ITEMS IN FPM ON TOPIC:
Minimizing costs and maximizing reimbursement can make immunizations profitable.
SHOTS 2014 enables health care professionals to review immunization schedules and readily answer vaccine questions at the point of care.
Health problems of the mouth can affect the whole patient, making primary care physicians a natural ally.
Analyzing and eliminating physical and procedural barriers to immunization allowed this practice to improve its performance.
FPM's ICD-10 coding series continues with a look at how to code immunizations, routine health exams, and common preventive screenings.
In recent years, there has been an increase in patients refusing to get immunized, concerned with potential side effects or unconvinced that the shots are necessary. That has allowed some previously declining diseases to make a resurgence. Physicians, who remain the biggest influence on whether patients get vaccinated, need to find ways to address and overcome these reservations when talking with patients about getting immunized. Strategies include explaining the risks and benefits of vaccination; steering patients toward factual, pro-vaccination websites and literature; and working with community leaders and clergy who may also influence patients' decisions about vaccination.
The ACP Immunization Advisor app allows clinicians to customize searches for recommended vaccines by patient age (19 years or older), medical conditions, and special circumstances (e.g., work setting, travel plans, or living arrangements). It provides links to other useful online immunization resource collections, including the CDC's Advisory Committee on Immunization Practices (ACIP). Clinicians can also browse a library of pages on individual vaccines that contain expandable menus of information on indications, contraindications, administration, side effects, and coding.
The authors, whose practice delivers the Medicare annual wellness visit in the form of a nurse pre-visit and a 15-minute physician visit, offer advice, workflows and protocols for achieving similar levels of efficiency in other practices.
The authors offer advice on coding for preventive care visits with non-Medicare patients.
The author explains the circumstances surrounding the 2012 Medicare requirement that annual wellness visits include review of a health risk appraisal completed by the patient before the visit.