Data and other direct content.

Revenue Per Visit Benchmark For Pediatricians

A little over a week ago I gave my standard “Pediatric Benchmarks” talk (newly updated with some fascinating clinical benchmarks!) and I found myself summarizing the two or three most important measures I use when consulting for practices.  I suppose it’s ranking your favorite vital signs – they are all useful, and they all require …

Why Are Patient Payments to Pediatricians Falling?

A few weeks ago, I was exchanging emails with Dr. Suzanne Berman in TN about…geeze, I don’t even know any more. Something mildly technical and nerdy relating to pediatric practice management. While we were both on the phone looking at pediatric data, we found ourselves asking a question: what portion of the payments to pediatric …

Pediatric Chart Accuracy

PCC’s A1 Coding Resource, Jan, shared with me some interesting data today.  She has kept track of her chart audits dating back to 2008 and wondered what the results looked like.  The E&M results are fascinating. 41% of the charts match her analysis.  The practice said 99213 and the notes supported it. 12% of the …

Sick-to-Well Visit Ratio Update

A question on the SOAPM list this morning made me realize that I haven’t updated the S:W ratio data here in quite some time.  The ratio has maintained a steady drop since we started measuring and with good reasons: Vaccines work Practices are paying attention to preventive care We’ve had a few low-viral seasons High …

Pediatric CPT Data, 2015

I have so much data and information to share, I’ve been overwhelmed and, as a result, haven’t shared anything.  This is my effort to kick myself in gear. One thing I want to talk about is RVUs.  But to do a proper RVU analysis, I need to start with CPT usage. What are the most …

Free 2016 RVU Calculator

Welcome to the free 2016 RBRVS Calculator. As you may know, the AMA won’t let anyone provide a free RVU calculator that includes CPT codes due to their CPT copyrights. In an abundance of caution and, because in our unhappy experience, the AMA interprets its rights (in our opinion) overly broadly, we created this tool …

New Patient Visit Benchmark and the ACA

I mentioned I had a lot of work to do after the NCE this week.  Here’s one of the items hanging over my head (next: Down Syndrome growth charts!). During my lecture on pediatric benchmarks, someone threw me a curveball.  I feel like I’m usually pretty good with my ability to answer questions about the …

Vaccine Cost Spreadsheet

Over on the PPMA/SOAPM list, Sandi Yeater mentioned that she had created a spreadsheet that her group uses to track vaccine costs.  To quote: Yes, our finance director keeps a spreadsheet by vaccine by insurance company, and checks it once each quarter. If we are not getting paid our full costs for a vaccine a …

HPV Coverage

Last week, there was discussion on the SOAPM list about HPV coverage rates and the factors that affect it.  There is some consensus that the importance of this vaccine is more difficult to communicate to parents as many of them (illogically) relate it to sexual activity and don’t want to open that Pandora’s Box with …

96110 Coverage During Well Visits

This blog is going to raise more questions than it answers, but one let’s get one of the few clear answers we have out of the way: pediatricians do not appear to follow Bright Futures’ periodicity schedule for developmental screening.  I realize that may not shock many of you, but you might be shocked to …