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?
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...
