THE HONG KONG MEDICAL ASSOCIATION



Similar documents
INSURANCE COMPANY OF SCOTT AND WHITE FIXED INDEMNITY BASIC MEDICAL-SURGICAL EXPENSE POLICY REQUIRED OUTLINE OF COVERAGE

Treatment Category Inpatient Treatment Categories DRG (MS DRG) ICD9 [Hip & Knee Only]

APPLICATION FOR APPOINTMENT TO MEDICAL STAFF BAFFIN REGIONAL HOSPITAL IQALUIT, NU

Surgical Technician (ORT) Skills Checklist

Cancer Income Protection Policy

DEPARTMENT OF SURGERY GENERAL SURGERY SECTION

UnitedHealth Premium Physician Designation Program Procedure Episode Groups (PEG ) Description and Specialty

CORRECT CODING INITIATIVE OB/GYN CPT CODES INTRODUCTION

Surgical Procedure Log Book

Take charge of your health with ASB Private Health

Major Medical Cover. Assurance Extra

NOT BUSINESS AS USUAL

LONDON DEANERY PROVIDER SUPPORT OPERATIONS DEPARTMENT FOUNDATION PROGRAMME

Absolute Health Absolute Health Product Guide MARCH 2013

ABSOLUTE HEALTH BENEFIT COVERED EXPENSES MAXIMUM COVER

Hospital Confinement Indemnity Insurance

NOT BUSINESS AS USUAL

VIP Plan 1 Schedule of Benefits

CAPITAL MEDICAL CENTER Delineation of Surgical Privileges

A Detailed Data Set From the Year 2011

MEDICAL PROFESSIONAL LIABILITY INSURANCE RENEWAL APPLICATION

Application for CLINICS (Medical, Public Health, Dental, Etc.) PROFESSIONAL LIABILITY INSURANCE (Claims Made Basis)

VIP Plan 2 Schedule of Benefits

First Cover Plan 2. Schedule of Benefits

LIBERTY NATIONAL LIFE INSURANCE COMPANY Administrative Office: P. O. Box 2612, Birmingham, Alabama FAMILY CANCER POLICY

PRACTICE AGREEMENT FORM

Hospital Confinement Indemnity Insurance

LOG BOOK Approved by The European Board and College of Obstetrics and Gynaecology

Step 2 Use the Medical Decision-Making Table

SURGICAL TECHNICIAN JOB DESCRIPTION

SPECIALIZED STUDY PROGRAM FOR SPECIALIZED DIVISION GENERAL MEDICINE NO. A 022

Coding with the CPT. By: Amber M. Baylor, M.S.

Schedule of Benefits HARVARD PILGRIM LAHEY HEALTH VALUE HMO MASSACHUSETTS MEMBER COST SHARING

HEALTHCARE PROVIDERS INSURANCE EXCHANGE APPLICATION FOR HPIX MEMBERSHIP AND INSURANCE

THE UNITED STATES LIFE Insurance Company In the City of New York

Clinical Privileges Profile Physician Assistant. Indu & Raj Soin Medical Center

What is the Extended Medicare Safety Net (EMSN) and how does EMSN capping work?

Bachelor s degree in Nursing

How To Get A Health Insurance In New Zealand

STANTON TERRITORIAL HEALTH AUTHORITY CREDENTIALS COMMITTEE REQUIREMENT CHECKLIST FOR HOSPITAL PRIVILEGES

Welcome To The First Edition Of Our Newsletter March 2014

LAPAROSCOPIC OVARIAN CYSTECTOMY

Regions Hospital Delineation of Privileges Nurse Practitioner

WVP Health Authority - MPCHP Referral/Preauthorization Grid

Laparoscopic Nephrectomy

Outpatient and Ambulatory Surgery. Surgeon. Dr. David T. Y. Lam. Specialist in General Surgery

Exhibit 4 Effective January 1, Outpatient Surgery Facility Groupers and Fees 1/1/09 Group Description 1/1/09 1/1/09 Dollar Value

Coding for multiple surgical procedures By Emily H. Hill, PA

HSE FINANCE SHARED SERVICES Primary Care Reimbursement Service

UNDERSTANDING & CODING WITH MODIFIERS

Integrated Medical Services (IMS) New Patient Registration Sheet

Rotation Specific Goals & Objectives: University Health Network-Princess Margaret Hospital/ Sunnybrook Breast/Melanoma

PROFESSIONAL LIABILITY INSURANCE

DEPARTMENT OF FAMILY MEDICINE Delineation of Privileges. Name: Date:

POST-OPERATIVE WOUND INFECTION

MEDICAL ASSISTANCE BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE

12.4 million people alive today have a history of heart attack, angina pectoris (chest pains) or both. 1. solutions. Benefit coverage for

Lone Star Alliance Inc. RRG EXTENDED REPORTING PERIOD COVERAGE HEALTH CARE PROFESSIONAL LIABILITY INSURANCE POLICY APPLICATION

We take good care of you

GUIDELINE FOR THE MANAGEMENT OF ORAL ANTICOAGULATION BEFORE AND AFTER ELECTIVE SURGERY OR PROCEDURES

Name: Date: UNIVERSITY OF MARYLAND MEDICAL CENTER Specified Services for Nurse Practitioners

Learning about Mouth Cancer

Medical Recovery Insurance Company Guide. Let MyRecoveryCheque TM ease the financial pain of a hospital stay.

Group Critical Illness Insurance Provides lump-sum cash benefits that can help with daily expenses

Reproductive Health Group

Benefits Collaborative Policy Statement WOMEN S HEALTH SERVICES

Coding Tips Changes & Challenges

The New Zealand Health Insurance industry provides a valued and necessary backstop for New Zealand families. page two

Wellbeing. Health insurance policy document

Provider Reimbursement for Women's Cancer Screening Program

Let's Play a Game: Emergency Medical Documentation Coding for Emergency PHYSICIANS (not coders) Georgia College of Emergency Physicians June 5, 2012

ENROLLED NURSE GRADUATE PROGRAM: BENDIGO HEALTH. Dr Helen Aikman Manager of Nursing and Midwifery Education

2015 Medicare Advantage Summary of Benefits

Surgery and cancer of the pancreas

HNE Premier 1 (HMO) and HNE Premier 2 (HMO)

UPMC For Reference Only PHYSICIAN ASSISTANT 2014

Regions Hospital Delineation of Privileges Physician Assistant Emergency Medicine

Regions Hospital Delineation of Privileges Internal Medicine

myhealthcare Cost Estimator (myhce)

Frequently Asked Questions About Ovarian Cancer

POST MENOPAUSAL BLEEDING CHECKLIST. Ultrasound. Information folder given to patient. Booking form faxed/ ed

Transcription:

THE HONG KONG MEDICAL ASSOCIATION REPORT OF DOCTORS FEES SURVEY 2006 May 2006 PREPARED BY THE HONG KONG MEDICAL ASSOCIATION

BACKGROUND The Hong Kong Medical Association has been conducting the Survey on Doctors Fees regularly since 1991 aiming at gathering information on the prevailing charges of medical services in the private sector. It has been four years since the last survey on doctors fees in private practice. Recently, some insurance companies attempted to set fees for various medical procedures. It was against this background that the Association considered it timely to conduct another survey on fees for the reference of both the profession and the public. This report outlines the results of the survey conducted from March to April 2006, which was the eighth exercise ever since. METHODOLOGY Two batches of questionnaires with serial numbers labeled from 00001 to 02750 were printed. The first batch was sent to 2,736 HKMA members who were private practitioners in Hong Kong on 15 March 2006 (Wednesday). Respondents were asked to return their feedback by 25 March 2006. 462 questionnaires were returned in the first round. The questionnaires with serial numbers returned were sorted out and the rest (2,274 copies) were sent again on 3 April 2006 (Monday) with revised and extended deadline as 25 April 2006. Another 241 were returned in the second round. Thus, a total of 703 questionnaires were received. The response rate was 25.7%. RESULTS A. Mode of Practice 658 respondents had indicated their mode of practice. Among them, 358 (54.4%) indicated that they were general practitioners while 212 (32.2%) indicated that they were in specialist practice only. 88 (13.4%) of the respondents indicated they practised both as GP and specialists. Frequency Percent 13% GP or Specialist GP 358 54.4 Specialist 212 32.2 Both 88 13.4 Total 658 100.0 Table 1. Statistics for General Practitioners and Specialists 32% 55% General Practice Specialist Practice Both GP and SP Fig. 1. Pie Chart for General Practitioners vs. Specialists B. Daily Hospital Attendance Charge Median 1,500 1,000 600 10 th Percentile 1,000 750 500 90 th Percentile 3,000 1,500 965 Table 2. Statistics of Respondents Daily Hospital Attendance Charges 1

C. Bedside Procedures Median 3,200 2,000 1,500 10 th Percentile 1,000 800 500 90 th Percentile 8,000 6,000 4,000 Table 3. Statistics of Respondents Bedside Procedure Charges The commonest bedside procedures listed include: Chest tapping Lumbar puncture Chemotherapy infusion Echocardiorgram Joint aspiration D. Ultra-major, most frequently performed in-theatre/laboratory operative procedure This category was not surveyed in 2002. Median 80,000 60,000 40,000 10 th Percentile 40,000 30,000 10,000 90 th Percentile 162,000 111,000 65,500 Table 4. Statistics of Respondents Charges on Ultra-major, most frequently performed in-theatre/laboratory operative procedure The commonest ultra-major operative procedures listed include: Total joint replacement Oesophagectomy Wertheim s operation (radical abdominal hysterectomy) Radical prostatectomy Whipple operation (radical pancreatoduodenectomy) E. Major, most frequently performed in-theatre/laboratory operative procedure Median 45,000 30,000 20,000 10 th Percentile 30,000 20,000 14,000 90 th Percentile 80,000 60,000 35,000 Table 5. Statistics of Respondents Charges on Major, most frequently performed intheatre/laboratory operative procedure The commonest major operative procedures listed include: Hysterectomy Caesarean section Laminectomy Thyroidectomy Angioplasty Mastectomy Laparoscopy cholecystectomy 2

Nephrectomy Mastoidectomy F. Intermediate, most frequently performed in-theatre/laboratory operative procedure Median 29,000 18,000 12,000 10 th Percentile 12,900 10,000 7,000 90 th Percentile 45,000 30,000 20,000 Table 6. Statistics of Respondents Charges on Intermediate, most frequently performed intheatre/laboratory operative procedure The commonest intermediate operative procedures listed include: Ovarian cystectomy Arthrocopic surgery Cardiac catheterization Cataract Breast biopsy Herniorrhaphy Hemorrhoidectomy Tympanoplasty Tonsillectomy Laparoscopy ovarian cystectomy G. Minor, most frequently performed in-theatre/laboratory operative procedure Median 8,000 6,000 4,000 10 th Percentile 4,000 3,000 2,000 90 th Percentile 15,000 10,000 6,000 Table 7. Statistics of Respondents Charges on Minor, most frequently performed intheatre/laboratory operative procedure The commonest minor operative procedures listed include: D & C Excision of Sebaceous cyst, other cysts Endoscopy (OGD, colonoscopy, nasopharynx & larynx, bronchoscopy) Circumcision Incision & curettage H. General Practitioners For respondents who had answered the section on General Practitioners, the results of their various charges are shown below. Regular Consultation ($) Days of medication Charges for therapeutic Additional charges ($) Included procedures ($) Median 180 3 100 300 10 th Percentile 140 2 0 110 90 th Percentile 340 4 382 1,000 Table 8. Statistics for General Practitioners Charges 3

Examples of therapeutic procedures performed by general practitioners in their clinics include: Excision of lumps & bumps Suturing Dressing Ear syringing Cauterization ECG Incision & drainage Circumcision I. Specialist Practice For respondents who had answered the section on specialist practice, the results of their various charges are shown below. Regular Consultation ($) Days of medication Charges for therapeutic Additional charges ($) Included procedures ($) Median 500 3 250 800 10 th Percentile 300 0 50 300 90 th Percentile 800 7 970 2,000 Table 9. Statistics for Specialists Charges Examples of therapeutic procedures performed by specialist in their clinics include: Excision of sebaceous cyst ECG Cauterization IUCD insertion Ultrasound examination Chemotherapy Incision & curettage Application of cast Endoscopy (gastroscopy, larynx & nasopharynx) Wound dressing J. Vaccines Charges for various vaccines were indicated in the table and figure that follow. Antitetanus Chickenpox Hep. A 2 dose Hep. A 3 dose Hep. B Adult Hep. B Child Influenza Median 100 500 500 400 240 198 150 200 10 th Percentile 50 380 350 271 180 130 100 120 90 th Percentile 200 650 600 600 300 300 200 300 Table 10. Statistics for Respondents Usual Charges on Various Vaccines K. Medical Reports Charges for different types of medical reports were indicated in the table below. Simple Patient Detailed Patient Simple Medical Insurance Company Detailed Medical Insurance Company MMR Medical Insurance Company with assessment of disability Median 200 500 500 700 1,000 10 th Percentile 0 0 200 350 0 90 th Percentile 659 1,500 1,000 2,000 10,000 Table 11. Statistics for Charges for Medical Reports 4

L. Insurance Claim Forms Charges for simple and complex insurance claim forms were indicated in the table below. Results showed that most of the respondents did not charge for completing the forms. Simple Insurance Claim Form Complex Insurance Claim Form Median 180 350 10 th Percentile 0 0 90 th Percentile 500 800 Table 12. Statistics for Charges for Completing Insurance Claim Forms M. Fee Adjustment Results showed that 78% of the respondents did not adjust their fees in the past 12 months. 18% increased while only 4 % reduced their fees. Pattern of response and changes were indicated in the figure and table below. Decreased 4% Increased 18% Fee Adjustment No Change 78% Increased (%) Decreased (%) Median 10.0 13.8 10th Percentile 5.0 5.0 90 th Percentile 20.0 25.8 Table 13. Statistics for Percentage Changes in Fees Over the Past 12 Months Fig. 2. Fee Adjustment Pattern compared with the Past 12 Months For those who did not change their fees, the reasons were: No reason or need to change Poor economy, number of patients falling Competition Fresh start of practice No adjustment of reimbursement by insurance company For those who raised their fees, the reasons included: Increase in rent Increase in drug costs Increase in MPS insurance Increase in salaries Increase in overall cost expenses For those who lowered their fees, the reasons included: Competition Poor economy Exploitation by HMO Patient number falling 5