Single Payer Bogey Man
For the record, I'm not in favor of a single-payer system. But I'm also not a fan of much of the rhetoric that I hear against the concept.
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insurance
Shame on Horizon BCBS of NJ
It started when Susanne Madden sent me this "nice" message from Horizon to help me warn our clients about games Horizon continues to play. Bottom line: they expect to stop paying for -25 or -59 modified codes starting May 10, 2010.
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H1N1 Admin Reimbursement
I had grand plans to keep track of all the different payers and publicize/shame many of them, but by the time the data came in...it was too late.
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Prior Authorization Letter
Boy, I love it when my readers do all the work for me. I encourage the rest of you to do the same.
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Small Practice Takes On Big Payer, Round 77
Over on PartnerTalk (the PCC user mailing list), one of our clients mentioned trying to get UHC to the table three times and failing. I pointed out that the insurance companies have no motivation to pay attention to a small pediatric practice until y...
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We Win Insurance Fight #750
Yet another unscripted example of a client successfully fighting the managed care companies for a better fee schedule. Verbatim:
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UHC Buys Healthnet -D'oh!
OK, I admit that I missed the original headline. I was busy in FL at the Users' Conference. But here it is:
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Chronic Disease Management 101
I might be at an all-time backup on blog entries, but wanted to share this article quickly. After doing two classes about this very example here at the UC in the last 24 hours, Lynn sent me this piece about the very example I use! Way to go, Lynn.
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Podcasts/Chip Hart
I've had a busy summer and just wrapped up my time at the Florida AAP chapter's "Future of Pediatrics" annual event. Thank you to those who stopped by to say hello! In a few short weeks, it will be time for the 2024 Pediatric CEO event, which I'm really excited for. I think there are a few seats left. I write, however, to draw your attention to two free resources that every pediatric practice should have bookmarked!
Listen Here