Pediatric Council

 

WHAT IS THE PEDIATRIC COUNCIL?

The pediatric council is a group of volunteer physicians who meet to discuss pediatric issues with payers. The council aims to facilitate better working relationships between pediatricians and health insurance plans.  Unified under the common purpose to improve the quality of care for children, the Council argues the merit of improving coverage for pediatric services that have important value to overall health outcomes.


The pediatric council is not a forum for joint contract negotiation, individual contract discussion or other fee-related concerns.  The council's goal is to help pediatricians to smoothly and efficiently run their practices and improve adjudication of health plan claims.


HELP US ADVOCATE FOR YOU

Many wonder what they can you do when encountering a payer issue, an administrative problem, or a claims processing concern.  The simple answer is tell us.


The online Hassle Factor Form can be completed online to report these insurance issues and irregularities.  Both the chapter's pediatric council and National AAP will receive this information in our joint effort to identify trends and facilitate our advocacy with payers.


Without sharing your experience, we cannot help!  




NEW RULES ON STEP THERAPY

Last year, Governor Ralph Northam signed into law HB 2126, which reformed step therapy protocols in Virginia.

 

Now that the law is in effect, it's critical that patients know their rights. Head to Fair Health VA’s website to learn more about the new protections put into place by step therapy reform and how they help ensure that care decisions are made by patients and their doctors, not insurance companies.

 

 


More Information

Contact us at the

VA-AAP Pediatric Council

Payer advocacy templates for appeal letters

Ask one of the coding experts at the AAP Coding Hotline


Be Part of the Change

SPEAK YOUR TRUTH