The CNS removes the ultrasound bonus for gynecologists

Dr. For example, Duschinger, you participated in the negotiations of the new gynecology nomenclature with the CNS. Therefore, What can you tell us about it?

The negotiations took place in a very honest and open cns removes ultrasound bonus gynecologists way. Furthermore, In fact, we worked on the basis of a nomenclature that was almost 30 years old. Furthermore, It is therefore obvious that many new gynecological acts have been added in the meantime. therefore new services, new operations and new prices. Consequently, We had to define a few hundred new names of acts. for example for breast surgery, gynecological surgery of the lower abdomen and obstetrics. However,

A big change concerns the ultrasound package: in the past 20 to 25 years. in addition to the intellectual act of ultrasound, which was billed separately, health insurance paid a package for each ultrasound. Consequently, It was designed as a help to finance these expensive devices. Furthermore, had to allow doctors to fully finance such an expensive device in five years. Furthermore, It was a very good thing.

And what has changed in this regard?

How is cns removes ultrasound bonus gynecologists the package calculated exactly?

We classified the ultrasounds in three price categories. in collaboration with the CNS, and we then calculated the number of ultrasounds after which a device must be paid. The high flat -rate price now applies to 200 ultrasounds per year, for five years. This is therefore 1. 000 ultrasounds, and if we convert it to this package, we find ourselves after five years exactly at the cost of the machine of the corresponding price category.

For a machine that costs between 20,000 and 60,000 euros, the doctor receives a package of 45 euros. The devices whose price is between 60,000 and 90,000 euros are subsidized up to 75 euros. At the top of the ladder then come the high-tech devices of morphologists, or large cardiology devices. These are enormous investments. far exceeding the hundreds of thousands of euros, and cns removes ultrasound bonus gynecologists they receive a package of 120 euros per examination. As a doctor. we therefore receive the average price range of each category of devices, depending on the price of the device that we need.

And what happens if we perform more than 200 ultrasounds?

This is often the case in gynecologists who mainly follow elderly patients. Indeed. from menopause, a vaginal ultrasound should be carried out at each consultation – simply because we are then much more likely to detect ovarian cancer or changes in the uterine mucosa. My two colleagues. I have three devices in the office, and there are days when I have to perform 26 ultrasounds for around 35 patients. I am therefore one of the colleagues who are already clearly depleting this package of 200 ultrasounds in the. space of a month.

And from there, the package of cns removes ultrasound bonus gynecologists our devices is automatically reduced by 45 euros per ultrasound at five euros. These five euros are intended to partially finance the costs of the ultrasound frost. the wear of transducers and the paper necessary for this examination. This means that 200 ultrasounds can be charged per year, but that all additional examinations are reimbursed with the small package.

What will it change financially for gynecologists?

The only doctors who really realize are those who follow elderly patients and who practice many ultrasounds. But you shouldn’t worry about it. The new billing system is in fact very fair. Only people who practice unique in their office in their cns removes ultrasound bonus gynecologists office. who do not practice normal obstetrics in hospitals, who do not operate and who do not ensure clinical services will suffer financial losses. But the rest of the work is much better paid thanks to the new gynecological nomenclature. whether in office or in surgery, and in any case in obstetrics. This is simply explained by the fact that we have long been underestimated and that our prices must inevitably increase.

Does the change concerning ultrasound packages only concern gynecology?

No, that has absolutely nothing to do with gynecology. We simply had the “bad luck” that gynecology was the first specialty for which the CNS applied this new regulations. It will now apply to each specialty.

Does that change something for the patient?

Not at all cns removes ultrasound bonus gynecologists with regard to packages. There is only one thing that changes. and it was also the issue of renegotiation of the nomenclature: thanks to “direct direct payment”, payment is even simpler. Almost all medical offices will be equipped with this immediate payment system. As part of a normal prevention. the patient pays around nine euros for an ultrasound, the rest is paid to us directly by the sick leave. The patient is therefore only debited from the amount not reimbursed that he pays before leaving the office. Additionally, The costs of the CNS remain the same. But the patient realizes even less than before. because he does not need to request the reimbursement of his money at the sick leave. The new system simplifies a lot and is an incredible relief for patients, for us and for the CNS itself.