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...
Earlier today, our crew here sent out a message to all of our clients about what we're seeing with the Change Healthcare debacle. Because of our position as a clearinghouse ourselves, we're able to took further behind the curtain and are willing to s...
The recent Change Healthcare hack is about more than just getting your claims to the payors or having prescriptions work. It's also about the payments making it to your bank account. Paul Vanchiere and I are going to discuss this, and quite a bit mor...
Let's be clear from the start: it's not easy to answer the stated question, "How long does it take for insurance payments to catch up to vaccine cost increases?" Often, the answer is, "Never." Plenty of you have contracts whose vaccine payments haven...
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.
SO MUCH to report. I just got back from the Pediatric CEO Intensive, which may have been the most rewarding event I've ever attended. I'll be back with Beyfortus payment data, some imms admin news, and more. But before all that, let's talk about nego...
As you should be aware, the 2021 RBRVS values have a significant impact on the relative value of some key procedures important to pediatricians, especially E&Ms.
The other day, I dashed off a quick piece about the capitation contracts some opportunistic payors are floating in front of desperate practices. Here's the longer missive....
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.
