Welcome to the free 2026 RVU Calculator. As you may know, the AMA won’t let anyone freely distribute an RVU calculator that includes CPT codes without signing a limiting and expensive licensing agreement. In an abundance of caution and, because in ou...
Every year, I review the latest RVU release to understand how the changes will affect my clients and other independent pediatric practices - you can see my pediatric comparison here. Since 2020, it's been a somewhat muted endeavor because all the pay...
Every year, I analyze the impact of the RVU changes on pediatricians. Why? Because what the Feds do each year has a profound, downstream effect on pediatricians. Going through this process is also how I figured out what was happening with immunizatio...
By now, you have heard of CIGNA's announcement to begin automatically downcoding E&M claims based on ICD-10 alone and not physician notes, etc. I don't believe for a second that this decision has anything to do with capturing code fraud and has e...
I have a lot to share, suddenly. Details about The Great Downcoding (AETNA!), the 2026 RVU values, oh - and my new podcast. But this news is more timely.
If you read my blog, I expect that you look at your P&L statements regularly. Ever look at it and... wonder? You're working hard, seeing patients, and collecting money well, but the results don't reflect the effort. It’s a frustrating feeling, an...
My biggest challenge writing this blog entry is trying to stay on topic. I want to discuss and argue about every element of vaccination and the pediatric motivation to vaccinate. I want to explain the difference between "making money" and being profi...
Free Payer Contract Data: A Powerful New Tool for Your Practice One of the biggest frustrations I hear from independent practices is the black box of payer negotiations. We know it's an unfair and unbalanced playing field and the payors don't negotia...
