Posts

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 …

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 …

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, …

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 …

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 …

More About the Myths of Medical Supergroups

I have had the distinct pleasure and honor to be allowed a few moments in the most recent issue of the SOAPM newsletter. I believe they will have it on-line for their members any-moment-now, but I do know that the printed version has gone out, as I have already received three phone calls about it. …