Red Alert - Changes to First Data Bank AWP!
An eagle-eyed resource sent me this today:
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insurance
A Real Live Insurance Fee Schedule Analysis
A few weeks ago, over on PedTalk, I promised I'd make a public walk-through of an insurance fee schedule offering so folks can see the math that I like to do. We're opening Pandora's Box here and I don't want this entry to be 10 pages long, so we're ...
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Billing Services
2009 has been the year of billing service pain. Right now, Igor and I are talking to no fewer than five pediatric practices who are suffering at the hands of bad billing services. Here are some of the things I've seen and heard recently:
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A Concierge Practice Beatdown
The underbelly of the insurance industry came into view earlier this year in New York. Here's a great summary, stolen directly from histalk2.com. Look at the conclusive sentence:
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Insurance Negotiation Continues
The very first blog I ever wrote was about one client's fight with an HMO. Now, more than two years later, I continue the battle. Look at this funny message I received today, edited for brevity and privacy:
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Who Pays For What? Today: the 96110
I have had a number of off-line and on-line requests for details about who, exactly, is paying for the deveopmental testing (96110 and 96111) and non-face-to-face codes (or the "telephone codes"), so Igor was kind enough to look it up for me.
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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 just makes this a lot easier. I suspect that mo...
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CPT 99174 Ocular Photoscreening Reimbursement
Meanwhile…the 99174. Eye screening. Associated with those fancy in-office money making machines. I’ve had a handful of folks ask for details - how often do our clients use it? How much do they get paid?
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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