A few years ago, if I told you that eventually you'd be expected to order genomic testing, you would have laughed and gone back to referring patients to genetics. Not because you can't understand the testing. Because the healthcare system trained you...
At PCC, we perceive our supporting role in the independent pediatric space to include doing the dirty work of measuring the impact of threats to and opportunities for pediatricians and the children they serve - (like COVID [1, 2, 3], the Change Healt...
As of January 1, 2026, we get to enjoy three landmark CPT codes—90482, 90483, and 90484—specifically designed to capture the clinical effort involved in immunization counseling when a vaccine is not administered during the same visit (thank you to th...
By now, you have heard of CIGNA's announcement to begin automatically downcoding E&M claims based on ICD-10 alone and not physician notes, etc. I don't believe for a second that this decision has anything to do with capturing code fraud and has e...
I have a lot to share, suddenly. Details about The Great Downcoding (AETNA!), the 2026 RVU values, oh - and my new podcast. But this news is more timely.
My biggest challenge writing this blog entry is trying to stay on topic. I want to discuss and argue about every element of vaccination and the pediatric motivation to vaccinate. I want to explain the difference between "making money" and being profi...
Dr. Sandy Chung - who should need no introduction, but you can click right there if you need to - is looking to recruit at least 100 pediatricians in independent practice who are interested in joining a collective effort to purchase malpractice insur...
Things have been busy lately. Perhaps not busy, but...chaotic. You're feeling it, I'm feeling it, we're all feeling it. I promise: we will get through it. And when I say, "it" you all know what I'm talking about. The AAP sure does! [Bravo, SueK and c...
