Posts

More 99050, 99051, 99053, 99058 Madness

As promised, I will show you the money. Click on the picture below (or here) for a better view of the average reimbursement for these scheduling based codes. What we see are fairly consistent reimbursement for the codes with the variation being explained by the additional payers being added on all the time (look at …

96110 Reimbursement Followup

As promised, here’s a followup to my 96110 data from the other day. It’s interesting to see how 96110 usage has increased in pediatricians over the years, but what are folks getting paid? Here’s the data: I know it’s hard to read, so click here or on the image to see the entire thing. So, …

Microcapitation

I just stumbled onto a goldmine of a blog whom I’ve referenced before but I hadn’t really explored. Lo! and Behold! a series of fascinating pieces about the concierge medicine concept but with language and articulation I haven’t encountered previously. A new term – microcapitation – seems to be a perfect description of the “Care …

96110 – Great News From Cigna (I Don’t Make This Stuff Up)

During the production of this blog, I have noticed a certain amount of serendipity with the information I take the time to share. If I mention, say, the concept of concierge medicine, I’ll get a call the next day out of the blue from a client who is working on it and shares her experience …

96110 Usage Among Pediatricians

The 96110 CPT code…now properly included in AAP preventive care protocols, thanks to Bright Futures. Many practices have performed the screening tests for years, but only few pediatricians actually bill for it. I’ve seen a lot of folks ask about billing for these important parts of preventive visits, so I thought I’d gather some quick …

Coordination of Care Form (and Good Story #175)

Dr. Rona Stein, in response to a request on PedTalk for a “good form [you] use to track time for coordination of care” was generous enough to offer the following form. It may not be the Magna Carta, but it works and I really appreciate her effort and willingness to share. Right-click links below for …

Insured Suffering, Too

Ripe from the NYTimes two days ago, our very own Richard Lander, M.D., quoted: Parents “are waiting longer to bring in their children,” said Dr. Richard Lander, a pediatrician in Livingston, N.J. “They say, ‘The kid isn’t that sick; her temperature is only 102.’ “ The piece is about how employee contributions, HDHPs – and …

Pediatric Financial Benchmark Update

Igor and I have been working tirelessly on the various pediatric benchmarks we track for our customers (and the rest of the world). In fact, we’ve been focusing on developing a single PCC financial benchmark figure, with a clinical one to follow. As a result of building this page, we have had to do a …

Coding and Practice Management Followup

Whew – after the conference on the 21st, I then spent a week in DC with my family (woohoo!) and have returned to over 160 follow-up questions that PCC has promised to answer. Those who attended the conference will receive a password-protected URL, just like last time, in a few weeks when we’re done. How’d …

Live From the Pediatric Coding and Practice Management Event!

I have a vision of being one of those fancy bloggers who somehow writes a “live” blog from some important event. I don’t know why, but it seems cool. So, as I type, Dr. Tuck is giving the first full lecture of the day, his CPT 101 course. Dr. Lander goes next with his “Give …