Pediatric Coding

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When Dr. Kathy Cain saw an unfair insurance policy was reducing payment for her services in her home state of Kansas, she did not take it lying down. Instead, with the help of her physician networks, Cain was able to change the policy over years after a long search for her voice to be heard. This article provides a quick primer on medical coding and its potential manipulation, as well as a brief background of one of the major market leaders in the healthcare insurance industry and how one woman took them on—and won.
At Parker Pediatrics and Adolescents in Colorado, Dr. Jay Rabinowitz took a leap into the unknown by bringing licensed mental health professionals into his practice as employees. Dr. Mark Harris went on a similar journey in Vermont, where he integrated mental health services into his practice, Upper Valley Pediatrics, in the 1990s. In both locations, integrated mental health care has been beneficial for patients and providers, filling a dire need in the community.
The evidence that physicians can be as successful at business as they are at care-giving continues to mount, suggests Pediatric Practice Consultant Chip Hart, who cites independent pediatricians who have capitalized on business acumen and an inner drive to thrive financially.