version


Case Study: Wrong Site Surgery
Hall B. Whitworth, Jr., MD 
Mutual Matters 
A 49-year-old man underwent a colonoscopy by a colorectal surgeon who identified a large, firm tumor causing partial narrowing, approximately 60-70 cm from the entry site. Pathology of this tumor was suspicious for carcinoma. In addition, a polypectomy was performed at a different location, and the site was tattooed. Pathology of this second site was consistent with tubulovillous adenoma.
Two weeks later, the same surgeon performed a partial colectomy of the tattooed area, believing it to be the marker for the tumor to be removed. On further consideration, after the procedure, the surgeon reviewed the colonoscopy and pathology reports and realized the wrong portion of the colon had been removed.
Medicare Telehealth Basics
Susan St. John
Florida Healthcare Law Firm
With the rise in services provided to patients via telehealth entities, it is important that both practitioners and patients understand what criteria must be met in order to provide and bill telehealth on behalf of Medicare patients. Here are a few of the basics.
Why Are You Seeing A Gastroenterologist?
MD Whistleblower
Gastroenterologists, as specialists, are called upon by other doctors to address digestive issues in their patients. For example, our daily office schedule is filled with patients sent by primary care physicians who want our advice or our technical testing skills to evaluate individuals with abdominal pain, bowel issues, heartburn, rectal bleeding and various other symptoms. The same process occurs when we are called to see hospital patients. If a hospital admitting physician, who is usually a hospitalist, wants an opinion or a test that is beyond his knowledge or skill level, then we are called in to assist. 
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