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?
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...
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...
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 few things. I am told by someone who is heavily invol...
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 any indication, we’re in for a rough ride.
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!
