Had office meeting this monday 12/10. Company revealed productivity points accrued( for full time benefits / status) reduced by 1/3 on my most frequent activity (re-evaluation of patients). Typically that is 75-80% of my work activity that counts as productivity points for me. This is directly a response to gubbermint mandates. 1) Pt re-assessments are mandated by medicare at apx 3 times the rate previously mandated for supervision compliance. 2) This is in addition to a different re-assessment mandates established by the state which are not the same as federal requirements. 3)Net effect has been apx a 4 fold increase in this type of activity because of govt geniuses. 4) Now for something that might not be obvious is: evaluation of the problem and documenting it is NOT the same thing as TREATING the pt's problem. Honestly every encounter(previously) with a pt included a re-evaluation of symptoms/tolerance and effectiveness when being TREATED. Now of course the focus (ie time drain)is on documenting status vs improving the status. IOW : More work , less actual pt care. 5a) With the decrease productivity points accrued it's obvious the objective is to greatly reduce burdens of full time benefits on the company. 5b) Regardless of individual employee pay structure, salary or per visit rate ,: benefits eligibility is determined by quarterly productivity point accrual. Drop too low they change your employment status and cancel your benefits package (ie health ins) . Welcome to obama care people. I'm getting away from this crap as fast as I can after a (20 yr career). I kinda feel sorry for the other suckers dependent upon the paycheck and definitely feel sorry for the pt's because service quality has certainly deteriorated from my observations of the last 4 yrs. Going to 2 day weeks next week, hopefully trading will pick up slack in income.