Pediatric Diagnosis Code Distribution

I was looking at the way some of our clients use different encounter forms for different types of visits and was wondering about the best ratio of space in the design for diagnoses vs. procedures – should an encounter form be mostly filled with procedure codes or ICD-9 codes?  Or should it be 50/50? I …

Really, We Don’t Ration Care and Access is Wonderful! (Shame on GA Caid and Aetna)

“Kids caught in Medicaid pay crossfire” says the CNN article from yesterday.  No kidding.  There are two important reasons to read this piece.  First, it highlights the challenge that pediatricians face when working with Medicaid patients – it usually doesn’t pay enough to keep your doors open.  There’s a reason why only 20% of our …

Mark Your Calendars

Two vital dates for your schedule:   October 1, 2010 This is the new Medicare fee schedule extension date.  Until then, the 2010 Medicare rate will be maintained at the 2009 levels.  Here’s an AMA summary: This afternoon, the Senate passed H.R. 4213, a bill to extend certain tax policies and stimulate job growth, by …

Single Payer Bogey Man

For the record, I’m not in favor of a single-payer system.  But I’m also not a fan of much of the rhetoric that I hear against the concept. In particular, I have always wondered why those advocating for the strength of choice aren’t presently railing at the lack of payer choice for both physicians in patients …

Phone Code Update

A surreal moment – I am in Richmond, VA listening to Dr.Lander talk about coding during the Pediatric Alliance/VAAAP event while working on the blog.  And watching my laptopbattery drain quickly! About a year ago, we did a quick run-down on the “non face-to-face”codes, more commonly known as “billing for phone calls.” It was both encouraging and sad at the …