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...
A few weeks ago, John Canning shared with me this article from the November 1991 (now defunct) Pediatric Management magazine entitled, "The 10 Hottest Issues From Pediatric Care!"
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...
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...
When I first started this blog forever ago, posting announcements about things like the $2.8b BCBS class action settlement was a real community service given how few sources there were for practice management information. Today, you're saturated and ...
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.
