Posts

Mark Your Calendars

Two vital dates for your schedule:   October 1, 2010 This is the new Medicare fee schedule extension date.  Until then, the 2010 Medicare rate will be maintained at the 2009 levels.  Here’s an AMA summary: This afternoon, the Senate passed H.R. 4213, a bill to extend certain tax policies and stimulate job growth, by …

Insurance Negotiation Continues

The very first blog I ever wrote was about one client’s fight with an HMO.  Now, more than two years later, I continue the battle.  Look at this funny message I received today, edited for brevity and privacy: As promised, the outcome of my recent [HMO] “negotiations.”  At the risk of hearing Chip’s “I told …

2009 RVU Calculator (Free, Of Course!)

I forgot to mention last week that I updated the Build Your Own RVU calculator for 2009.  You can find it and the instructions in the PedSource library. To make a long story short, for those who don’t know it – I really don’t like the fact that do do any proper RVU analysis of …

Ingenix Busted!

Andrew Cuomo, you are my new friend. It’s also nice to feel vindicated.  Lynn Cramer, pay attention – this relates to your questions to me about St. Anthony’s RVU values.  For anyone who is using St. Anthony’s or Ingenix to set prices, etc., pay attention here! Ingenix, owned by United, settled with the state of …

Where GPCIs Come From!

Yesterday, I asked if anyone knows how the awkward RBRVS GPCI system is developed.  Siouxsie, of course, had the answer.  In fact, more than answer.  Those of you who are dinged by the GPCI breakdown should head Reed Tinsley’s quick review of it and then check out CMS’s PDF…and get in touch with CMS! Remember, …

2009 RBRVS GPCI Analysis

Wow, some shockers.  Anyone here live in Alaska? Just like last year, I’ve gone through the entire GPCI catalog and have calculated the impact of the geographical adjustment changes for RBRVS in 2009.  While folks focus 99% of the attention on the impact of individual codes or the new annual multiplier, not enough attention is …

AAP’s 2009 RBRVS Response

Thanks to my new bf at the AAP (to whom I am significantly indebted), here is a copy of the AAP’s response to the proposed RVU changes for 2009. I wrote about this a few weeks ago and would like to remind you all that you have one more day to get your comments in …

Pediatric RBRVS Danger – Get The Word Out (CMS knocks Imms Admin)

Get your letter writing implements out, spread the word, tell everyone you know. Really. I can’t over-dramatize this issue. I reported the expected pediatric-focused changes to the 2009 RVUs two weeks ago and pointed out how CMS is not planning to add the appropriate value to the PE elements of immunization administration. IIRC – and …

2008 RVU Spreadsheet and Calculator Complete

Whew.  They are up.  Want to know what the RVU values for the top 30 codes in pediatrics will be in 2008? Want to check any code?  I finished the Build-Your-Own RVU Calculator for 2008 and the Online Pediatric RVU Calculator for 2008.  Please check my work. Update: please find the 2008 RVU Calculator files …