Posts

Code Right!

So, I know a guy who knows a guy and he knew a guy…you know how it goes.  Well, one of those guys made a cool new iPhone app designed specifically for calculating immunization administration codes.  I helped a little with some technical questions, so it was amazing to see some of these things I …

2011 Immunization Admin Review

Here’s a little glimpse behind the magic curtain. Usually, I’ll stew at my desk at work or when driving home thinking about some pediatric issue that’s bothering me.  After a while, if I get some free time, I’ll do a little research and see if I can reach a useful conclusion that’s worthy of sharing …

Conspiracy to Defraud Pediatricians

[Note the continued updates at the end] I have avoided blogging for over a week as I tear my hair out dealing with the transition to the 2011 Immunization Administration codes for our clients. I am going to name names below and if anyone representing any of these organizations would like to correct my information, …

Quick and Dirty 2011 IA Comparision Tool

After bantering around with some SOAPM and PedTalk folks off-line about the impact of the 2011 IA codes, I decided to whip together a quick tool to allow you to compare the potential income difference between the new codes and old.  It’ll let you compare, say, a kindergarten visits being coded both ways.  Or let …

2011 Imms Admin Letter Response

About a month ago, I published a letter written by the AAP that I encouraged dear readers to submit to their local MCOs and other payers in an effort to straighten out the upcoming imms admin debacle in advance.  I know that some local AAP chapters have been very active with this endeavor but I …

2011 Immunization Admin Letter for Payors

I could probably publish a full-time blog just on the materials that The Verden Group produces. The latest comes from an effort on SOAPM to construct a letter that every pediatric practice should send to ever payor to which it submits claims in order to jump start the process of finding out how imms admin …

H1N1 Admin Reimbursement

I had grand plans to keep track of all the different payers and publicize/shame many of them, but by the time the data came in…it was too late. Still, how have PCC clients fared with the new H1N1 administration code? Better than I would have guessed. The bottom line is that PCC clients averaged $14.90 …

Swine Flu Coding and Other Interesting News

Buried, which seems to be my status since August.  Some interesting items:  An official study indicating that the use of an EHR can improve primary care and supports the Medical Home model.  This is something our clients have known for 25 years.  Again, the MGMA tells us that “Medical practice revenues fall.”  At first, I …

Immunization Coding Update

First, some amazing news.  I understood that it might happening, but I guess it’s official: new admin codes: The American Academy of Pediatrics (AAP) was successful in obtaining new CPT codes for immunization administration. The new codes will replace the 90465-90468 immunization administration codes starting January 1, 2011 to better reflect the work associated with …

Fear And Loathing in Columbus, OH (UHC, Humana)

I am in lovely Columbus, OH, about to meet Dr. Lander, Donelle Holle, and some clients for dinner as we prepare for our pediatric coding and practice management event tomorrow morning.  We obviously won’t have the crowds we get in Washington or NYC, but it will be a pretty full room still!  If you are …