Posts

Payer Shenanigans and HITECH Loophole

This is a long one, but worth reading.  The names have been changed to protect both the innocent and the guilty. The story begins with a clever pediatric practice who decides that since Insurance Company A (we’ll call them Cygnus to keep it short) does not want to pay for the 99051 code, it will …

A Real Live Insurance Fee Schedule Analysis

A few weeks ago, over on PedTalk, I promised I’d make a public walk-through of an insurance fee schedule offering so folks can see the math that I like to do.  We’re opening Pandora’s Box here and I don’t want this entry to be 10 pages long, so we’re ignoring some important aspects of this …