Those of you who have been kind enough to read my blog know I criticize CPT coding on a regular basis. Finally after my last tirade, a comment from John finally said what I have been dreading to hear: “I’d love to hear more about what you think a good replacement to the current CPT system would look like.”
That is the question, isn’t it? I’ve been criticizing long enough. Time to put up or shut up. A brief Internet search does not reveal any significant activity regarding a replacement for CPT except for vague “pay for performance” concepts that would pay for results rather than the care itself. I must confess that despite thinking about CPT replacement for the past few months I don’t have any bright ideas either.
But since I raised the question in the first place I’m willing to take a shot at it. Ignorance has never stopped me before…
I would like to begin a 4 step brainstorming process with you:
- Outline the shortcomings of CPT coding
- Translate those shortcomings into desired characteristics for a replacement system
- Explore applicable technologies that allow us to leverage the use of EMR to create an IT-based payment system with the desired characteristics
- Formulate proposals to replace CPT
I’m going to resist the urge to write my usual 1000 word post and stop here. Please share your thoughts regarding the wisdom of this project and whether or not these 4 steps are the best way to approach the question of a replacement for CPT.