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28 Clinical policies aren't brought down from Mount Sinai; they're written by panels or committees of fallible people.
40 "People who think they have the option of paper versus computerized charts -- they don't understand. This is not an option anymore."
45 The question to ask is this: If the patient came to you today in the office with these signs and symptoms, would you admit him or her?
Quality Improvement
23

23
CME

QUALITY CARE
Quality Improvement: First Steps
QI can bring about substantial, lasting, positive change in your practice. It all begins with identifying the opportunities.
Mary Thoesen Coleman, MD, PhD, and Scott Endsley, MD, MSc


45
CME

COST-EFFECTIVE CARE
Tips for Making Inpatient Care More Efficient
You may be surprised at what you can do to improve the quality and reduce the cost of hospital care -- and strengthen your own position.
Spencer H. McCleave, MD, MBA


Inpatient Care
45

28
CME

EVIDENCE-BASED MEDICINE
How to Evaluate and Implement Clinical Policies
Here are step-by-step methodologies to help you select the right clinical policies and actually change practice with them.
Thomas T. Gilbert, MD, MPH, and Julie Scott Taylor, MD


37
CME

MAXIMIZING REIMBURSEMENT
Take Charge of Coding: Don't Lose Income to Neglect
The time you spend will be well rewarded -- both financially and in improved service to your patients.
William Jackson Epperson, MD, Karl S. Hubach, MD, Karen E. Menn, DO, and Sharon Oates, FNP


40

FAMILY PRACTICE SPECTRUM
Practicing Without Paper
Using information technology, this Texas practice is working smarter and serving patients better.
John Spicer

Featured Departments
15 When you outsource your billing, you're putting the financial stability of your practice in someone else's hands.
53 "Oh," she said, "I didn't see Dr. Gude. I went to an acupuncturist, who said I had a floating rib and sent me to a chiropractor, who put it back in."
66 If you're waiting for blocks of time to do something you want to do, you're waiting for a bus that's not coming.
 
15
CME

GETTING PAID
What to Consider When Choosing a Billing Service
The key is to remember that the best indicator of a company's performance is its track record with practices like yours.
Judy Capko

 
18
CME

CODING AND DOCUMENTATION
Answers to Your Questions
Kent J. Moore and John Spicer


21

MONITOR
Y2K Update: HCFA says it'll be ready, but will you? • HMO, POS enrollment slows; overall health plan costs rise • Boomers will demand greater accountability • The future of family practice: A glass half full? • Medicare overpayments continue to fall • New York HMO complaints double • Groups collaborate on performance measures

 
53

PRACTICE DIARY
Excerpts From a Family Physician's Journal
Sanford J. Brown, MD

 
54

ASK FPM
Discounting self-pay patients • Balance billing HMO patients • Practicing in a strip mall • Waiving a co-payment

 
57
CME

IMPROVING PATIENT CARE
Beginning With a Vision
Any efforts to improve patient care must be guided by a clear vision that you, your staff and your colleagues share.
Stacey Eubanks

 
59
CME

COMPUTERS
Our Featured Web Site: Three Sites for Patient Health Information
David C. Kibbe, MD, MBA


66
CME

BALANCING ACT
Tips for Life Balance and Time Management
From quick fixes to major changes, here are a dozen ways you can get organized and find time you didn't know you had.
Pamela J. Vaccaro, MA

Other Departments
8 EDITOR'S PAGE
11 LETTERS
61 FPM QUIZ (EARN 3 HOURS OF CME CREDIT)
65 AUTHORS GUIDE

Copyright © 1999 by the American Academy of Family Physicians.
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