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Medicine by the numbers

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Can You Negotiate Better Reimbursement? -- Family Practice Management

...most common CPT codes. Most primary care practices derive the bulk of their revenue from office- visit, hospital and preventive-medicine codes, so the number of codes you will need to study may be limited. Be sure the codes on your list account for at least 75 percent of total...

Family Practice Management

https://www.aafp.org/fpm/2004/1000/fpm20041000p31.pdf

Can You Negotiate Better Reimbursement? -- FPM

Oct 1, 2004 - With the right data and a reasonable approach, you can overcome some inequities in payers’ fee schedules.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/1000/p31.html

Cardiac Risk Assessment -- FPM

Oct 1, 2014 - The Cardiac Risk Assist app allows health care professionals to calculate 10-year and lifetime risks for atherosclerotic cardiovascular (CV) disease.

Family Practice Management : SPPACES: App Reviews

https://www.aafp.org/fpm/2014/0900/p32.html

Caring for Children: Re-examining the Family Physician's Role -- FPM

Aug 1, 2005 - New research suggests that the care of children has become less central to family medicine than it used to be, and some family physicians want to reverse the trend.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/0700/p45.html

Caring for Children: Re-examining the Family Physician’s Role -- Family Practice ...

...for Children: Re-examining the Family Physician’s Role New research suggests that the care of children has become less central to family medicine than it used to be, and some family physicians want to reverse the trend. Leigh Ann Backer is the managing editor of Family Practice...

Family Practice Management

https://www.aafp.org/fpm/2005/0700/fpm20050700p45.pdf

Caring for Me Is Caring for You: The Power of Self-Care and Personal Transformation

...Dr. Pipas is a family physician and Professor of Community and Family Medicine, The Dartmouth Institute for Health Policy and Clinical Practice, and the Department of Medical Education at the Geisel School of Medicine at Dartmouth. She is the author of A Doctor’s Dozen: 12...

Family Practice Management

https://www.aafp.org/fpm/2020/0300/fpm20200300p17.pdf

Caring for Me Is Caring for You: The Power of Self-Care and Personal Transformation -- FPM

Apr 1, 2020 - Want to see change in your team, your organization, or beyond? Start by filling your own tank.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0300/p17.html

Chart Audit: Is Your Practice Billing What It Should? -- FPM

Apr 1, 2009 - A simple review may save your practice loads of money.

Family Practice Management : Articles

https://www.aafp.org/fpm/2009/0300/p15.html

Choosing Between Clinical Practice and Administration -- Family Practice Management

...which would mean leaving the clinical practice of medicine? It stunned me that I was contemplating leaving a career I dearly loved. Yet I had become inspired by the quality movement in health care. The Institute of Medicine reports1,2 substantiated that our health system falls...

Family Practice Management

https://www.aafp.org/fpm/2003/0100/fpm20030100p39.pdf

Choosing Between Clinical Practice and Administration -- FPM

Jan 1, 2003 - After wrestling with the decision, this family physician ended up where she started, but she gained a good deal of insight along the way.

Family Practice Management : Articles

https://www.aafp.org/fpm/2003/0100/p39.html

Chronic care -- FPM

...• Number of refills • Prescribing practitioner’s signature and signature date Be aware that there are limits to the quantity of test strips and lancets that Medicare covers when the basic coverage criteria are met. For beneficiaries treated with insulin, this limit is 300 every...

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/chronic-care.html

Chronic Care Management in the Real World

...said building each care plan gave her a rare chance to study each patient’s chart in depth, which allowed her to notice a sur- prising number of care gaps, such as missed wellness exams, pneumonia shots, or mam- mograms. She makes sure to add these services to the list of follow-up...

Family Practice Management

https://www.aafp.org/fpm/2015/0900/fpm20150900p35.pdf

Chronic Care Management in the Real World -- FPM

Oct 1, 2015 - Physicians share their actual experiences, successes, and stumbles as they implement chronic care management in their practices.

Family Practice Management : Articles

https://www.aafp.org/fpm/2015/0900/p35.html

Closing the Physician-Staff Divide: A Step Toward Creating the Medical Home -- FPM

Apr 1, 2008 - If your staff's job is to keep patients moving through the system and yours is to take care of the patients they supply, your practice is flawed.

Family Practice Management : Articles

https://www.aafp.org/fpm/2008/0400/p20.html

Coding "Routine" Office visits: 99213 or 99214? -- Family Practice Management

...An encounter earns points based on the number and type of problems addressed. For example, an encounter with a patient whose chronic illness is stable would be worth one problem point, while an encounter involving a patient with a new problem for which addi- tional work-up is...

Family Practice Management

https://www.aafp.org/fpm/2005/0900/fpm20050900p52.pdf

Coding "Routine" Office Visits: 99213 or 99214? -- FPM

Sep 1, 2005 - Before choosing 99213 for routine visits, consider whether your work qualifies for a 99214.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/0900/p52.html

Coding & Documentation - Apr 2001 -- FPM

Apr 1, 2001 - ...The documentation guidelines do not specify the number of prescriptions involved with a moderate level of risk, so one must assume that managing even one prescription drug would qualify the level of risk as moderate. Urinalysis in OB care Q Is urinalysis included in the antepartum...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2001/0400/p16.html

Coding & Documentation - Apr 2006 -- FPM

Apr 1, 2006 - ...code first. List the additional diagnoses, linking each to the related CPT code. In your example, you should link V70.0 to the preventive medicine services, and link the diagnosis codes for hand pain and bursitis to the problem-oriented evaluation and management (E/M) code, if the...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2006/0400/p31.html

Coding & Documentation - Feb 2007 -- FPM

Feb 1, 2007 - ...to deny the claim on the basis that the work associated with the problem-oriented service is not distinct from that of the preventive medicine service. Coding for venipuncture Q If a patient presents to my office for fasting blood work only, with no E/M service needed, can we charge...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2007/0200/p23.html

Coding & Documentation - Jan 2000 -- FPM

Jan 1, 2000 - ...I believe your Medicare carrier is correct. In a group practice, all the claims usually are submitted under one group Medicare provider number, making your example analogous to the exception my original answer described, in which one physician provided both the office visit and the...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2000/0100/p17.html

Coding & Documentation - Jan 2002 -- FPM

Jan 1, 2002 - ...of systems for the preventive medicine services codes, is there a fixed number of systems we have to check and questions we have to ask? A No, it is generally understood that the documentation guidelines are not applicable to the preventive medicine services codes for the following...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2002/0100/p18.html

Coding & Documentation - Jan 2003 -- FPM

Jan 1, 2003 - ...92551 is a screening test. It typically involves the use of a device that produces a series of tones. If the patient does not hear a certain number of tones, depending on the standard used by the office, he or she fails the test. At that point, the patient may be scheduled for...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2003/0100/p17.html

Coding & Documentation - Jan 2005 -- FPM

Jan 1, 2005 - ...usually required for the highest level of [E/M] service within a given category, it may be identified by adding modifier -21 to the [E/M] number. Note that the above rules don’t apply when time is considered the key or controlling factor in your selection of the E/M service code....

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2005/0100/p21.html

Coding & Documentation - Jan-Feb 2012 -- FPM

Feb 1, 2012 - ...Medicare accepts G0434 with modifier QW for CLIA-waived tests that detect drugs. Bill one unit per patient encounter regardless of the number of drug classes tested. Your Medicare administrative contractor may have a local coverage determination that specifies coverage conditions...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2012/0100/p29.html

Coding & Documentation - Jan-Feb 2013 -- FPM

Feb 1, 2013 - ...Assuming the patient is established and the number of diagnostic problems led you to perform and document the key components required for a level-5 office visit, you should start by reporting code 99215, which typically represents 40 minutes of face-to-face time. Because the visit...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2013/0100/p33.html

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