Every year, I analyze the impact of the RVU changes on pediatricians. Why? Because what the Feds do each year has a profound, downstream effect on pediatricians. Going through this process is also how I figured out what was happening with immunizatio...
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...
If you read my blog, I expect that you look at your P&L statements regularly. Ever look at it and... wonder? You're working hard, seeing patients, and collecting money well, but the results don't reflect the effort. It’s a frustrating feeling, an...
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...
Free Payer Contract Data: A Powerful New Tool for Your Practice One of the biggest frustrations I hear from independent practices is the black box of payer negotiations. We know it's an unfair and unbalanced playing field and the payors don't negotia...
After we close the books on a year - which usually takes longer than you'd think - it's nice to look back and take measure of our work. Well, pediatricians, here you go...the 75 most common CPT codes used by our clients in 2024. It represents about 9...
With increasing discussion about the usage of G2211 brewing on SOAPM, at two consecutive chapter meetings (FL, NJ), and SOAPM, I thought I'd provide a real-time update about actual, real pediatric usage of this new an interesting CPT code. Before you...
Just last week, the Feds finally posted the 2024 RVUs in the official spot I like to retrieve them from - I don't know why they were so late, we even had to write to them to see what the delay was. No response, yet, but POOF! they appeared.