Posts

96110 Update

I’ve written extensively about 96110 usage among practicing pediatricians in the past and wanted to provide an update for 2008/9. 96110 Charge Reimbursement Data (Paid-off Charges, 2008/9) Average Charge Average Ins. Payment Average Pers. Payment Average Total Payment 2008 $40.26 $11.01 $1.41 $12.42 2009 $38.40 $12.50 $.98 $13.48 The declining personal charges combined with the …

Pediatric 99174 Usage

A little while ago, someone bravely asked to see 99174 usage data among pediatricians. For those who aren’t family, the 99174 is new in 2008. To quote the CPT book (but not enough to attract the ire of the AMA), the 99174 is “Ocular photoscreening with interpretation and report, bilateral.” So, waltzing into the massive …

Fear and Loathing in Idaho

Blue sky? Check. Clear lake? Check. Super slow Internet connection? Check. New digital camera dumped in the above lake? Check. As promised, and not threatened, I am on vacation this week. Was just in Seattle (had a blast) am now in McCall, ID for a few days. Will head to Sun Valley shortly and then …

Broken Promises

Yes, I’m breaking my promise to post the appeal letter today. However, that’s not the promise for which today’s entry is titled. Something more important needs to be communicated. I’ve written many times about Susanne Madden and her Verden Alerts. Why the world hasn’t pounded down her door and signed up for her service is …

Quick Users’ Conference Update

The blog is going to be thin this week because I’m dawn to dusk at the Users’ Conference. Today is our official Practice Management Conference and I still have to get my “keynote” speech together within the hour! Time to get out of my bathrobe. It has been a pleasure seeing all the familiar faces, …

Medicare Veto Results

If you missed it (and I suspect many pediatricians did), Congress surprised many and actually overrode Bush’s veto of the Medicare fix. Without launching into a never-ending note about how things really should be done here, at least, is a good summary of what the effects will be on the pediatric world: Yesterday, both the …

Pediatric RVU Update for 2009

It’s not too soon to look ahead to 2009 to see what’s in store for pediatricians as a result of the CMS machinations. I’ve ignored, as you can see, the drama over the last few weeks related to the scheduled Medicare fee cuts – there are plenty of places you can find that news. However, …

More 99339 and 99340 Data

As promised, here’s a glimpse into the Care Plan Oversight usage among PCC clients from 2006 through April 2008. They used the code twelve times. No, not per month, per client, or even per year. Twelve times, total, among all our pediatricians. Now, this isn’t an enormous surprise. It’s a largely unknown and misunderstood pair …

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 & …