Entries by Chip Hart

2007 RVU Tool

I’m looking for some volunteers to test out our new 2007 RVU Calculation Tool. I have links to 2003-2006, but those don’t work yet – I want some feedback about the 2007 first. I put this tool on-line because, thanks to the AMA, it is very difficult to freely do any kind of CPT or …

Against the Grain

In 2007, CMS gave values to two important pediatric codes for the first time, the 92551 (hearing test) and the 99173 (vision screen). Sure, the values aren’t astronomic, but that extra ~$10 for each test, which are part of a standard well visit, means a lot to a pediatrician. Then along comes Oxford. E & …

More Immunization Reimbursement

Well, sadly, not more reimbursement. That’s the problem. More about it. From the Washington Post, we have another piece similar to last month’s NYT article about the problems with immunization reimbursement for private practice pediatricians. It would be hard to overstate the importance of this subject in our world these days. Dr. Lessin is quoted …

Slowly Turning Tide

Vaccines may be saving the lives of children, but they are killing the docs who give them. Pediatricians have to pre-purchase tens or hundreds of thousands of dollars of vaccines, insure them while they sit in the fridge, and then are often paid at or less than what they paid for the vaccines themselves when …

Retention Rate

The most common worry I hear from practices considering dropping a plan is that they can’t afford to “lose all those patients.” The larger the portion those patients make of a practice, the scarier it gets. “BCBS/Aetna/Oxford/etc. is 25% of my practice! I can’t lose 25% of my visits!” Ultimately, it’s the greatest obstacle in …

2007 RVU Snag

The 2007 RVU changes were a bit of a mess. Read the AAP’s RVU brochure you’ll see this little tidbit: Budget Neutrality: Statutory guidelines indicate that revisions to the RVUs for physician services may not alter physician expenditures within the Medicare RBRVS physician fee schedule by more than $20 million from the principal expenditures that …