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Agree TZ but if the bill goes out with POS 20 ( or is it 23) which is the emergency department and the codes used are from the 9928X series, I don't think they will be covered . Does the ACA require board certification  to honor the MC rate? what about someone who was BC and let it lapse?? Wouldn't seem fair bc there are pediatricians who finished their residency and haven't passed their exams working and seeing kids, who should be paid the same as other peditricians. Also the peds like me with lifetime certification, would qualify but wouldn't have to spend the time or money to participate in the MOC..So I think there are some flaws in the system as you present it.. 

Marty
Martin Herman, M.D.

Pediatric Emergency Medicine 
Sacred Heart Children's Hospital

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To: [log in to unmask]
Subject: Re: Maintenance of General Peds certification for subspecialists
From: [log in to unmask]
Date: Mon, 17 Nov 2014 15:30:30 -0500


dovetailing on what you wrote, as you know, a lot of what we see is primary care, and we will get higher reimbursements...


TZ






Dr. Todd Zimmerman 



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-----Original Message-----

From: Marty Herman <[log in to unmask]>

To: PED-EM-L <[log in to unmask]>

Sent: Mon, Nov 17, 2014 1:47 pm

Subject: Re: Maintenance of General Peds certification for subspecialists





I believe the reimbursement is linked to the service codes and not the 
certification..
So participating in the MOC for general peds is not necessary if you use CPT 
codes for services typically rendered by a pediatrician.using the Emergency 
codes, I think,  are what prevents one from being paid the Medicare rate. 
Marty
Martin Herman, M.D.

Pediatric Emergency Medicine 
Sacred Heart Children's Hospital

Email: [log in to unmask]

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> Date: Mon, 17 Nov 2014 13:59:47 -0500
> From: [log in to unmask]
> Subject: Re: Maintenance of General Peds certification for subspecialists
> To: [log in to unmask]
> 
> 
> And at least until December 31 st, you can continue to bill at Medicare rates 
vs Medicaid rates thanks to the Medicare parity law, which is supposed to sunset 
12/31.
> And if curious, if you just have your Peds EM boards and not Peds boards, you 
do not qualify. Yup, read it again. 
> Lots of legislation going on now to try to extend this for another 2 to 5 
years, but people also are trying to carve out the ER and replace it with 
OB-GYN. 
> Craziness.
> Todd Z
> 
> 
> Dr. Todd Zimmerman 
> 
> ** CONFIDENTIALITY NOTICE: This e-mail and its attachments may contain 
confidential, proprietary, and/or privileged information which is legally 
protected from disclosure. Any review, retransmission, dissemination, or other 
use of this information by persons or entities other than the intended recipient 
is strictly prohibited. If you received this e-mail in error, please notify the 
sender immediately and appropriately delete the material from your computer. 
Thank you.
> 
> 
> 
> -----Original Message-----
> From: Larson, Jeremy <[log in to unmask]>
> To: PED-EM-L <[log in to unmask]>
> Sent: Mon, Nov 17, 2014 12:50 pm
> Subject: Re: Maintenance of General Peds certification for subspecialists
> 
> 
> Since most of the MOC activities count for both PEM and gen peds, the only 
> dditional effort to maintain the gen peds certification is the examination. I 
> ust recertified for the second time, and was relieved to have passed. It keeps 

> y career options open, and makes me feel a little better about the general 
> ediatrics I teach residents and students daily. There are a great deal of 
> eneral pediatric issues I deal with in the ED that are not routinely addressed 

> y the PEM boards.
> Jeremy Larson
> Emergency Medicine
> ationwide Children's Hospital
> olumbus, OH
> _______________________________________
> rom: Pediatric Emergency Medicine Discussion List [[log in to unmask]] 

> n behalf of Frances Craig [[log in to unmask]]
> ent: Wednesday, November 12, 2014 8:47 AM
> o: [log in to unmask]
> ubject: Maintenance of General Peds certification for subspecialists
> Interested in group's opinion, pros and cons,  regarding pediatric 
> ub-specialists maintaining or not their bc in general peds? Apologies if this 
> as been discussed in previous threads.
> rances
> or more information, send mail to [log in to unmask] with the 
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