Entries by Chip Hart

Our Children International

I was going to write about some cool pediatric benchmark data we’ve put together today, but I find this story more important and compelling. Check out Dr. Stoller’s mission to Ghana on CBS. Six years ago his mother abandoned him and his younger sister in the woods of Ghana because they were both blind. They …

Pediatric Practice Management Seminar

It dawned on me that it would be helpful to let people know about valuable pediatric resources. For example, I expect to do a quick review of groups like Physicians’ Alliance and Pediatric Federation soon. I’ll start with a self-reference: PCC’s Pediatric Practice Management Conference on July 19 in Vermont. We’ve got Donelle Holle, Drs. …

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 & …

CA Chapter 2 / Vegas Meeting

I always forget to leave notes about where we are going to be and what we’re doing when we get there! * NEW PCC Pediatric Solutions Workshop in Las Vegas, May 20 Put your practice ahead of the curve with expert guidance from PCC. PCC’s Pediatric Solutions consulting group brings their expertise to you through …

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 …

One Small Lawsuit for Mankind

I have to come up with an analogy for the Great Medical Insurance problem here in the US. The Rebels vs. The Empire? Robin Hood vs. The Sheriff of Nottingham? David vs. Goliath? None of these is just right, but they each contain elements of the issue: a giant, controlling source of pain and trouble …

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 …