Verden Group, Telephone Codes, Harvard Pilgrim

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...

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Followup On Fee-For-Appeal

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...

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"Happy" Thanksgiving - Feel The Pinch

November 25, 2008 / 0 Comments / in Insurance, Uncategorized, verden group / by Chip Hart

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...

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The Cost of Healthcare

November 03, 2008 / 0 Comments / in Insurance, Uncategorized / by Chip Hart

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

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Fear And Loathing in Columbus, OH (UHC, Humana)

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...

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The Worst Insurance / Fewer Primary Care Docs / PedTalk Cited!

September 09, 2008 / 0 Comments / in Insurance, pedtalk, Uncategorized / by Chip Hart

All external references today, folks.

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Most Common Pediatric Codes

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...

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Vision Screening Waiver

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 ...

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Typanometry (92567) Appeal Letter

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

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Primary Care Audio Conference Series

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.

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