Posts

E&M Coding “Cheat Sheet”

I almost forgot about this, but Igor mentioned that a client asked for it, so here we are.I got the original idea from a couple sources, including the GA AAP and Island Coast Pediatrics a long time ago and posted their samples on PCC. The concept is to create a little E&M cheat sheet for …

Catch Up and Dashboards

I have been a little remiss in my blog duties lately – “work” intervenes. As I type, I am attending a class on dashboard design with Igor. We’ve been fascinated by what we have learned during our development of our PCC dashboards – if you want to check out a sample, go for it (name: …

Quick Insurance Termination Letter Samples

After the third request for these this week, I figured I’d post them to the blog. They’re text instead of PDF for easy cut-n-paste action, imagine that. The supposition here is that this is to an insurance company you really don’t want to get rid of if they’d only treat you properly. And these are …

The Bottom of the Totem Pole

We all knew this already. Here’s another study showing Pediatricians a distant last in the income category. It’s Fierce HealthCare’s take on a WSJ Blog. If you really want to make the bucks, primary care isn’t the way to go. That fact was underscored this week by a study from staffing firm Merritt Hawkins & …

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. …

If You Can’t Beat ‘Em, Join ‘Em

The letter begins: The Certification Commission for Healthcare Information Technology (CCHIT) is pleased to notify you that you have been selected to serve as a member of the Child Health Workgroup for our 2008-2009 certification development. More than once, I have complained about the misuse and misunderstanding of CCHIT certification, especially for pediatricians. And I …

Insurance Negotiation Story #175

I’ve ranted about how “getting big” is not an automatic recipe for success when negotiating with insurance companies. It’s rare, in my experience, that the cost of merging offices is outweighed on the contract end. Here’s an email I got just before the weekend. This isn’t a 15-20-40-80 doctor practice. This isn’t the only pediatric …

Pediatric Research in Office Settings

About fifteen years ago (yikes), I got a call from the practice I was just visiting in southern NJ. The doctor was looking for a report from Partner that would make his life easier. At the time, he needed some kind of age/gender registry count for something called PROS. I had never heard about it, …

If Crime Doesn’t Pay, How About Being A Pediatrician?

First, I am on the road this week – visiting clients, enjoying some upgrade work (keeps me fresh), and picking up a new pinball machine while our old one gets worked on. New Jersey is always an interesting place for me to visit, I must say. Pardon me for my brevity and inattention, meanwhile. Earlier …

Fun with CCHIT (New Child Health Certification Criteria)

CCHIT has announced the new optional Child Health Certification Criteria. Click on the link, read the PDF, get a sense of what hoops the pediatric EHR world is going to have to jump through shortly. I have been critical of the CCHIT certification process before. My position hasn’t changed: CCHIT certification is misused and misunderstood …