Back in April, I wrote a piece about the opportunity many practices are missing by not embracing the swine flu issue. I know it's easy for me to say, of course, but I think pediatric practices should be racing to be the source for providing the swine flu vaccines. Give this function away and you've whittled away another task from your repetoire that someone else can do.
Just in my 1 and 1/2 hours of triage this morninig
Four swine flu questions resulted in
TWO ASTHMA CONTROL visits w/PFT/seasonal flu vaccines MDI teaching
ONE well visit
and FIVE seasonal flu shots (including 2 parents who pay TOS)
By bringing in patients early (300 FLUMIST and 500 injectable flu vaccines)
given since Aug 5 for payments of > $19,500.00 to date and $4300 in
payments for vaccine product alone! This will give a big boost to the
Sept/Oct payment dip usually related to decrease in well and preventative
visits in Sept
with the swine flu we are first to sign up admin fees are $5.00 to $23.00
each depending on 1st or second < or > 8y
Who needs marketing this winter? patients...are knocking down the door !
Exactly. Just as the complaints roll in about the practices slowing down with the economy, we get the biggest boost I've seen in 20 years and most people want to put their heads in the sand! But not my readers :-)
Yes, I took a long break. Sorry about that. When I don't blog, one of two things is happening - I'm either on vacation (but still blog then most of the time anyway) or I am so overwhelmed with things to discuss that I can't figure out where to start. I don't like just throwing up lists of links without proper support or commentary. But I need to get this backlog broken somehere, so here it goes:
Buried, which seems to be my status since August. Some interesting items:
Finally, here's the big one today. What is the purpose of the new Swine Flu admin code? It makes no sense to me. Pediatricians are finally getting their heads around admin codes vs. product codes and the AMA races in to create a new product-specific admin code?
It used to be important to distinguish how the vaccine was given - oral/intranasal vs. injection. Now, all that is tossed out just for this one strain of the flu. What's going to happen when some avian strain hits? Or Swine Flu II? Keep adding new admin codes?
I am upset about this because we have two new sets of codes, admin and product, to record the swine flu, doubling the number of codes that will be rejected by the payers when the time comes. Note that I said, "will." But we gain nothing, as far as I can tell, in terms of data tracking...I can't tell how the immunization is given (fat luck comparing efficacies). I don't know if counseling was given or if the recipient us under 9yo.
Someone smarter than I am, and that's most of you, tell me what I'm missing.
If I boycott the swine flu, is that as good as a vaccination?
You see, I really want to talk about something else, but I can't hold off forever.
I've been erratic, I know, but that's life on the road (another broken hard drive!) and at home with two H1N1 kids. Here's the latest:
Anyway, one of the big clearinghouses re-submitted all the claims - good work. The others? How's this for customer service?
Apparently, we discussed it [reprocessing affected claims], but since we cannot identify the procedure codes rejected in error, we have to [sic] requested the clients resubmit the claims."
Quote straight to our EDI guys from a clearinghouse. Insane.
The biggest problem is that it will accept the data only for those children already in the registry, predominantly those born in state in the last 7-10 years or however long this has been running. Anyone older or from out of state who was not entered subsequently will have to entered manually now. I didn't check but I'd bet that's the majority unless you are limiting the vaccine to the younger ages right now.
Really, I mean it - interesting data ASAP. I have a ton of it!