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Is Your Medicare Payer Playing by the Rules? - Feature

Why the Medicare Fee Schedule and RVUs Matter to Employed Family Physicians - Opinion

Thinking on Paper: Documenting Decision Making - Feature

E/M Coding and the Documentation Guidelines: Putting It All Together - Feature

How Health Care Reform Will Affect Family Physicians - Feature

Five Common Coding Mistakes That Are Costing You - Feature

Use of Hospice Care for Patients Without Cancer - Editorials

CPT Update for 2011: Immunizations, Observations and More - Feature

What You Need to Know About the Medicare Preventive Services Expansion - Feature

House Calls - Article

ABSTRACT: House calls provide a unique perspective on patients’ environment and health problems. The demand for house calls is expected to increase considerably in future decades as the U.S. population ages. Although study results have been inconsistent, house calls involving multidisciplinary teams may reduce hospital readmissions and long-term care facility stays. Common indications for house calls are management of acute or chronic illnesses, and palliative care. Medicare beneficiaries must meet specific criteria to be eligible for home health services. The INHOMESSS mnemonic provides a checklist for components of a comprehensive house call. In addition to performing a clinical assessment, house calls may involve observing the patient performing daily activities, reconciling medication discrepancies, and evaluating home safety. House calls can be integrated into practice with careful planning, including clustering house calls by geographic location and coordinating visits with other health care professionals and agencies.

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