Followup On Fee-For-Appeal

I have tried to get a little more information about the new appeals process being put into place by the signatories to the Love Settlement (you can read details here) but I am still not clear on a few things.  I am told by someone who is heavily involved in this process in NC that …

“Happy” Thanksgiving – Feel The Pinch

Recently, Susanne Madden predicted that the payers were going to start making “administrative” changes in the face of the economic downturn.  Well, if these two examples from the last 24 hours are any indication, we’re in for a rough ride. First, BCBS of NC and LA (and perhaps many more) institute a little change.  You …

The AAP Makes Me Proud Today

You don’t have to spend much time with me before you hear me mumble and grumble about certain subjects, one of my favorite being the (lack of) speed at which the AAP moves and how conservative it often is when protecting the needs of its members.  Imagine my pleasant surprise when I learned about their …

Effect of 2009 RVU Changes on Pediatrics

OK, overdue, but done.  Here’s what I did…I took the top 40 RVU-valid CPT codes that our clients have performed over the last 12 months and fit them into an overall model comparing the 2008 Transitioned Non-Facility Rates to the 2009 Transitioned Non-Facility rates (someone check my logic).  With the help of Siouxsie, I made …

When A Broken Furnace Leads To A Sore Neck

So, the furnace broke some time last night, just in time for our first real snow.  As I waited at home for the repair guy to arrive (his truck broke down on the way), I’ve had to be on the phone with my neck scrunched for the last hour.  Which means no great updates to …

Where GPCIs Come From!

Yesterday, I asked if anyone knows how the awkward RBRVS GPCI system is developed.  Siouxsie, of course, had the answer.  In fact, more than answer.  Those of you who are dinged by the GPCI breakdown should head Reed Tinsley’s quick review of it and then check out CMS’s PDF…and get in touch with CMS! Remember, …

Autism Speaks School and Community Toolkit

Over on PedTalk, Dr. Gewanter made a valiant attempt to post a copy of the Austim Speaks tool kit recently posted on their site.  Until I can figure out how to let folks slip files into their posts on the new PedSource site, I’ll just gleefully post them here on the blog. So, with no …

2009 RBRVS GPCI Analysis

Wow, some shockers.  Anyone here live in Alaska? Just like last year, I’ve gone through the entire GPCI catalog and have calculated the impact of the geographical adjustment changes for RBRVS in 2009.  While folks focus 99% of the attention on the impact of individual codes or the new annual multiplier, not enough attention is …

Pediatric Coding and Practice Management Event

I’m in the midst of some fun RVU analysis and I realized that I’d better get this announcement out stat!  It’s just like our other PM/Coding events, though the AAP endorsement hasn’t happened yet (it should be a week or two).  Sign up quickly, as we expect this one to be a good size.  The …

HISTalk and The Verden Group

While I work on some cool RVU research, enjoy this in-depth interview with Susanne Madden over on HISTalk. Note her specific comments about pediatricians!  It’s worth the 10 minutes, really.