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Medicine by the numbers

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FAQ on MACRA and Medicare Payment Reform

Find the answers to your questions regarding MACRA.

Family Physician : Practice and Career

https://www.aafp.org/family-physician/practice-and-career/getting-paid/macra/faq.html

Coding for Vaccine Administration

Find out the correct coding procedures for vaccine administration.

Family Physician : Practice and Career

https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/vaccine-administration.html

MACRAnyms: Acronyms and Terms Related to MACRA's Quality Payment Program

A list of MACRA-related acronyms for easy reference.

Family Physician : Practice and Career

https://www.aafp.org/family-physician/practice-and-career/getting-paid/macra/macranyns.html

National Provider Identifier

Find out how apply for a national provider identifier for your practice.

Family Physician : Practice and Career

https://www.aafp.org/family-physician/practice-and-career/managing-your-practice/national-provider-identifier.html

Testing Tips

Update your knowledge on waived and PPM labs and associated quality assurance requirements.

Family Physician : Practice and Career

https://www.aafp.org/family-physician/practice-and-career/managing-your-practice/clia/testing-tips.html

Starting, Closing, or Selling a Practice

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Family Physician : Practice and Career

https://www.aafp.org/family-physician/practice-and-career/managing-your-practice/starting-closing-practice.html

MIPS Payment Track: Virtual Groups

Learn how virtual groups (VGs) can help solo and small practice physicians successfully participate in MIPS.

Family Physician : Practice and Career

https://www.aafp.org/family-physician/practice-and-career/getting-paid/mips/virtual-groups.html

CLIA Inspections

Find information regarding CLIA inspections for both basic inspections and specialty labs.

Family Physician : Practice and Career

https://www.aafp.org/family-physician/practice-and-career/managing-your-practice/clia/inspections.html

Try These Tips to Overcome Flu Vaccine Hesitancy

During what is shaping up to be a severe flu season, Margot Savoy, M.D., M.P.H., offers tips on vaccinating reluctant patients in this Leader Voices Blog post.

AAFP News : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20200109lv-fluvacc.html

The Economics of Our Health Care System Are Horrifying

Millions of Americans are forgoing health care because of cost while others are accruing staggering debt to pay for care. AAFP Senior Vice President of Advocacy, Practice Management and Policy Shawn Martin examines a growing crisis in this In the Trenches blog post.

AAFP News : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200107itt-economics.html

Health Equity Fellow Targets Obesity in Clinic, Community

AAFP Health Equity Fellow Keisha Harvey, M.D., has embarked on a broad campaign to address obesity with efforts in physician offices and throughout the community.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20200106fdf-harvey.html

Disease- and Population-Specific Immunizations

Immunizations can prevent the spread of contagious and sometimes deadly diseases, particularly among at-risk populations such as young children and older adults. Use AAFP resources to educate parents and patients about the importance of getting immunizations.

Family Physician : Patient Care

https://www.aafp.org/family-physician/patient-care/prevention-wellness/immunizations-vaccines/disease-pop-immunization.html

Branched-chain Amino Acids for Patients with Hepatic Encephalopathy - Medicine by the ... Restricted content. Login required.

Jan 1, 2020 - Hepatic encephalopathy is a brain dysfunction that can be mild with minimal confusion, or overt and severe with coma. Learn more about branched-chain amino acids for the treatment of hepatic encephalopathy.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0101/od1.html

Adolescent Idiopathic Scoliosis: Common Questions and Answers - American Family Physician Restricted content. Login required.

Jan 1, 2020 - Adolescent idiopathic scoliosis affects 1% to 3% of U.S. adolescents. It is defined by a lateral curvature of the spine (Cobb angle) of at least 10 degrees in the absence of underlying congenital or neuromuscular abnormalities. Adolescent idiopathic scoliosis may be detected via the ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0101/p19.html

Lymphoma: Diagnosis and Treatment - American Family Physician Restricted content. Login required.

Jan 1, 2020 - Lymphoma is a group of malignant neoplasms of lymphocytes with more than 90 subtypes. It is traditionally classified broadly as non-Hodgkin or Hodgkin lymphoma. Approximately 82,000 new U.S. patients are diagnosed with lymphoma annually. Any tobacco use and obesity are major modifiable ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0101/p34.html

Antepartum Omega-3 Fatty Acid Intake and Length of Gestation - Cochrane for Clinicians ... Restricted content. Login required.

Jan 1, 2020 - Omega-3 fatty acids, whether taken as supplements or consumed as part of the diet, reduce the risk of preterm birth (number needed to treat = 68) and early preterm birth (number needed to treat = 55).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0101/p17.html

C-Reactive Protein Guidance Safely Reduces Antibiotic Use in Patients with Acute ... Restricted content. Login required.

Jan 1, 2020 - CRP guidance, regarding the likelihood that antibiotics will be helpful for patients with acute exacerbation of COPD, safely reduces antibiotic use (number needed to treat = 5).

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0101/p54.html

Nodules on the Knuckles - Photo Quiz - American Family Physician Restricted content. Login required.

Jan 1, 2020 - ...MICAH PIPPIN, MD, Louisiana State University Health Sciences Center, Family Medicine Residency, Alexandria, Louisiana Am Fam Physician. 2020 Jan 1;101(1):47-48. A 55-year-old man presented with nonpainful, red masses on his knuckles that had been recurring for years. The lesions...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0101/p47.html

Positive Chest Radiograph Findings Are Not Enough to Warrant Antibiotics in Patients ...

Jan 1, 2020 - ...Editor’s Note: Dr. Ebell is Deputy Editor for Evidence-Based Medicine for AFP. References 1. Ebell MH, Radke T. Antibiotic use for viral acute respiratory tract infections remains common. Am J Manag Care. 2015;21(10):e567–e575. 2. Van Vugt S, Broekhuizen BD, Lammens C, et al. Use of...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0101/p5.html

Positional Therapy for Obstructive Sleep Apnea - Cochrane for Clinicians - American ... Restricted content. Login required.

Jan 1, 2020 - Positional therapy for OSA reduces scores on the apnea-hypopnea index (AHI) and Epworth Sleepiness Scale compared with no treatment. Although continuous positive airway pressure (CPAP) improves AHI scores more than positional therapy, patients seem to better tolerate positional therapy ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0101/p16.html

Exercise to Reduce Falls in Older Adults - FPIN's Clinical Inquiries - American Family ... Restricted content. Login required.

Jan 1, 2020 - Exercise programs should be recommended for community-dwelling adults 60 years and older because they lead to fewer falls.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0101/p42.html

Study Highlights Lack of Self-care Among Medical Residents

New research indicates that a concerning number of medical residents do not have a routine place for care, making them less likely to utilize valuable preventive screenings and services.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20191224residentscare.html

Clinical Practice Guideline Manual

Clinical Practice Guideline Manual

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/cpg-manual.html

USPSTF: Offer Behavioral Counseling to Prevent STIs

The U.S. Preventive Services Task Force recently posted a draft recommendation statement and draft evidence review on the use of behavioral counseling interventions to prevent sexually transmitted infections.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20191218uspstf-stis.html

End of Medicare's Transition From HICN to MBI Use Looms

Starting Jan. 1, clinicians must begin submitting claims and conducting other Medicare transactions using the Medicare Beneficiary Identifier shown on CMS' newly issued Medicare cards.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20191218hicn-mbicutoff.html

Views From the 2019 Congress of Delegates and Family Medicine Experience

This page features photos, videos and other content highlighting various events at the 2019 Congress of Delegates and Family Medicine Experience in Philadelphia.

AAFP News : News From 2019 COD and FMX

https://www.aafp.org/news/2019-congress-fmx/20190930cod-fmx.html

Certification, CME, Residency Issues Top Delegates' Agenda

Delegates to the 2019 Congress of Delegates addressed a number of education-related issues, including the pros and cons of the American Board of Family Medicine's Family Medicine Certification Longitudinal Assessment.

AAFP News : News From 2019 COD and FMX

https://www.aafp.org/news/2019-congress-fmx/20191002cod-education.html

Domino: Beer is OK (If You Exercise), But Avoid Kale

Frank Domino, M.D., delivered his popular "Top 10 Updates in Evidence-based Medicine" Sept. 27 during the Family Medicine Experience in Philadelphia. As usual, his presentation drew a huge crowd.

AAFP News : News From 2019 COD and FMX

https://www.aafp.org/news/2019-congress-fmx/20191001fmx-domino.html

New AAFP President Pledges Relief for Practice Challenges

Newly installed AAFP President Gary LeRoy, M.D., of Dayton, Ohio, introduced himself to members Sept. 25 in his first major address during the 2019 Family Medicine Experience in Philadelphia.

AAFP News : News From 2019 COD and FMX

https://www.aafp.org/news/2019-congress-fmx/20190927fmx-leroy.html

FPs Talk Payment, Administrative Burden in Town Hall

Family physicians talked with AAFP officers about a number of hot-button issues during a Town Hall meeting before the 2019 Congress of Delegates officially convened in Philadelphia.

AAFP News : News From 2019 COD and FMX

https://www.aafp.org/news/2019-congress-fmx/20190924townhall.html

FPs Fight to Retain Full Scope, Ensure High-quality Care

The Reference Committee on Practice Enhancement at the 2019 Congress of Delegates discussed topics including privileging, credentialing, scope of practice and acupuncture.

AAFP News : News From 2019 COD and FMX

https://www.aafp.org/news/2019-congress-fmx/20190930cod-pe.html

New AAFP President Thrives on Serving Patients, Community

AAFP President Gary LeRoy, M.D., sat down with AAFP News to tell family physicians about himself and discuss issues he'll tackle in the coming year, including spurring development of EHR systems that suit the way family physicians work.

AAFP News : News From 2019 COD and FMX

https://www.aafp.org/news/2019-congress-fmx/20190925leroyqa.html

Delegates Act on Obesity Bias, Other Public Health Issues

Delegates to the 2019 Congress of Delegates addressed issues that included stigma and bias associated with obesity in the practice setting and elsewhere, family separation, and reproductive health.

AAFP News : News From 2019 COD and FMX

https://www.aafp.org/news/2019-congress-fmx/20191002cod-hops.html

Family Physicians Aim to Grow AAFP, Embrace Inclusiveness

Family physicians attending the 2019 Congress of Delegates in Philadelphia debated resolutions addressing family-friendly meetings, gender pronouns on badges and more.

AAFP News : News From 2019 COD and FMX

https://www.aafp.org/news/2019-congress-fmx/20191002cod-orgfin.html

CDC Proposes Expanding Its HCV Testing Recommendations

The CDC intends to expand its current recommendations for hepatitis C virus screening and is seeking public comment on the proposed changes, which would include one-time screening for adults 18 and older.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20191217cdchcvtest.html

SNAP Work Requirements Won't Work

Kimberly Becher, M.D., writes in this Fresh Perspectives blog post that roughly 10% of her county's population was already receiving assistance from a local food bank before the federal government finalized a rule that will cut Supplemental Nutrition Assistance Program benefits.

AAFP News : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20191216fp-snap.html

Cirrhosis: Diagnosis and Management - American Family Physician Restricted content. Login required.

Dec 15, 2019 - Cirrhosis is the 12th leading cause of death in the United States. Newer research has established that liver fibrosis is a dynamic process and that early cirrhosis may be reversible. Only one in three people with cirrhosis knows they have it. Most patients with cirrhosis remain ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1215/p759.html

Influenza: Diagnosis and Treatment - American Family Physician Restricted content. Login required.

Dec 15, 2019 - Influenza is an acute viral respiratory infection that causes significant morbidity and mortality worldwide. Three types of influenza cause disease in humans. Influenza A is the type most responsible for causing pandemics because of its high susceptibility to antigenic variation. ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1215/p751.html

The Case Against Coronary Artery Calcium Scoring for Cardiovascular Disease Risk ...

Dec 15, 2019 - Although coronary artery calcium testing may slightly improve future risk prediction, this theoretical benefit is outweighed by its potential harms.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1215/p734.html

One Month of Dual Antiplatelet Therapy Followed by Clopidogrel Alone is Superior to 12 ... Restricted content. Login required.

Dec 15, 2019 - This study found that one month of dual antiplatelet therapy (aspirin plus clopidogrel or prasugrel [Effient]) followed by clopidogrel monotherapy for up to five years is both noninferior and superior to 12 months of dual antiplatelet therapy followed by aspirin for up to five years for...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1215/od5.html

Baloxavir Reduces Symptom Duration Similar to Oseltamivir, Primarily Within 24 Hours of... Restricted content. Login required.

Dec 15, 2019 - Baloxavir has similar efficacy to oseltamivir (Tamiflu) (33-hour reduction in duration of symptoms compared with placebo) and, like oseltamivir, is most effective when given within 24 hours of the onset of symptoms.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1215/od4.html

Advancing Health Equity by Addressing the Social Determinants of Health in Family ...

Read the AAFP's policy on Advancing Health Equity by Addressing the Social Determinants of Health in Family Medicine (Position Paper)

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/social-determinants-health-family-medicine-position-paper.html

Poverty and Health - The Family Medicine Perspective (Position Paper)

Find out the ways in which the American Academy of Family Physicians transforms health care to achieve optimal health for everyone.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/poverty-health.html

Incarceration and Health: A Family Medicine Perspective (Position Paper)

Read the AAFP's position paper on Incarceration and Health: A Family Medicine Perspective .

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/incarceration.html

Mental Health Care Services by Family Physicians (Position Paper)

Read the AAFP's position paper on mental health care services provided by family physicians.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/mental-health-services.html

Research, Family Medicine Journals

Read AAFP's position on the availability of publications for original family medicine research.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/research-journals.html

Cesarean Delivery in Family Medicine (Position Paper)

Read the AAFP's position on the role of family physicians in delivering maternity care including cesarean delivery.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/cesarean-delivery-family-medicine.html

Student Choice of Family Medicine, Incentives for Increasing

Read AAFP's position on strategies and incentives to encourage medical students' choice of family medicine as a career.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/studentchoice-familymedicine.html

Violence in the Media and Entertainment (Position Paper)

Read the AAFP's position paper on violence in the media and its effect on American children.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/violence-media-entertainment.html

Research - Ethical Participation by Family Physicians

Read the ethical considerations for physicians to follow when conducting medical research.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/research-ethical.html

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