NeuroD Posted March 25, 2018 Report Share Posted March 25, 2018 While browsing CMPA fees (here) I found that Neurology seems like a bit of an anomaly...am I reading this right? Does someone have an explanation? Neurology: 22,400 Cardiology: 8,400 GI: 8,400 Nephrology: 5,208 Psychiatry: 5,208 Why would neurology be in the same bracket as gen/cardiac/gyn/plastic/thoracic/vascular surgery. It's weird that neuro would have to pay ~3-4x what other medical specialties pay, while billing ~1/2 as much (although I'm aware that the CMPA doesn't set fees based on income). Link to comment Share on other sites More sharing options...
freewheeler Posted March 25, 2018 Report Share Posted March 25, 2018 It's the price neurologists pay for wearing unfashionable bow ties to work. Link to comment Share on other sites More sharing options...
BigM Posted March 26, 2018 Report Share Posted March 26, 2018 My understanding is that the rates are based on the cost of settling/paying out past lawsuits against members of that specialty. This is just an educated guess of why neurology is high, but bad neurological outcomes can have very high morbidity (stroke, etc) without death which can leave patients requiring very expensive care for the rest of their lives. Patients who experience bad outcomes in other medical fields probably on average don't tend to live as long after the outcome occurs. Link to comment Share on other sites More sharing options...
ralk Posted March 26, 2018 Report Share Posted March 26, 2018 It's all to do with lawsuit rates. Neurology involves treating a lot of rather noticeable and often rather debilitating conditions, most of which are chronic. That this conditions are often difficult to treat, with medications with limited efficacy and/or significant side-effects. It's a combination ripe for lawsuits, as you have a lot of patients who are frustrated and debilitated. Compare that with the most common conditions in Nephro, Cards, or GI - they're often silent for long periods. When they do present themselves, these specialties have options available to improve symptoms to the point that patients feel better (even if their underlying conditions are still quite dangerous) Especially Nephro and Cards, half the challenge is convincing patients who feel fine to do the preventive things to keep themselves feeling fine. Also, while this is certainly an over-generalization, neurologists as a group are a bit... weird. Not to say doctors in general aren't weird, but Neuro tends to take a few more of the eccentric ones. Poor patient rapport and increased miscommunications are major factors in determining lawsuits, completely independent of actual performance as a physician, so while I doubt that's a major factor for neurologists, wouldn't surprise me if it added a couple hundred bucks to their annual fees Link to comment Share on other sites More sharing options...
Monkey D. Luffy Posted March 26, 2018 Report Share Posted March 26, 2018 OBS Gyn Staff have to pay 82k per year for CMPA fees?! I knew it was high but that's insane. Link to comment Share on other sites More sharing options...
jlkhhylyiluh6 Posted March 27, 2018 Report Share Posted March 27, 2018 On 3/26/2018 at 10:52 AM, Monkey D. Luffy said: OBS Gyn Staff have to pay 82k per year for CMPA fees?! I knew it was high but that's insane. by far the most commonly sued specialty. People dont like it when babies turn out wrong lol Link to comment Share on other sites More sharing options...
NeuroD Posted March 27, 2018 Author Report Share Posted March 27, 2018 On 3/26/2018 at 10:52 AM, Monkey D. Luffy said: OBS Gyn Staff have to pay 82k per year for CMPA fees?! I knew it was high but that's insane. 10 minutes ago, beeboop said: by far the most commonly sued specialty. People dont like it when babies turn out wrong lol Obsy/gyn doesn't actually pay it. They have a special agreement where the value is paid to them by OHIP a few days before its due. Link to comment Share on other sites More sharing options...
shikimate Posted March 27, 2018 Report Share Posted March 27, 2018 At least in ON the provincial government covers a percentage of the fees. Nontheless ob/gyn pay a higher absolute amount compared to other specialties. It's unfortunate because people have a distorted view that pregnancy and birth should be a benign, joyous journey. But if anything there are so many things before, during and after pregnancy that can kill the mother or the baby. (eg. molar pregnancy turning into choriocarcinoma, placental site trophoblastic tumor, amniotic fluid embolism, post partum hemorrhage, DVT/PE, HELLP, etc etc) http://www.health.gov.on.ca/en/pro/programs/ohip/mlp/default.aspx Link to comment Share on other sites More sharing options...
Let'sGo1990 Posted March 28, 2018 Report Share Posted March 28, 2018 Jesus. That is a brutal shafting for neurology. I wonder how much of that is related to stroke and tPa. Link to comment Share on other sites More sharing options...
LittleDaisy Posted September 12, 2018 Report Share Posted September 12, 2018 On 3/27/2018 at 4:19 PM, shikimate said: At least in ON the provincial government covers a percentage of the fees. Nontheless ob/gyn pay a higher absolute amount compared to other specialties. It's unfortunate because people have a distorted view that pregnancy and birth should be a benign, joyous journey. But if anything there are so many things before, during and after pregnancy that can kill the mother or the baby. (eg. molar pregnancy turning into choriocarcinoma, placental site trophoblastic tumor, amniotic fluid embolism, post partum hemorrhage, DVT/PE, HELLP, etc etc) http://www.health.gov.on.ca/en/pro/programs/ohip/mlp/default.aspx Does family physicians who do obstetrics as part of their practice pay higher fees for CMPA? I am just wondering, as the billing codes for FM-obs and Obs-GYN for deliveries and c-section are the same. I wonder if FM-obs pay higher in terms of CMPA insurance thanks Link to comment Share on other sites More sharing options...
ploughboy Posted September 13, 2018 Report Share Posted September 13, 2018 2 hours ago, LittleDaisy said: Does family physicians who do obstetrics as part of their practice pay higher fees for CMPA? I am just wondering, as the billing codes for FM-obs and Obs-GYN for deliveries and c-section are the same. I wonder if FM-obs pay higher in terms of CMPA insurance thanks Type of Work Code 78. Link to comment Share on other sites More sharing options...
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