About the Author

Chip Hart, author of Confessions of a Pediatric Practice Management Consultant

Chip Hart, author of Confessions of a Pediatric Practice Management Consultant

Chip Hart is the Director of PCC’s Pediatric Solutions consulting group and author of the popular blog Confessions of a Pediatric Practice Consultant. Chip’s 25 years of pediatric practice management expertise has helped hundreds of pediatricians increase their clinical and financial health. He has conducted many successful insurance contract negotiations on behalf of his clients and worked as a consultant for the American Academy of Pediatrics (AAP) and the AAP Section on Administration and Practice Management (SOAPM).

As a dynamic and motivating speaker, Chip leads educational seminars and consults for pediatric professionals nationwide for organizations like the AAP, state chapter AAP programs, the MGMA, and various physican and hospital organizations around the country. Chip was a member of the CCHIT Child Health Work Group and is a member of the CDC Clinical Decision Support and Children’s Model EHR Format working groups.

Chip contributes articles on practice management and health care information technology for Pediatric Coding Alert, the AAP’s SOAPM Newsletter, Medical Group Management Association, the Independent Pediatrician and more.

Chip lives in Vermont with his wife and their two sons.

5 thoughts on “About the Author

  1. Pingback: Benchmarking Evaluation & Management Codes – PediatricInc

  2. Dr. Agnes Schultz is very committed to vaccinate all children when it is appropriate and not to allow missed opportunities. The case is we have lots of Medicaid patients, and are able to give VFAC vaccines at no cost to the practice, but we also purchase a private vaccine supply for patients covered by commercial insurance. The major problem for us, we do not get paid by these insurance companies ever to cover our cost. We get partial payments. Sticking to our vaccination efforts will leave our office hurting financially. The doctor believes it is just right to bill the non-covered portion of the vaccines to the guarantor, or patients parent, but our billing personnel that we cannot do that. How can this be possible? Please advise ASAP, because we have to make a decision.

    Frustrated, angered, confused SC Provider

    • Your billers are (probably) right. Your insurance contracts spell out what you are going to be paid by private insurance. You can’t then bill the patients for the remainder that you think is right. Sad but true!

      If you are not generating enough revenue to cover your immunization administration from certain payers, you should stop immunizing patients from those payers and send them to the health clinic. It is not your financial obligation to immunize society. More importantly, you should join SOAPM, find out who is at your state AAP chapter, and enlist help from your peers!

  3. “Not going broke” on something (vaccines) that was 25 to 30% of my total budget still stinks. Wal-mart would close its doors rather than take what I’ve had to take for vaccines. It’s one thing to have a small “loss leader”, but vaccine reimbursement to pediatricians is a disgrace, no matter how you try to paint it. –Chris Hickie, MD, PhD

    • I just presented a seminar on The Vaccine Business Case (or, “How to give vaccines without wrecking your practice!”) for the second year in a row at the AAP NCE – I couldn’t agree more.

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