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More 2008 RVU News (not good for some)

I was in the middle of re-stating these facts when I realized that Linda Walsh said it as well as I could: As you know, CMS once again implemented its work adjuster to allow for Medicare budget neutrality in light of the increases from the last Five-Year Review. For 2008, the adjustment factor increased to …

“You were right – it was easy.”

This may be my favorite email of, well, November 2007.  If not the year: …we spoke to one company who offered 110% Medicare. We countered on the phone with 140, and they called back that the best they could do was 130%!! You were right – it was easy. Yeah, this “powerhouse” office of five …

Coding and Practice Management Events

By the time any reasonable person reads this, I will be giving or have given a talk at the local AAP VT Fall meeting here in Burlington. I am quite flattered that Dr. Aakre thought me capable of being sandwiched in among the likes of Drs. Barry Heath and Wendy Davis. My talk will be …

You Can Negotiate

It’s email like this that keeps me going. To set the scene: typical practice in the northeast. More than 4 pediatricians, fewer than 8. In an area whose payers average 80-85% of Medicare (that’s no typo). Surrounded by practices whose heads have been in the sand forever and feel like their only recourse is to …

AAP NCE Day 2

How’s this for breaking news? Here’s a sneak phone-camera shot of Dr. Lander presenting a well deserving Dr. Francis with the Buzzy award. Quite a day. We all heard the great news (though overdue) about United and the -25 modifier from Dr. Lander. I’ll get the official announcement shortly and post it. Great work. The …

Chickenfeed

When asked to address the nature of an IPA on the SOAPM list recently, this is what Chip Harbaugh (the other Chip Har…) had to say. It is worth repeating. I have taken mild grammatic liberty Medicine, and especially pediatrics, has become a very difficult area over the last 10 years. We as pediatricians went …

Congratulations!

This month’s AAP News has some great news and some congratulations are in order to some PCC friends and family. First, Dr. Richard Tuck won the District V Vice Chairperson position. Wow! I can’t think of a better person to lead a district. Second, Dr. Phyllis Cavens won the 2007 AAP Local Heroes award. To …

Vaccine Showdowns (Go EBP!)

My apologies to the readers of the SOAPM mailing list, as this is a repeat, but there are too many folks who would otherwise miss this piece from the San Francisco Chronicle: Doctor-insurer disputes force parents to pay up front for shots It’s the children who feel the sting of vaccinations, but it’s their parents …

E-Mail I Love To Get

This arrived in my mailbox last week: By the way……Take a look at my SRS coding numbers from 7/23/06-9/14/06 compared to 7/23/07-9/14/07. I listened at the conference. For the unitiated, “SRS” is the name of our “Smart Support Suite” that our customers use to look at their data. It comes with all kinds of pediatric …

A Recipe For Success

Excerpts from a fun letter one of our clients put together recently. Note the results at the end. …Vaccine reimbursement is always an issue with your company. In our practice, [MCO] has the lowest vaccine reimbursement of all insurance companies. The American Academy of Pediatrics has published recommendations for vaccine reimbursement. You can find the …