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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 …

96110 Update, 1Q 2011

A request was made on SOAPM for a better understanding of the payment for developmental screening, namely the 96110 and 96111.  Here’s the update for 1Q 2011, where we examined tens of thousands of 9611X CPT codes used by our clients.  The average charge for the 96110 was $42.02 with a low of $10 and …

More 96110 Payment Details

OK, I think I have written about the 96110 more than any other specific subject! First, big thanks go out to Igor for getting this data for me. Sure, he deserves a raise…we all do. The list below should not be considered a 100% accurate report of which payers, by state, cover the 96110 (or …

96110 Update

I’ve written extensively about 96110 usage among practicing pediatricians in the past and wanted to provide an update for 2008/9. 96110 Charge Reimbursement Data (Paid-off Charges, 2008/9) Average Charge Average Ins. Payment Average Pers. Payment Average Total Payment 2008 $40.26 $11.01 $1.41 $12.42 2009 $38.40 $12.50 $.98 $13.48 The declining personal charges combined with the …

Final 96110 and More Personalized Medicine

I have some fascinating data about the after hours, etc., codes (9905x) coming, but I wanted to share these two followup tidbits before I forget: The Developmental Screening Toolkit For Primary Care Providers looks like an excellent site to add to the list I posted the other day. In particular, here’s a great comparison chart …

96110 Reimbursement Followup

As promised, here’s a followup to my 96110 data from the other day. It’s interesting to see how 96110 usage has increased in pediatricians over the years, but what are folks getting paid? Here’s the data: I know it’s hard to read, so click here or on the image to see the entire thing. So, …

Pediatric Development Screening Tool

That’s no typo in the title. The Commonwealth Fund has released a nifty on-line tool and manual to help pediatricians decide which developmental screening tools are appropriate. I played around with it and am impressed enough to spread the word. To quote them: Pediatric Developmental Screening: Understanding and Selecting Screening Instruments informs practitioners’ selection and …