I HATE WORKING HERE

Quote
Anonymous said:
The AMA gave Uroplasty a NEUROlOGY code that had the word IMPLANT in it. The company never planned on getting its own code until Medtronic made payers aware of this "oversite". The company was happy to tell doctors to use a "test code" for $50.00 and 64555 for $200ish as the approved procedure code. Then the test code disappear and providers used 64555 with a "wink and sideways glance".
Medicare does not always compare the CPT with the ICD codes. This is why it was not caught priot to 2008. Medicare trusts the providers and THE COMPANY to be ethical.
The company has no foresight (obviously) and it trying to make it until someone buys it.
Doctors choose the best procedure for the patient AS LONG AS THEY DON'T LOSE MONEY.
Think about it. Do you really think Medtronic is going to sit back and allow a little company like Uroplasty to take any of "their business". They punched the company in the head in 2008 WITH THE BACKING OF THE AUA. Do you think they having be just sitting around waiting for Uroplasty to get a code? I am sure that Medtronic has a plan to bash the company around some more. Did your interviewer also tell you that Medtronic has "in-office test leads" and the physicians are reimbursed 1500. for each test lead? The lead costs the physician 700.00
Don't think that this is a David and Goliath case. It is more of a small company trying to make a little money before a more larger company squashes them.
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WOW.
 












Anonymous said:
You are not alone. We all feel abused and misused (misled). It all soungs SO great when you interview and the people seemed nice. Training was a joke and very brief (no structure what so ever). Giving me a manual and the reimbursement hotline is not enough.
The coding issue is unbelievable and understated when you interview (yes, we had a code and are still receiving reimbursement while trying to obtain a new code). NOT!!! Explain why the comp plan was changed (again) if Urgent PC is being reimbursed and the reimbursement process is SO easy. Oh, wait, yeah - it is such an easy sell and you will receive residual business, we are going to decrease your compensation (again). Don't worry though, next year when we have a real reimbursement code, you will make plenty of money in your HUGE territory. Hum, I don't remember interviewing for a FUTURE position.
You can focus on selling the bulking agent and some reps have done very well. Sure, if you have THREE months to wait to generate money (the selling cycle is extremely long). "Physicians can bulk in the office". Yeah, really - then WHY are there so few clients bulking in th office? Why are the sales so low on this product if it is so easy to sell? The company has been misled about reimbursement, which was passed onto the physicians, that the clients can not trust anything we say. Why should they? They have lost money using our products before.
This company has no infrastruture and is not proactive about anything. They have no vision which is obvious due to the coding the dilema and the fact that the board of directors dictates what/when/where and how things are done.
"Well, a competitor is leaving the marketplace, so we would be able to get the majority of that business because we say so. See to it. Also, you will not hire any additional reps, receive any entertainment monies, not increase the reps comp plans (let's see how much shit we can shove down their throats before they quit), nor can you sell off label to obtain the old competitor's business".
The comp plan was changed and the company is hoping that the job market is so tight that no one will leave. I don't think they have heard of medreps, medzilla, medrepcareers, gorilla, biodevice.com, etc.
I know of at least 3 other reps actively looking for jobs. They have been here about 10 months more than me and are accustomed to making WAY more money than they are making now.
Yes, I have a job. Yes, I am grateful to be employed. I just do NOT enjoy being abused and lied too. This is a small company and they should know better. They should realize that every employee matters and my day-to-day selling should count for more than a paycheck and shit shoved down my throat.
Click to expand...

AMEN!!
 






Anonymous said:
AMEN!!
Click to expand...

So is a change in comp structure going to be initiated for next year or are there no plans in place to change what is currently in place? Does your sales leadership realize how everyone feels about this? This is much more about the retention of good people than it is trying to cover up the fact that reimbursement is costing people money. Pretty simple fix in place with comp restructuring and guarantees to get through the immediate tough time
 






Anonymous said:
When I read this I actually thought it was Uroplasty (DK and LH) and with AR in Human Resources (hoping for that full-time gig), NOTHING will be done.
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She's paid hourly and has been works past the old noon hour. Hence overpaid. Make her salaried! And please, someone, notice she speaks out of an HR mode, not keeping things confidential!
 






















































Anonymous said:
Not good. Can't wait to hear how management spins this one!!! Coming here was a big mistake.
Click to expand...

Does anyone have any idea on what the likely impact will be on the reimbursement amount if CMS follows through with their concern?

How many dollars are included in the current reimbursement amount for the physician's time? Or better yet, how many RVUs for physician's time are included in the reimbursement amount?
 






Anonymous said:
Take a look at this that I found on Yahoo UROPLASTY Message Board regarding the thinking of CMS on reimbursement for PTNS.

http://finance.yahoo.com/mbview/thr...3b4c-3c80-4d9c-84b7-2130e66634f7&tls=la,d,0,3
Click to expand...



PTNS and CMS' Misvalued Code Initiative - impact on Uroplasty
.

According to CMS' proposed rule for 2014, "We are proposing CPT 64566 (Posterior tibial neurostimulation,
percutaneous needle electrode, single treatment, includes programming) as a potentially misvalued code because we think that the procedure typically is furnished by support staff with supervision as opposed to
being furnished by the physician. We are concerned that the current valuation is based on the procedure being furnished by a physician."

What could this mean for UPI?

Well, according to the comment letter that followed the proposed rule from Dr. Scott MacDiarmid (who is the co-author of a number of PTNS studies, including the STEP study):

"Having lectured nationwide on PTNS I believe that its current reimbursement is a significant barrier to Urologists beginning the treatment in their practice. I am afraid that lower reimbursement could threaten this even further limiting its access to patients."

What does CMS' position mean for Urgent PC, and therefore for UPI?
-------------------
 






Anonymous said:
PTNS and CMS' Misvalued Code Initiative - impact on Uroplasty
.

According to CMS' proposed rule for 2014, "We are proposing CPT 64566 (Posterior tibial neurostimulation,
percutaneous needle electrode, single treatment, includes programming) as a potentially misvalued code because we think that the procedure typically is furnished by support staff with supervision as opposed to
being furnished by the physician. We are concerned that the current valuation is based on the procedure being furnished by a physician."

What could this mean for UPI?

Well, according to the comment letter that followed the proposed rule from Dr. Scott MacDiarmid (who is the co-author of a number of PTNS studies, including the STEP study):

"Having lectured nationwide on PTNS I believe that its current reimbursement is a significant barrier to Urologists beginning the treatment in their practice. I am afraid that lower reimbursement could threaten this even further limiting its access to patients."

What does CMS' position mean for Urgent PC, and therefore for UPI?
-------------------
Click to expand...

WOW.
 






Anonymous said:
You are not alone. We all feel abused and misused (misled). It all soungs SO great when you interview and the people seemed nice. Training was a joke and very brief (no structure what so ever). Giving me a manual and the reimbursement hotline is not enough.
The coding issue is unbelievable and understated when you interview (yes, we had a code and are still receiving reimbursement while trying to obtain a new code). NOT!!! Explain why the comp plan was changed (again) if Urgent PC is being reimbursed and the reimbursement process is SO easy. Oh, wait, yeah - it is such an easy sell and you will receive residual business, we are going to decrease your compensation (again). Don't worry though, next year when we have a real reimbursement code, you will make plenty of money in your HUGE territory. Hum, I don't remember interviewing for a FUTURE position.
You can focus on selling the bulking agent and some reps have done very well. Sure, if you have THREE months to wait to generate money (the selling cycle is extremely long). "Physicians can bulk in the office". Yeah, really - then WHY are there so few clients bulking in th office? Why are the sales so low on this product if it is so easy to sell? The company has been misled about reimbursement, which was passed onto the physicians, that the clients can not trust anything we say. Why should they? They have lost money using our products before.
This company has no infrastruture and is not proactive about anything. They have no vision which is obvious due to the coding the dilema and the fact that the board of directors dictates what/when/where and how things are done.
"Well, a competitor is leaving the marketplace, so we would be able to get the majority of that business because we say so. See to it. Also, you will not hire any additional reps, receive any entertainment monies, not increase the reps comp plans (let's see how much shit we can shove down their throats before they quit), nor can you sell off label to obtain the old competitor's business".
The comp plan was changed and the company is hoping that the job market is so tight that no one will leave. I don't think they have heard of medreps, medzilla, medrepcareers, gorilla, biodevice.com, etc.
I know of at least 3 other reps actively looking for jobs. They have been here about 10 months more than me and are accustomed to making WAY more money than they are making now.
Yes, I have a job. Yes, I am grateful to be employed. I just do NOT enjoy being abused and lied too. This is a small company and they should know better. They should realize that every employee matters and my day-to-day selling should count for more than a paycheck and shit shoved down my throat.
Click to expand...

Urologist have LONG memories. They won't forget how UPI screwed them.
 












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