2008 RVU Analysis, Part I – GPCI!

Each year, when the new RVU values and rates are announced, a tremendous amount of attention is paid to the “Conversion Factor” – is it going down 10% this year, after all? Will the cut only be 5%? Could it go up by 5%? Most of the time, little attention is paid to the subtle …

Stop Making the Picket Signs . . . (UHC-25)

We have had confirmation that the recent bulletin from UHC interpreted to mean that they intended to delay -25 modifier payments indefinitely does not refer to the -25 modifiers!  They are still on track for a Dec 8 “release” with backdating to October 15.  Reason #15 to always bill for things even if you don’t …

FluMist Twofer

I have two you’ll-see-it-here-first-if-not-only reports to provide you about the 2008 RVUs, but I’m reloading my personal machine (new hard drive) and I can’t get to them until Friday. Until then, you have to suffer with this important FluMist news. Why are these news items important? I’ve now seen major advertising or health articles for …

Microsoft “Health”

I have to admit that I was a bit dismayed, but fascinated, by the giant Microsoft booth at the recent AAP show in SF. The fascination came from the cool vein-finder tool (if you saw it, you know what I’m talking about – I can’t find a link quickly). The dismay came from the hype …

E&M Discussion #769 (Pediatric Coder’s Pink Sheet)

This month’s issue of the Pediatric Coder’s Pink Sheet features yours truly in a piece about E&M distribution along with Dr. Lander, Susanne Madden, and Donelle Holle. Such esteemed company! Anyway, we give away our latest E&M benchmarks: You can see the entire article by subscribing to their newsletter. It’s a good one, and you …

United Modifier Update

I hate parroting things from PedTalk and elsewhere, but this one is big (and it’s a tough week). Straight from Susanne Madden, of course, is an update to a previous important announcement from UnitedHealthCare and the AAP that was made at the SF NCE: United has decided to ‘delay indefinitely’ their implementation of the claim …

More 2008 RVU News (not good for some)

I was in the middle of re-stating these facts when I realized that Linda Walsh said it as well as I could: As you know, CMS once again implemented its work adjuster to allow for Medicare budget neutrality in light of the increases from the last Five-Year Review. For 2008, the adjustment factor increased to …

Susanne Madden arrives on the scene!

My apologies for brevity and inconsistency, but we are in the midst of a family emergency and I am racing out of town.  In my potential absence over this Thanksgiving week – and later, to augment or even replace your reading here – check out Susanne Madden’s blog!  Many of you know her from PedTalk …

2008 RVU Updates Out

[Note: Since this post, there are have been major changes to the RVUs. Check more recent posts in this blog, like this one.  You may also want to go directly to PCC’s on-line RVU tools.] First, a sincere thank you to Linda Walsh at the AAP for this update. Linda is like a sharp dagger …

Health Gift Cards Scam

If you don’t have the time to read this all, I’ll provide my conclusion here: JR is right. “Healthcare gift cards” fall only a few centimeters short of being an out-and-out scam, imo. Here’s the story. Highmark Healthplan (BCBS from PA) introduced a new product, the Healthcare gift card. The idea was to produce a …