Show me the money: Advocating for and understanding economic drivers of pediatric nephrology

Monday, April 28, 2025

2:00pm – 3:30pm HST

Location: Convention Center: 316 A

CE: 1.5

Selected By: ASPN

Chair(s)

KB

Kiri Bagley, MD, MPH (she/her/hers)

Assistant Professor
Wake Forest Baptist Health - Brenner Children's Hospital
Winston-Salem, North Carolina, United States
Caitlin Carter, MD (she/her/hers)

Clinical Professor of Pediatrics
University of California, San Diego & Rady Children's Hospital
San Diego, California, United States

Disclosure(s):

Kiri Bagley, MD, MPH: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Caitlin Carter, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

The pediatric nephrology workforce continues to face numerous challenges. In the current fee-for-service system, the clinical care for children with kidney disease is neither sufficiently valued, nor appropriately compensated. The goal of this session is to facilitate discussion amongst the pediatric nephrology community about ways to promote tangible action regarding coding/billing/ reimbursement, policy/advocacy, as well as individual and societal level contributions to address these pressing issues. This session will discuss how coding and billing norms were established and evolved, review the current financial landscape (billing, coding and relative value units, RVUs), provide suggestions for how practitioners can become more "economic/business" savvy across different practices and institution types and also understand approaches to identifying and advocating for sustainable pediatric nephrology business models.

Learning Objectives:

Learn about the development, establishment and evolution of coding and billing norms in pediatric nephrology
Describe the current state of billing, coding, relative value units (RVUs) and reimbursements in pediatric nephrology
Learn how to develop business and economic skills and advocate for sustainable pediatric nephrology business models

Presentations:

2:00pm – 2:30pm HST

Evolution of Billing and Coding over Time: Impact on Current Pediatric Nephrology Practice
Speaker: Eileen D. Brewer, MD – Baylor College of Medicine
2:30pm – 3:00pm HST

Reimbursement in Pediatric Nephrology
Speaker: Mark Joseph, MD (he/him/his) – Doernbecher Children's Hospital at Oregon Health & Science University
3:00pm – 3:30pm HST

The Business of Nephrology: Developing and Advocating for Sustainable Business Models
Speaker: J. Bryan Carmody, MD, MPH – Eastern Virginia Medical School