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 ...
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:
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:
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:
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.
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...
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?
I had a great time speaking to Drs. Bravo and Rogu on their growing podcast, The Pediatric Lounge, to discuss the state of independent pediatricians and the use of data in a pediatric practice. They are cranking out episodes (which is a good thing) and anyone who supports independent pediatricians should tune in to their effort. What they are doing takes a tremendous amount of work and their guest list is amazing (well, besides me). They turned our conversation into back-to-back episodes (32 and 33), "Independent Pediatric Practice 2022" and "Data Data Data and Managing a Pediatric Office." If you prefer video, you catch up on their YouTube channel.
