Posts

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 …

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 …

Pediatric Vision Screening Reimbursement (CPT 99173)

Back on one of the coding lists, a brave soul asked: I am curious to know what you are being paid for these. To avoid any questions, please don’t tell me the name of the carrier and what they pay……I would greatly appreciate knowing the range of PPO reimbursements for vision and hearing? I was …

Questions and Answers from April Pediatric Practice Management and Coding Conference

Long overdue, but I did try to get them right. Thanks go out to Donelle Holle as well as Igor and Q who helped check them out before posting. If you’d like a nice, neat copy, you can download the PDF. I was going to post the entire thing here, but it is much too …

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 …

The AMA’s “Cure For Claims” (Wow!)

I don’t know how I missed this announcement (thanks, Bob @ PhysAll), but the AMA has embarked on an advocacy campaign specifically targeting the baloney that goes on during the insurance claim submission process. Now this is the kind of work I want to see the AMA doing (instead of restricting the rights of its …

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, …

Ghana and RVUs

Now here’s a combination of topics that no one will ever look for. I don’t know, for “search engine optimization purposes” whether mixing two items like this is better or worse than writing two quick blog pieces (and pushing content further down the page or into the archives), but I won’t worry about it. First, …

Andrew Cuomo, UnitedHealthCare: Duh

Those of you who have the misfortune of having spent time with me know that I tell a lot of stories, often more than once. I also use the same punchlines a lot. One little routine I’ve inserted into seminars, phone calls, and lunches a thousand times over the last decade is the UHC/Ingenix piece. …