PCC has collected a wide array of pediatric resources for your general use. In our library, you will find articles and business resources, pediatric benchmarks, coding calculators, and sample forms, policies, and letters. Most of these resources are here thanks to the generosity of other clients in the PCC network. If you have a resource that you would like to share with others, please contact us.
Since 2001, PCC has examined the price schedules of hundreds of pediatricians from around the country. What we have discovered shocks us: The overwelming majority of private pediatricians significantly undercharge for their services. Worse, the 'systems' they use to determine their prices are not the least bit rational.
To do any kind of analysis of your practice's pricing requires working with the federally mandated RBRVS System. You either have to be a computer wiz, spend hundreds to thousands of dollars on software, or do it by hand. There is no easy solution.
As you are aware, your most common pediatric visits—your sick visits— are supposed to be distributed in a bell-shaped curve. The codes that correspond to those visits—99211 through 99215—should also follow that pattern as a general rule. It is an accepted fact that coding outside of "the curve" will lead to more chart audits and reimbursement denials. Staying within the curve, therefore, has always had practice management benefits in addition to ensuring a certain level of clinical consistency.