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Signatures 109 total

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  1. 1
    Name: Andrew Wong, MD on Nov 23, 2012
    Comments:
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  2. 2
    Name: Cathy Powell on Nov 24, 2012
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  3. 3
    Name: Faisal Ahmad on Nov 24, 2012
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  4. 4
    Name: Thomas S Hughes MD on Nov 26, 2012
    Comments: These cuts are devastating to the field of neurology and will, without question, lead to reduction in neurologist, neurology practices access to care. In a field with tremendous fiscal challenges to stay solvent, this will destroy an already limited resource. Once this downward spiral begins, you will not be able to stop it. Please reconsider. The specialty of neurology is at stake.
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  5. 5
    Name: Chelsea Rodenberg MD on Nov 27, 2012
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  6. 6
    Name: M Zafar MD on Nov 27, 2012
    Comments: These cuts will significantly impact Medicare beneficiary access to appropriate management of their disabling neurologic disorders, limit further the number of neurologists who are currently seeing Medicare patients and discourage budding physicians from the field of Neurology.
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  7. 7
    Name: Deborah Dilley MD on Nov 27, 2012
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  8. 8
    Name: Youssef Nejjar on Nov 27, 2012
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  9. 9
    Name: Jorge Gonzalez MD on Nov 27, 2012
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  10. 10
    Name: Anonymous on Nov 27, 2012
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  11. 11
    Name: Barbara Richardson on Nov 28, 2012
    Comments: physicians need to be paid fairly this is not fair
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  12. 12
    Name: Robert P. Berglund, R.NCS.T. on Nov 28, 2012
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  13. 13
    Name: Teresa Larsen on Nov 28, 2012
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  14. 14
    Name: Anonymous on Nov 28, 2012
    Comments: These cuts are too far reaching and are devastating to my practice.
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  15. 15
    Name: Francis Unson, DO on Nov 29, 2012
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  16. 16
    Name: Stephen R. Conway on Nov 29, 2012
    Comments: The cuts made by the Center for Medicare and Medicaid services for electrodiagnostic testing will have a negative impact on patient care and will result in inappropriate surgeries and unnecessary testing.
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  17. 17
    Name: Michal Vytopil on Nov 29, 2012
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  18. 18
    Name: Anonymous on Nov 29, 2012
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  19. 19
    Name: C. Jack Fraim MD on Nov 29, 2012
    Comments: Wholeheartedly support this. It's unfair to punish honest physicians for the actions of a few unscrupulous ones.
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  20. 20
    Name: Robert Bucelli on Nov 29, 2012
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  21. 21
    Name: James A. Russell, D.O on Nov 30, 2012
    Comments: Those who have implemented these reductions have no idea of the draconian and cascading consequences of this decision. Due to the inherent inequities of the RVU system, Neurology practices cannot survive without EMG revenue. The consequences of this action will be analogous to prohibition. Responsible neurologists will either go out of business or be forced to avoid medicare patients. Those inclined to cheat will circumvent the system. In the end, this action will only harm patients and those who responsibly care for them. Cost reduction in medicine needs to occur in a more evenly distributed, fair, gradual and carefully thought out basis.
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  22. 22
    Name: Scott Lipson, M.D. on Nov 30, 2012
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  23. 23
    Name: Kenneth Holmes, M.D. on Nov 30, 2012
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  24. 24
    Name: Eric Ericson, M.D. on Nov 30, 2012
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  25. 25
    Name: Preethi Durgam on Nov 30, 2012
    Comments: The decision to cut reimbursement for EMG/NCS will cripple the ability of neurologists to provide quality medical care. This is diametrically opposite of what this change is intended for. The repercussions of such cuts are far reaching for both patients and physicians; These have clearly not been considered by those who proposed and passed these changes. There is an obvious dearth of neurologists in this country and cutting their ability to function is clearly not the way to encourage this profession.
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  26. 26
    Name: Arvind Baliga MD on Nov 30, 2012
    Comments: Cutting reimbursements this deeply with result in me laying off office staff and delays in processing requests for EMG for Medicare patients. I cannot stay in business with 80% cuts in the scale! The cost of everything is going up...CMS are you really in touch with what is going on?
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  27. 27
    Name: Krishna Pokala MD on Dec 1, 2012
    Comments: please reconsider how this will affect the number of future neurologists, of which there is already a shortage of, in the future
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  28. 28
    Name: John Miller MD on Dec 1, 2012
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  29. 29
    Name: Lance Cheung on Dec 1, 2012
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  30. 30
    Name: Dr Joseph Moeller on Dec 3, 2012
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  31. 31
    Name: Kathleen Mitz on Dec 3, 2012
    Comments: These changes will cause our company, which I have been with for over 10 years, to go under!!
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  32. 32
    Name: Dr. Brad Tinkelman on Dec 3, 2012
    Comments: Dear Sirs, This is to inform you that your reimbursement cuts for emg/ncs testing will bring a significant hardship to my practice. We are a specialized neurological group ( just 2 of us) who primarily perform emg testing for many physician offices. We have two technicians as well as several other employees. However, if the cuts in payment are to go thru as noted, almost 50%, then not only will staff have to be laid off but I may consider not performing testing on medicare patient's that need it. If other insurance companies follow suit in the near future, then we may be forced to close our doors completely. Please reconsider your payment options and don't take away our livelihood. Sincerely, Brad Tinkelman, MD
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  33. 33
    Name: Edward Graziano on Dec 3, 2012
    Comments: This reduction would would cost 10's of thousands of jobs throughout the country to all of the support personnel that is required to operate an efficeint medical office.
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  34. 34
    Name: Dr. Scott DelMedico on Dec 5, 2012
    Comments: This proposal will end my 4 year career as the owner of an emg/ncv testing facility. I have invested my entire education with loans of $200, 000 payable until age 63. Minimum payment is 1500 per month, paying back 7-8% interest for a total of $400,000. I have invested another 250, 000 into the startup and structuring of the business including certification for technicians, cost of equipment, and am "all in" with my lifelong investment and commitment. I am finished with this proposal. My loans are surely to default, my practice will close, my employees will be layed off, and most importantly my family and personal life will be ravished in ways that are unspeakable. This implemented change takes business gross revenue from $350,000 per year in my case, immediately down the about $100,000. Expenses and investments remain an obligation. Please consider revising this 60-70% cut in reimbursement. My wife, children, and life's devotion and work will all pay dearly, and force drastic and instant bankruptcy and chaos. My story is just a taste. All of us face exact scenario and this must be assessed immediately and resolved amicably.
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  35. 35
    Name: Neeraj Manchanda on Dec 5, 2012
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  36. 36
    Name: Dannie C. Smith, PT, MS, ECS on Dec 6, 2012
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  37. 37
    Name: Sally Schneider on Dec 7, 2012
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  38. 38
    Name: David C. Preston, MD on Dec 8, 2012
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  39. 39
    Name: Tajammul Ehsan on Dec 8, 2012
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  40. 40
    Name: Richard Dauhajre, MD on Dec 9, 2012
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  41. 41
    Name: Elisa M. Brown-Soltero, M.D. on Dec 12, 2012
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  42. 42
    Name: Gabriel Pitman on Dec 14, 2012
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  43. 43
    Name: Joseph Cartwright on Dec 14, 2012
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  44. 44
    Name: Christina Richardson on Dec 17, 2012
    Comments: If the cuts stand as planned jobs will be lost, patient's will wait longer for studies, healthcare will suffer.
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  45. 45
    Name: Ethel Rios-Reyes, CNIM on Dec 18, 2012
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  46. 46
    Name: Billie Lovsey-Secrest R. EEG T on Dec 19, 2012
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  47. 47
    Name: Jeremy M. Bartel on Dec 19, 2012
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  48. 48
    Name: Paul A. Smucker, MD on Dec 24, 2012
    Comments: Rather than cripple legitimate practioners who provideEMG services, the SCAMMERS who are paid by MC for fake EMG's should be stopped. This includes unscrupulous neurologists who participate in scams with chiropracters and family physicians. The scheme involves sending a FP or DC employee away for a 1 -2 week course. The employee comes back as a "tech" who poorly collects NCS data which is emailed to the neurologist, typically in another state who never has and never will be even in the same room as the patient. No needle EMG is done because a tech is allowed to do NCS but not EMG by MC. Then, the neurologist who has never seen the patient creates "results" mostly out of imagination, diagnosing things that can't truly even be assessed without actual needle EMG. Then, an over abundance of NCS charges are submitted to the insurance company, and the proceeds, often between $5-10,000 PER PATIENT are divided between the two offices participating in the scam. This practice is completely legal, completely unethical, and completely legal. And it is being done in a hugely widespread manner, quite possibly accounting for more insurance dollar expenditures each year than are being paid to legitimate practitioners. MC and the neurology and PM&R community have to stop tolerating this gross abuse and patient mistreatment. This is the way to reign in costs, rather than levying drastic reimbursement cuts to legitimate practicioners. Paul A. Smucker, MD
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  49. 49
    Name: John Nogueira on Dec 24, 2012
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  50. 50
    Name: Jeffrey A. McGuire on Dec 27, 2012
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