Open Source Software

Not enough time is spent thinking of pediatric offices as small businesses. There are lessons learned in other businesses that pediatricians can and should apply to their own. If you spend any time around me (or PCC) you’ll eventually hear a sermon or two about Open Source Software (OSS). Small pediatric practices can’t usually afford …

Aetna Settlements (Awake!)

Hot off the presses, plus I wanted to stop picking so much on UHC/Oxf. From the Medical Society of New Jersey: AETNA PENALIZED $9.5 MILLION AND ORDERED TO PAY REPARATIONS TO OUT-OF-NETWORK PROVIDERS This week the New Jersey Department of Banking & Insurance (DOBI) fined Aetna almost $9.5 million for its attempt to pay certain …

Compare and Contrast

From the Business Journal of Milwaukee the other day: Minnetonka, Minn.-based UnitedHealth, parent company of the Wauwatosa insurer UnitedHealthcare of Wisconsin, earned $1.2 billion, or 87 cents per share, on revenue of $18.9 billion for the quarter ended June 30, according to a company release. That’s better than the $981 million, or 70 cents per …

Billing for phone calls? After hours work?

How do I feel about pediatricians billing for phone calls, writing off weekend charges, etc.? Apparently, a conversation I had with an organization years ago just got republished in Contemporary Pediatrics‘ on-line resources. For the life of me, I don’t remember speaking to the author about it, but some of the attributed quotes have certainly …

Executive Salaries

Lest anyone think I’m a communist, I want to make it clear that I don’t think a single-payor system is the sole solution to the health care problems in the US. I don’t, however, think it’s the Bogey Man that many in our business think it is. I have as many horror stories from HMOs …

P4P Mess

To date, our customers have faired quite well under most of the P4P plans.  We have some clients adding (it appears) as much as 10% to their bottom lines.  We had one client pay for their new EHR with it.  And, for the most part, the reporting hasn’t been horrible. A new twist floated past …

My New Favorite Contract Clause

I know we have all seen it – in theory, at least. Too many people sign without reading. But this snippet sums it all up. And it’s not even from one of the “bad” HMOs: Payment Policies Payments for covered services under this agreement are subject to the payment policies. Those policies may change from …

AAP Endorsed Pediatric Coding Seminar, Aug 22 2007 NYC

That’s right – the AAP decided to get out of the seminar management business (at least for now) and we were asked to step in. Which we were grateful to do (thanks, Dr. Lander!). Unless you are the king or queen of coding, get yourself to NYC on Aug 22, the day before the big …