Posts

Trench Stories II (or, “Do The Math”)

It’s difficult to narrow down the math stories to just one, there are so many, but here’s this week’s for a start. From one of the only payors who behaves worse than United/Oxford, a letter to a client of ours in the northeast: The best offer the [we] will provide to your practice is 100% …

Trench Stories I (or, “Harnessing Mom Power”)

Over the next few days, I’m going to post a sampling of stories of the things I’ve seen from our clients just this week regarding insurance negotiations. As so perfectly put by Dr. Rogu in a recent comment, awake sleeping giants! Identifying information has been removed. So, from client #1: …after review and some quick …

Immunization Registry Woes

When we first began working with various immunization registry programs over 10 years ago, we were really excited. What a great idea! All the data is there, why not use it to improve healthcare?  PCC interfaces with 15? 20? different states, for free, because we think it’s such a good idea. I even had a …

The Tide Rises . . . as does my backlog

I see a small pile of 1/2 finished entries. My travel schedule is making it difficult these days! Some good, interesting news from the Medical Society of New Jersey: May 14, 2007: Senate Bill No. 2652 and Assembly Bill No. 4182 sponsored by Senator Joe Vitale and Assemblyman Herb Conway, addressed the new policy of …

CA Chapter 2 / Vegas Meeting

I always forget to leave notes about where we are going to be and what we’re doing when we get there! * NEW PCC Pediatric Solutions Workshop in Las Vegas, May 20 Put your practice ahead of the curve with expert guidance from PCC. PCC’s Pediatric Solutions consulting group brings their expertise to you through …

More Immunization Reimbursement

Well, sadly, not more reimbursement. That’s the problem. More about it. From the Washington Post, we have another piece similar to last month’s NYT article about the problems with immunization reimbursement for private practice pediatricians. It would be hard to overstate the importance of this subject in our world these days. Dr. Lessin is quoted …

One Small Lawsuit for Mankind

I have to come up with an analogy for the Great Medical Insurance problem here in the US. The Rebels vs. The Empire? Robin Hood vs. The Sheriff of Nottingham? David vs. Goliath? None of these is just right, but they each contain elements of the issue: a giant, controlling source of pain and trouble …

Slowly Turning Tide

Vaccines may be saving the lives of children, but they are killing the docs who give them. Pediatricians have to pre-purchase tens or hundreds of thousands of dollars of vaccines, insure them while they sit in the fridge, and then are often paid at or less than what they paid for the vaccines themselves when …

Retention Rate

The most common worry I hear from practices considering dropping a plan is that they can’t afford to “lose all those patients.” The larger the portion those patients make of a practice, the scarier it gets. “BCBS/Aetna/Oxford/etc. is 25% of my practice! I can’t lose 25% of my visits!” Ultimately, it’s the greatest obstacle in …

2007 RVU Snag

The 2007 RVU changes were a bit of a mess. Read the AAP’s RVU brochure you’ll see this little tidbit: Budget Neutrality: Statutory guidelines indicate that revisions to the RVUs for physician services may not alter physician expenditures within the Medicare RBRVS physician fee schedule by more than $20 million from the principal expenditures that …