Swine Flu, Part Deux

There have not been many opportunities, lately, to provide an editorial or instructive message in most of the blog entries.  There is too much important data, too many important stories to pass along that I miss my chance to lecture for a minute.  Not today. When a topic like swine flu takes over general news …

Swine Flu Help

An important message from the AAP: The Section on Telehealth Care (SOTC) distributes this special edition of Telephone Lines, our nurse triage educational newsletter, to assist practices in dealing with the Swine Flu situation.  It is our hope that this information will allow office-based and medical call center nurses to provide consistent information to patients.  …

Removal of Financial Barriers to Children’s Mental Health Services

[Today’s installment was ghost written by the obvious author.] Q was alerted by the folks who publish the Pediatric Coder’s Pink Sheet about the AAP‘s recent collaboration with American Academy of Child and Adolescent Psychiatry.  They’ve published a position paper calling for the “removal of financial barriers to children’s mental health services.” The paper addresses …

Insurance Negotiation Continues

The very first blog I ever wrote was about one client’s fight with an HMO.  Now, more than two years later, I continue the battle.  Look at this funny message I received today, edited for brevity and privacy: As promised, the outcome of my recent [HMO] “negotiations.”  At the risk of hearing Chip’s “I told …

More 96110 Payment Details

OK, I think I have written about the 96110 more than any other specific subject! First, big thanks go out to Igor for getting this data for me. Sure, he deserves a raise…we all do. The list below should not be considered a 100% accurate report of which payers, by state, cover the 96110 (or …

Who Pays For What? Today: the 96110

I have had a number of off-line and on-line requests for details about who, exactly, is paying for the deveopmental testing (96110 and 96111) and non-face-to-face codes (or the “telephone codes”), so Igor was kind enough to look it up for me. As an aside, PCC allows our customers a great deal of flexibility when …

July 2009 Pediatric Practice Management Coding Event!

t’s official – go sign up.  Space is limited.  Similar to our previous endeavors but two days, a lot of content, and the largest collection of pediatric practices in one place all year long.  The best part -it’s at Disney, you bring your family! It’s also substantially cheaper than other events held at the same …

96110 Update

I’ve written extensively about 96110 usage among practicing pediatricians in the past and wanted to provide an update for 2008/9. 96110 Charge Reimbursement Data (Paid-off Charges, 2008/9) Average Charge Average Ins. Payment Average Pers. Payment Average Total Payment 2008 $40.26 $11.01 $1.41 $12.42 2009 $38.40 $12.50 $.98 $13.48 The declining personal charges combined with the …

Non Face-to-Face Code Usage Among PCC Clients

I’ve mentioned the use of telephone codes in pediatric offices a few times previously, but it looks like I may have never actually provided any usage data!  It just so happens that the a good friend asked me, “Are most insurance companies paying for the 96110?” which made me wonder about any changes to the …

Experts Review CCHIT and Stimulus Package

About a year ago, I shared a piece from softwareadvice.com about CCHIT (on whose Child Health Certification committee I serve).  I found their original response pretty well balanced, so I now pass along their followup to the piece.  I won’t go through it like I did last time, as my points haven’t changed much, but …