Vaccine Refusal Policy Survey

I am trying to get an understanding of the relative percentage of pediatric practices who have vaccination requirements for their patients.  I don’t know for certain how common it really is – my gut feeling is that far more practices try to limit their patient bases to those who actively vaccinate than is understood. I’ve …

2015 CPT Update For Pediatricians (feat. Donelle Holle)

Donelle Holle is the greatest.  If you know who she is, I don’t need to explain, but for those who don’t: Donelle is one of a small handful of pediatric coding speakers worth listening to and perhaps the only person I fear following at a seminar.  Her dedication to pediatric coding education is unsurpassed. One …

New Years Resolutions

You’ve finally cleared out the empties from New Year’s Eve and have even been the gym a few times as one of your resolutions.  But what about your practice?  How can your practice “lose 15 pounds?” We start with an an annual assessment.  Making changes in your office is made easier with some data, some …

Russell Libby And the Ghost Independent Practice Future

Before I give my annual RVU update, I’m going to turn the mic over to Russell Libby, recent Buzzy Vanchiere Award recipient, in a piece that I’ll entitle “The Ghost of Independent Practice Future.”  Some of these…predictions will certainly come true.   It was 11 AM and I had already seen 10 of my prescheduled …

Best Breast Feeding Presentation…Ever

No need to look for a good breast feeding presentation any longer.  This is it.  Every expecting family, every pediatrician, everyone you know should spend the 11 minutes needed to watch Todd Wolynn speak about breast feeding.  It’s compelling, it’s funny, it’s painful.  And in the end, it’s inspiring. https://www.youtube.com/watch?v=gqB44IYKRvs The presentation isn’t great simply …

Best Insurance Letter of 2014

Let me set the scene: this is a letter from a pediatric practice with both a child psychiatrist and a psychiatric NP (great start to a story!).  A large, gorilla payer subcontracts its mental health care to another well-known “healthcare management company” who presents a no-negotiation contract significantly below Medicaid rates. The practice has little …

Amazing List of Screening Tools

I originally started this blog as an effort to publicly share resources and stories that I’ve gathered over the years and boy did I just land a doozy.  Thanks to Jan @ PCC, who dug up A Table of All Screening Tools and Rating Scales.  I presume – and encourage verification – that these are …

How Much Should I Pay My Employed Clinician?

I will admit it – I am jealous and regret that I didn’t come up with this myself. I should have and didn’t.  The worst part is that it’s so good that I can’t really improve on it. What am I talking about?  PMI’s Provider Compensation Tool. For the last few years, I’ve lectured about …

Which RVU Year Should I Use?

[Anyone going to the TPS meeting next week? Or the NCE in San Diego? Come say hello! And don’t forget that you can subscribe to this blog just by giving me your email in the box in the upper right. You’ll get a copy of each new blog I post, about 1-4 a month. And, …

HIPAA and Credit Cards

Note: this is a long post about untested legal issues. I may not know what I am talking about, so I welcome input! Executive summary: if your financial services vendor does more for you than swipe your credit cards  – such as storing card numbers, mailing collection letters, setting up payment schedules/budgets, confirming addresses, sending …