Pediatric RBRVS Danger – Get The Word Out (CMS knocks Imms Admin)

Get your letter writing implements out, spread the word, tell everyone you know. Really. I can’t over-dramatize this issue. I reported the expected pediatric-focused changes to the 2009 RVUs two weeks ago and pointed out how CMS is not planning to add the appropriate value to the PE elements of immunization administration. IIRC – and …

Hiring A Consultant

Whew, I am overwhelmed this week. I didn’t get to finish my screening data, yet, and the Users’ Conference is upon us and folks are still signing up. I worked on a PCC Facebook page (hey, go become a fan!). We had our league swim meet on Saturday and the state meet is this Saturday …

Pediatric Vision Screening Reimbursement (CPT 99173)

Back on one of the coding lists, a brave soul asked: I am curious to know what you are being paid for these. To avoid any questions, please don’t tell me the name of the carrier and what they pay……I would greatly appreciate knowing the range of PPO reimbursements for vision and hearing? I was …

Questions and Answers from April Pediatric Practice Management and Coding Conference

Long overdue, but I did try to get them right. Thanks go out to Donelle Holle as well as Igor and Q who helped check them out before posting. If you’d like a nice, neat copy, you can download the PDF. I was going to post the entire thing here, but it is much too …

Verden Quarterly Report Released

The Verden Quarterly Report (Q2 2008) has been released! This is an amazing resource and the little comments about each ranking (in the blue box, off to the side of each page) are quite enlightening. And the price is right. Note that Oxford gets a most improved award, a distinct example of what I call …

Busted at C-C-H-I-T

In the midst of our CCHIT Guidance morning, we’ve been getting a bit of a lecture about how to communicate issues relating to CCHIT. Who speaks for whom, what information we can share, etc. There was, in fact, a slide specifically telling us to call it C-C-H-I-T and not C-CHIT (as I’ve only heard it …

Medicare Veto Results

If you missed it (and I suspect many pediatricians did), Congress surprised many and actually overrode Bush’s veto of the Medicare fix. Without launching into a never-ending note about how things really should be done here, at least, is a good summary of what the effects will be on the pediatric world: Yesterday, both the …

Another OSS Update (+CCHIT)

I am in lovely Chicago prepping for my CCHIT Child Health Group meeting over the next two days. Most of my prep has been practicing saying C-C-H-I-T instead of “C-CHIT”. Apparently, the latter is gauche. On the list of 12 other members of our workgroup, I believe I know three folks already. Nearly all of …

Pediatric RVU Update for 2009

It’s not too soon to look ahead to 2009 to see what’s in store for pediatricians as a result of the CMS machinations. I’ve ignored, as you can see, the drama over the last few weeks related to the scheduled Medicare fee cuts – there are plenty of places you can find that news. However, …

More 99339 and 99340 Data

As promised, here’s a glimpse into the Care Plan Oversight usage among PCC clients from 2006 through April 2008. They used the code twelve times. No, not per month, per client, or even per year. Twelve times, total, among all our pediatricians. Now, this isn’t an enormous surprise. It’s a largely unknown and misunderstood pair …