Posts

96110 Billing Problems

Many of you are familiar with the 96110 RVU snafu at the beginning of 2012.  CMS removed all the RVUs for the 96110 and then, with the help of the AAP making noise, replaced the values. Apparently, a number of  payers took this as an opportunity to stop paying on the 96110 altogether. Sigh. We did a …

2012 96110 Update – Good News [Update]

It looks like your hard work paid off!  From a CMS bulletin dated 12/29/2011: This change resulted in many questions and potentially unintended consequences for other payers. We want to be clear that Medicaid and other private payers will be able to continue to use code 96110 even though it is a statutorily non-covered service …

Meaningful Use, HHS, AAP, You Name It!

After today’s post, I am going to return with some really cool benchmark data (the sort of topic I prefer), but the news about EHRs is coming fast and furiously. My apologies for the length of the post. First, from the AAP: Thank you to everyone who helped promote the Webinar over the last few …

AAP Federal Health Care Reform Update #2

Just yesterday, we had an update from the AAP about how healthcare reform items are taking shape in Washington.  Now, we have a new one, a little more fresh.  The most important part is the “ACADEMY PERSPECTIVE” I think. MEMORANDUM July 31, 2009 To:       AAP Chapter Presidents AAP Chapter Vice Presidents AAP Chapter Executive Directors …

AAP Federal Health Care Reform Update

Today, I share a memo from the Federal Affairs desk of the AAP that pediatricians and their staff should consider.   Normally, I gloss over stuff like this (admit it, you do, too), but the comments Obama has made about child health are important and I think this is the time to make your voices …

New AAP RBRVS Materials

I’ve said more than once that the AAP is the first place pediatricians should go to learn about RVUs.  They have updated it and you can now find their 2009 RBRVS Conversion Spreadsheet on-line.  I got to help out by making a little change to the sheet (now the GPCI piece is just a pull …

Where GPCIs Come From!

Yesterday, I asked if anyone knows how the awkward RBRVS GPCI system is developed.  Siouxsie, of course, had the answer.  In fact, more than answer.  Those of you who are dinged by the GPCI breakdown should head Reed Tinsley’s quick review of it and then check out CMS’s PDF…and get in touch with CMS! Remember, …

AAP’s 2009 RBRVS Response

Thanks to my new bf at the AAP (to whom I am significantly indebted), here is a copy of the AAP’s response to the proposed RVU changes for 2009. I wrote about this a few weeks ago and would like to remind you all that you have one more day to get your comments in …

Pediatric RBRVS Danger – Get The Word Out (CMS knocks Imms Admin)

Get your letter writing implements out, spread the word, tell everyone you know. Really. I can’t over-dramatize this issue. I reported the expected pediatric-focused changes to the 2009 RVUs two weeks ago and pointed out how CMS is not planning to add the appropriate value to the PE elements of immunization administration. IIRC – and …

Pediatric RVU Update for 2009

It’s not too soon to look ahead to 2009 to see what’s in store for pediatricians as a result of the CMS machinations. I’ve ignored, as you can see, the drama over the last few weeks related to the scheduled Medicare fee cuts – there are plenty of places you can find that news. However, …