CCHIT Public Comment Period (Important For Peds)

As you may know, I am on the CCHIT Child Health Workgroup.  My participation is related, I believe, to my criticism of the certification and it’s misuse.  But if you’re not part of the solution, you’re part of the problem, so there I am on the workgroup itself.  I think I am the only committee …

90465 Debate Revisited

I have some very interesting continued news about TriCare and I’ve had a piece about Main Street Vaccines building for a week or two, now, but I have to address this issue first. Earlier this year, I wrote about how there is a measureable difference between the payments for a 90465/90471 and 90466/90472.  Although $1.50 …

Vaccine Refusal Dismissal Letters

Over on one of the coding lists, someone asked for a copy of a “a sample discharge letter for non-compliant families who refuse to vaccinate?” and I could have sworn I had a few handy.  And I didn’t.  A quick appeal to PedTalk got me a pair of items quickly.  My thanks to Drs. Barden …

Tricare Update

The other day, I wrote about a problem relating to Tricare’s reimbursement of immunizations.  Apparently, this is an excerpt from the AAP’s Private Payer Advocacy press release or newsletter: AAP meets with TRICARE AAP President David T. Tayloe, Jr. MD. FAAP, met with Major General Elder Granger, Deputy Director and Program Executive Officer of TRICARE. …

New AAP RBRVS Materials

I’ve said more than once that the AAP is the first place pediatricians should go to learn about RVUs.  They have updated it and you can now find their 2009 RBRVS Conversion Spreadsheet on-line.  I got to help out by making a little change to the sheet (now the GPCI piece is just a pull …

The Recession and Pediatrics

Igor and I have been doing some behind-the-curtain work to examine the impact of the recession on our clients.  So far, the news is generally positive for PCC customers, but there are some signs on the horizon – or on the front page of your newspaper – that we need to keep an eye on. …

Top 100 Pediatric Health Blogs

No, I didn’t make it.  I’ll chalk it up to not quite fitting to mold of a typical pediatric blog.  But “Nursing Assistant Central,” whomever they are (there is no way to contact them on their WWW site), compiled this useful list.  They did some real research here and to have all these references in …

CCHIT and OSS

With the Obama administration arrival only a few weeks away, the discussion about CCHIT’s long-term viability is starting to heat up.  Even though I am on the Child Health Workgroup and appreciate the effort and intelligence of the civilians working with me, I still have grave concerns about the process and it’s effect on EHR …

Tricare and Immunizations

Many times I have made the following statement at the front of a room: “The only payers you can’t negotiate with are Medicare and the state-run Medicaids.  Everyone else will negotiate.”  Everyone, that is, except for Tricare.  Tricare, as most of you know, is the “private” insurance that covers the families of those who serve …

Pediatric Compensation Models

At the AAP-endorsed Pediatric Coding and Practice Management events we’ve been hosting, I’ve slipped in a running piece about pediatric compensation models that gets fairly good reception.  Practices are eager to learn about how other practices pay themselves and I always enjoy seeing the open-mouthed astonishment when one practice says, “Oh, we are completely production-based” …