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.
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...
I started this exercise a while back to help my clients who are being courted by different "vaccine delivery vendors," each of which want to convince you to outsource your vaccine business to them. Essentially, the model is that they purchase your va...
Gallons? Miles? Tons? I don't know what the proper unit of measurement is. Oh, wait, it's hours. That's right, PCC is again sharing our annual Users' Conference content with you, the world, for free. 42 seminars from some of the best pediatric speake...
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...
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.
