Archive for category: insurance

I was paging through my daily Verden Alerts and I noticed that Harvard Pilgrim had released a new set of payment policies regarding E&M codes.  In fact, you can read it here on their WWW site, Verden...

I have tried to get a little more information about the new appeals process being put into place by the signatories to the Love Settlement (you can read details here) but I am still not clear on a...

Recently, Susanne Madden predicted that the payers were going to start making “administrative” changes in the face of the economic downturn.  Well, if these two examples from the last 24 hours are...

There’s a nice, generic blog title for ya.

I am in lovely Columbus, OH, about to meet Dr. Lander, Donelle Holle, and some clients for dinner as we prepare for our pediatric coding and practice management event tomorrow morning.  We obviously...

All external references today, folks.

I am doing some research into the most common pediatric codes in order to set up a spread/worksheet for use during an insurane negotiation.  Lots of “consultants” routinely make the mistake of...

In my final installment from Bonnie regarding screening payment challenges, here is a sample Vision Screening Waiver used in a Real Live Pediatric Practice with success. We have already reviewed an ...

As promised earlier, here is an excellent version of an appeal letter for bundling of the 92567 CPT code (Typanometry).

As I work on my great content for tomorrow, I just realized that I haven't blogged about the upcoming Primary Care Audio Conference Series sponsored by Physicians Alliance and produced by PCC.