Article: Insurance Reimbursement in a University-Based Pediatric Weight Management Clinic

Objectives: To compare third-party payor reimbursement for patients evaluated in a university-based pediatric weight management clinic in central Kentucky.

Study Design: Demographic and reimbursement data were reviewed for 120 patients evaluated January to December 2004. Statistical analysis included Kruskal-Wallis test and Friedman's test.

Results: Overall, median reimbursement was 60%. For new appointments, contracted (56%) and capitated (60%) reimbursements were higher than Medicaid (55%). For established appointments, Medicaid reimbursement (100%) was higher than contracted (37%) and capitated (58%).

Conclusion: Our data suggest that reimbursement is influenced by regional factors and ...

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