Can You Keep A Secret?

I have to make it brief because today is my pesto run day. [See below for explanation.] For a few months, I have hinted from time-to-time about some changes that we’re making at PCC related to this blog. Even though we expected to be done in June, we’re only now broaching the unveiling of our …

AAP’s 2009 RBRVS Response

Thanks to my new bf at the AAP (to whom I am significantly indebted), here is a copy of the AAP’s response to the proposed RVU changes for 2009. I wrote about this a few weeks ago and would like to remind you all that you have one more day to get your comments in …

Pediatric 99239 (Hospital Discharge Day) Usage

I just realized that today’s post represents a milestone: 200 entries! Who knew? I started this blog as a lark and it’s gotten to the point that if I don’t write something every 3 days, I get backed up with too much important information. According to my blog stats, I get just under 2000 unique …

ICD-10 Is Scheduled for 2011

We’ve been hearing about this bogeyman for years, and CMS has finally made the announcement. From the Coder’s Pink Sheet, we have this summary: The proposed rule for ICD-10, which would replace ICD-9-CM, was released August 15 by the Department of Health and Human Services (HHS). Also on August 15, HHS proposed an updated standard …

Vision Screening Waiver

In my final installment from Bonnie regarding screening payment challenges, here is a sample Vision Screening Waiver used in a Real Live Pediatric Practice with success. We have already reviewed an Audiogram Appeal Letter and a Typanometry Appeal Letter. Here is the document you can use to pre-empt all the trouble. As before, the text …

Pediatric 99174 Usage

A little while ago, someone bravely asked to see 99174 usage data among pediatricians. For those who aren’t family, the 99174 is new in 2008. To quote the CPT book (but not enough to attract the ire of the AMA), the 99174 is “Ocular photoscreening with interpretation and report, bilateral.” So, waltzing into the massive …

PedTalk in Medical Economics

The article is a few months old, but it still surprises me. Medical Economics ran a quick review of the growing “doctor’s lounge” movement and named PedTalk on its short list of sites to consider. Although it seems odd to be listed among the sponsored and commercially driven folks, it’s cute nonetheless. I will have …

Typanometry (92567) Appeal Letter

As promised earlier, here is an excellent version of an appeal letter for bundling of the 92567 CPT code (Typanometry). I will include the text of this one below, as well as PDF, OpenOffice, and M$ Word versions. Thanks, Bonnie! Great stuff! Your Practice Name Address City, State ZIP Phone July 1, 2008 APPEAL LETTER …

Fear and Loathing in Idaho

Blue sky? Check. Clear lake? Check. Super slow Internet connection? Check. New digital camera dumped in the above lake? Check. As promised, and not threatened, I am on vacation this week. Was just in Seattle (had a blast) am now in McCall, ID for a few days. Will head to Sun Valley shortly and then …

Audiogram (92552)

Over the next 2.5 weeks, I am on vacation. Sadly, in my pathetic world, that means I will be still reading email and even, perhaps, posting to the blog. In order to stretch out my effort, I am going to run a series of quick appeal letters and a patient waiver related to the recent …