Posts

Merging Practices

Here’s a great press release to start your day! Some important excerpts for those who don’t make the jump: The [payment] disparity is forcing pediatricians out of business and may be prompting the next generation of physicians to choose other specialties. “I love caring for children; it’s the best job in the world. I don’t …

0% Financing

From today’s New York Times, a piece about the use of loans to pay off expected medical balances, a couple choice quotes: Zero-interest financing, a familiar sales incentive at car dealerships and furniture stores, has found its way to another big-ticket consumer market: doctors’ and dentists’ offices. And: But as the price of health care …

PedTalk

I suspect that most of the readers of this blog are already well aware of PedTalk, the original and longest-running public pediatric discussion group. If you’re not familiar with the mailing list, here’s the summary: started in 1996, archived publically since 1997, usually somewhere between 350 and 600 active readers with thousands of visits to …

Pediatric Benchmarks I

Sorry for the delays – a busy Users’ Conference, some great family camping, and prep for an AAP coding event, and a guy gets distracted! I have grand plans for a series on pediatric benchmarks. Igor and I have been working feverishly on a series of WWW-based tools for our clients and our hands are …

Open Source Software

Not enough time is spent thinking of pediatric offices as small businesses. There are lessons learned in other businesses that pediatricians can and should apply to their own. If you spend any time around me (or PCC) you’ll eventually hear a sermon or two about Open Source Software (OSS). Small pediatric practices can’t usually afford …

Billing for phone calls? After hours work?

How do I feel about pediatricians billing for phone calls, writing off weekend charges, etc.? Apparently, a conversation I had with an organization years ago just got republished in Contemporary Pediatrics‘ on-line resources. For the life of me, I don’t remember speaking to the author about it, but some of the attributed quotes have certainly …

Against the Grain

In 2007, CMS gave values to two important pediatric codes for the first time, the 92551 (hearing test) and the 99173 (vision screen). Sure, the values aren’t astronomic, but that extra ~$10 for each test, which are part of a standard well visit, means a lot to a pediatrician. Then along comes Oxford. E & …

More Immunization Reimbursement

Well, sadly, not more reimbursement. That’s the problem. More about it. From the Washington Post, we have another piece similar to last month’s NYT article about the problems with immunization reimbursement for private practice pediatricians. It would be hard to overstate the importance of this subject in our world these days. Dr. Lessin is quoted …

One Small Lawsuit for Mankind

I have to come up with an analogy for the Great Medical Insurance problem here in the US. The Rebels vs. The Empire? Robin Hood vs. The Sheriff of Nottingham? David vs. Goliath? None of these is just right, but they each contain elements of the issue: a giant, controlling source of pain and trouble …

Slowly Turning Tide

Vaccines may be saving the lives of children, but they are killing the docs who give them. Pediatricians have to pre-purchase tens or hundreds of thousands of dollars of vaccines, insure them while they sit in the fridge, and then are often paid at or less than what they paid for the vaccines themselves when …