Entries by Chip Hart

Fighting the Empire

A customer called me yesterday to ask, “[Evil Empire HMO] has finally come to the table and is offering me 100% of Medicare on my E&Ms…should I take it?” Normally, I’d say, “100%?  That’s a joke.”  But this client was calling from a part of the country where pediatric practices average 65-75% of Medicare.  I …

Google Surfing Lottery

Sorry, benchmarks will have to wait. It’ll be worth it, though. Poking around Google is a notorious pasttime but, as we all know, it sometimes pays off. Today, a click-here and a click-there, and I ended up on the long running blog of Reed Tinsley. Although I definitely don’t agree with everything he says, more …

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 …