I too am having issues with surgeons only putting "Assistant Surgeon: Dr. Blah" and thinking this is enough to justify them getting credit for wRVUs. Even from a medico-legal standpoint, shouldn't each physician state exactly what they did? I mean if Dr. A does a C-section but Dr. B put in the sutures and the patient develops some infection in the incision, wouldn't they want to know who put the sutures in? This seems like a no-brainer to me. I think they should have to establish medical necessity for their presence even if it's one of the procedures that is already approved to have an assistant surgeon. At a minimum the primary surgeon should have to dictate in his note why Dr. B was needed and exactly what he did as an assistant.
When I told the hospital administrators that assistant surgeons are only reimbursed 16% of the Medicare allowable and suggested their wRVU should reflect this as well, the response from the surgeons was "well then I just won't scrub in on those cases anymore". So tell me, how medically necessary was it that they be there in the first place.
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