April 17 Coding Conference Update

Registrations have been flying in for our coding conference in April.  Interestingly, most of them are from “out of town” practices – TX, TN, OH, you name it.  We were told by the hotel that DC-folks are notorious for signing up at the last minute…we may be telling them that there’s no room at the …

Measles, Immunization Registries

I have to admit that it’s difficult to keep up with the blog when I get hit by a combination of visits to clients, snow days, a sick kid, and school vacation. Woo hoo. I often find myself sitting up in bed (or the mental equivalent, it’s cold here) thinking, “Oh my gosh, I have …

Perfect Pediatric Concierge Practice Example

Over on one of the MGMA mailing lists (whose content and quality seem to diminish over time), the ED of an interesting organization – True North: Maine’s Center for Functional Medicine and the Healing Arts – posted a message about their cash-only business. I poked around and found this segment in their pediatric section: Best …

WSJ Looking into UHC Problems – Help Out!

From Susanne Madden, queen of The Verden Group: I had an interesting conversation with a reporter at the WSJ this afternoon. She would be very interested in speaking any physicians who have experienced service and claim issues with UnitedHealthcare. If anyone is interested, can you email me at this address? If you read this blog, …

Pediatric E&M Distribution Update

A note over on an MGMA mailing list reminded me that I haven’t done any good benchmarks in a while, so why not quickly publish our latest pediatric E&M distribution results. Here’s a comparison of PCC’s pediatric E&M distribution, 2007 vs. 2003, when we started pushing our clients on this issue… For those scoring at …

A Pediatric E&M Tidbit

While I’m mentioning samples from my seminar collection, here’s something I just received from PCC’s coding Igor (ette). She was at a local E&M coding conference and reported this tidbit: Comprehensive exam is defensible for Medical Necessity simply by virtue of being a peds exam (developmental component not present for other specialties), by exploration of …

Andrew Cuomo, UnitedHealthCare: Duh

Those of you who have the misfortune of having spent time with me know that I tell a lot of stories, often more than once. I also use the same punchlines a lot. One little routine I’ve inserted into seminars, phone calls, and lunches a thousand times over the last decade is the UHC/Ingenix piece. …

Concierge Pediatric Practice

Back on the SOAPM list, I saw an interesting discussion about concierge practices. There was the usual commentary (‘Only crazy people in super special circumstances could do that!’), so I thought I’d take a moment to dispel some of the myths. I suspect that if some of the naysayers stopped to do some simple math, …

E-Bills and Eligibility

Igor has been very busy lately, and he decided to look into how much our clients benefit from using two of Partner’s features: the ability to send “electronic bills” and automatically check eligibility. For the sake of definition, “electronic bills” are when customers hit a button and all of their bills go shooting out across …

CCHIT and Pediatricians

Over the past year or so, we have had a lot of questions here at PCC about CCHIT certification. “Will PCC’s EHR be certified? Is a non-CCHIT certified EHR bad? Do we need a CCHIT certified EHR?” What is CCHIT? For those who aren’t dealing with every day, it a certification process by which an …