Illinois Attestation for Medicaid Payment Increase? Not Yet

As some of you know, The Affordable Care Act includes a historic investment to expand access to Medicaid for children. As of January 1, Medicaid payment rates are raised to at least Medicare rates for primary care and immunization services. While this increase is part of existing federal law, eligible pediatricians must sign up to receive it: States may have their own reasonable deadlines for pediatricians to sign up ("self-attest") for the … [Read more...]

Insurance Contract Negotiations: 15 Tips From a Pro

Today’s guest blog post comes from David Horowitz MD. Dr. Horowitz responded to a question on SOAPM regarding how to go about negotiating with a payer. I thought his advice was practical, to the point and very useful, so I asked him if he had an issue with me posting his response. He graciously agreed to share his comments with readers of PediatricInc. By the way, this is not an unusual response on SOAPM. Most comments are this … [Read more...]

Free RBRVS Calculator For Your Medical Practice

My friends over at Pedsource just published a free RBRVS Calculator based on 2012 data. According to the post, the data is using an annual conversion factor of $24.60. They caution that this number will change sometime between today (12/8/11) and March, 2012. Because the AMA doesn’t let anyone provide a free RVU calculator that includes CPT codes due to their CPT copyrights (booo, booo), the great folks at Pedsource (yaaay, yaaay) created this … [Read more...]