Readers of the my previous post, where we look at the increasing rate of vaccine refusal, surely want to better understand the massive volatility of refusal rates for flu, COVID, and RSV vaccines. As I mentioned, the months with massive refusal rates...
In our previous episode, we wondered if the anti-vaccine propaganda from the present federal (and some state) administrations has had any effect on missed or canceled well visits. Conclusion? Not that we can see in terms of misses or cancellations. T...
At PCC, we perceive our supporting role in the independent pediatric space to include doing the dirty work of measuring the impact of threats to and opportunities for pediatricians and the children they serve - (like COVID [1, 2, 3], the Change Healt...
Every year, I analyze the impact of the RVU changes on pediatricians. Why? Because what the Feds do each year has a profound, downstream effect on pediatricians. Going through this process is also how I figured out what was happening with immunizatio...
By now, you have heard of CIGNA's announcement to begin automatically downcoding E&M claims based on ICD-10 alone and not physician notes, etc. I don't believe for a second that this decision has anything to do with capturing code fraud and has e...
If you read my blog, I expect that you look at your P&L statements regularly. Ever look at it and... wonder? You're working hard, seeing patients, and collecting money well, but the results don't reflect the effort. It’s a frustrating feeling, an...
My biggest challenge writing this blog entry is trying to stay on topic. I want to discuss and argue about every element of vaccination and the pediatric motivation to vaccinate. I want to explain the difference between "making money" and being profi...
Free Payer Contract Data: A Powerful New Tool for Your Practice One of the biggest frustrations I hear from independent practices is the black box of payer negotiations. We know it's an unfair and unbalanced playing field and the payors don't negotia...
