Payer Shenanigans and HITECH Loophole

This is a long one, but worth reading.  The names have been changed to protect both the innocent and the guilty. The story begins with a clever pediatric practice who decides that since Insurance Company A (we’ll call them Cygnus to keep it short) does not want to pay for the 99051 code, it will …

The Latest CCHIT and ARRA Conversation

As many of you know, I am on the CCHIT Child Health Workgroup, which has been both a delight and an exercise in futility.  The focus and capability of the folks on that committee is intimidating, to say the least…but, sadly, we have not met since last September, if I have my dates right.  Everyone – …

Alternative Growth Charts and EHRs

I remember, quite clearly, the CCHIT committee conference call where I learned the truth.  “I’m sure there are sources for alternative growth charts.  I’ve seen them with my own eyes,” I said as Dr. Marcus tried to convince me otherwise  I couldn’t believe that the well-known, non-standard growth charts – for Downs children, preemies, etc. …

Convenience Clinics

I’m finishing up the weekend here in Skytop, PA, where I’ve tried to contribute to the annual Goryeb/Atlantic Health conference.  I always enjoy the experience but my family enjoys it even more…  The feedback I hear is that the clinical component is always excellent and it’s a pleasure to run into old friends, especially the PCC …