The other day, I wrote about a problem relating to Tricare’s reimbursement of immunizations. Apparently, this is an excerpt from the AAP’s Private Payer Advocacy press release or newsletter:
At the AAP-endorsed Pediatric Coding and Practice Management events we’ve been hosting, I’ve slipped in a running piece about pediatric compensation models that gets fairly good reception. Practices are eager to learn about how other practices pay themselves and I always enjoy seeing the open-mouthed astonishment when one practice says, “Oh, we are completely production-based” while another says, “Oh, that’s crazy. We split everything evenly.” Of course,
The AAP has updated and revised its RBRVS policy statement and it is included in December's Pediatrics. Yours truly provides the full PDF here, as it remains the best description of the state of RVUs and pediatrics (thanks Siousxie and the COCN). A Grafton Cheddar cheese prize for the first person who spots the grammatical mistake in the article!
You don't have to spend much time with me before you hear me mumble and grumble about certain subjects, one of my favorite being the (lack of) speed at which the AAP moves and how conservative it often is when protecting the needs of its members. Imagine my pleasant surprise when I learned about their official position on the ICD-10 code release scheduled for 2011. First, let's witness the latest salvo against ICD-10, this from Congress' Committee on Small Business - here's
The Fall SOAPM newsletter has been out for a bit and yours truly did a piece on concierge medicine. I have a fun follow-up to it, too! Make sure you join SOAPM - it’s only $30/year - to get the rest of the newsletter…
The State of Pediatric Concierge Medicine
My apologies for the recent hiatus. In the year and a half I’ve been blogging, I haven’t gone more than 3-4 days between posts, I think, except for the last week. Even during vacation. It’s just been a super busy week. We’re Shipping Out To Boston today (have to go pick up the van) and spent most of the week responding to an RFP for a big group down in Alabama. We haven’t seen an RFP in a long time. Responding to them is a real drag, but also a
Thanks to my new bf at the AAP (to whom I am significantly indebted), here is a copy of the AAP's response to the proposed RVU changes for 2009. I wrote about this a few weeks ago and would like to remind you all that you have one more day to get your comments in about the immunization admin disappointment. Copy the language in my previous post or here, it doesn't matter. Just get that letter in - pediatrics will continue to get the short end of the stick until we all stand up to be heard. I received some excellent examples of letters our clients sent...keep up the good work.
Some good data coming shortly about overdue physicals.
Blue sky? Check.
Clear lake? Check.
Super slow Internet connection? Check.
New digital camera dumped in the above lake? Check.
As promised, and not threatened, I am on vacation this week. Was just in Seattle (had a blast) am now in McCall, ID for a few days. Will head to Sun Valley shortly and then back to Schenectady, NY for my Grandma-In-Law's 100th bday. Whew.
I have another appeal letter to post (Tue/Wed), but I thought I'd send these two items along before that. Dr. Stoller shared this first one with me (and if you were a SOAPM member, you'd already know about it). Apparently, there is some confusion related to FluMist distribution and here we have, from the proverbial horse's mouth, the scoop.
Hello Dr. Stoller,
I hope all is well. As you may have heard, MedImmune is very pleased to have begun shipping our initial lots of FluMist for the 08/09 season. Currently we have shipped 500K doses to our distributors for dissemination to pediatric offices. Unfortunately, some offices have logistical concerns with the early release of product. As a member of the SOAPM committee I wanted to provide you with the details of our replacement program should you receive questions or communications like the one below.
Because FluMist does not contain a preservative, two of the initial lots will be set to expire in mid-November. Offices with private doses that expire before January 31, 2009 will be able to replace unused FluMist doses through their distributor provided that they notify the distributor before January 30th 2009. This virtually eliminates the risk of wasted FluMist doses due to expiry before the replacement date. I say virtually because the distributors reserve the right to round down the replaced doses to the nearest tenth. For example, if an office were to take in a portion of their doses now but were unable to use 32 doses before expiration, they will be able to replace 30 doses with their distributor.
Fortunately, many pediatric offices see the value in being able to immunize their patients during the summer months and school physicals. This opportunity also allows NJ pediatricians to better address the State mandate for children entering licensed preschool and daycare facilities. The duration of protection demonstrated in FluMist clinical trials also makes dosing during August / September timeframe a safe and sensible option.
Please contact me directly if you have any questions about the replacement program or suggestions regarding how we can help improve the FluMist ordering process for physicians.
Best Regards, Tony
Area Business Manager
The second item of interest comes from AAP Presidential Candidate, Dr. Kraft:
Two things to note here: