Posts

Latest Pediatric E&M Distribution Benchmark

By request (check the comments), here is the latest Pediatric E&M Distribution data from PCC. You can’t get it much fresher than this – a few million E&M CPT codes, from May 2007 to May 2008. I had a good, in-depth, analysis earlier this year. To understand the chart, let me explain a few things. …

After-Hours Codes And Other Scheduling-Based Codes (99050, 99051, 99053, 99058)

In 2008, the CPT definition of the classic “after-hours” codes changed. Gone is all the rigmarole about whether your hours are “posted” or whether your patients know you are open on weekends and all the other commentary that used to convince our clients not to use these important codes. The bottom line: if you see …

Pediatric E&M Distribution Update

A note over on an MGMA mailing list reminded me that I haven’t done any good benchmarks in a while, so why not quickly publish our latest pediatric E&M distribution results. Here’s a comparison of PCC’s pediatric E&M distribution, 2007 vs. 2003, when we started pushing our clients on this issue… For those scoring at …

A Pediatric E&M Tidbit

While I’m mentioning samples from my seminar collection, here’s something I just received from PCC’s coding Igor (ette). She was at a local E&M coding conference and reported this tidbit: Comprehensive exam is defensible for Medical Necessity simply by virtue of being a peds exam (developmental component not present for other specialties), by exploration of …

Brief Explanations!

Gosh, a guy makes a couple statements in a blog and now people actually want him to explain the numbers so that they make sense. There’s no satisfying the mercurial reader any more. My word isn’t good enough? Actually, my apologies for some confusing data. Let me explain yesterday’s post in more detail and, perhaps, …

Physician’s Practice Annual Fee Schedule Survey

Physician’s Practice magazine has released, both in print and on-line, the results from their annual Fee Schedule survey. On one hand, I continue to applaud PP’s effort. On the other hand, their data continues to diverge from ours considerably. In effect, the fortunes of PCC customers continue to rise while those of PP contributors continue …

E&M Distribution of -25 Modified Codes

Last week, Igor and I were looking at the usage of -25 Modified E&M codes as the information about them is a bit of an unspoken subject in our business. I can’t find any good, definitive sources so, as usual, we have to create our own. Two days ago, I posited that the distribution of …

Pediatric Modifier 25 Usage

Need proof that this is the best pediatric practice management resource on the planet? Check it out.   Oh, first: major drama at PCC’s office last night. Let’s hope this post is the closest I come to being a war correspondent. I don’t like the proximity of the event to yesterday’s message about flooding.   …

Because We Love RVUs (2006 vs. 2007)

I’ve had a request to post some information about the 2008 RVU impact, but I’ve decided to wait a day or two for the dust to settle about the latest news. Hope you don’t mind. In the meantime, let’s return to a simpler time…like this year…when the only curve-ball is the Budget Neutrality adjustment. Igor …

Pediatric Practice Vitals Dashboard Coming

We’ve been working on it for a long time (toooo long), but we are just about to officially release our Practice Vitals Dashboard service to PCC customers. “Dashboard?” you ask. “What’s a dashboard?” You’ll know them as soon as you see them. In fact, here’s a quick sample of a piece of one: This is …