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
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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Ingenix Busted!
Andrew Cuomo, you are my new friend.
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CCHIT and OSS
With the Obama administration arrival only a few weeks away, the discussion about CCHIT’s long-term viability is starting to heat up. Even though I am on the Child Health Workgroup and appreciate the effort and intelligence of the civilians working w...
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Tricare and Immunizations
Many times I have made the following statement at the front of a room: "The only payers you can't negotiate with are Medicare and the state-run Medicaids. Everyone else will negotiate." Everyone, that is, except for Tricare. Tricare, as most of you k...
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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!
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